Mid-urethral tape procedures; 10-year experience of insertion and removal
BAUS ePoster online library. Chan K. Jun 27, 2018; 211391
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Ms. Katie E Chan
Ms. Katie E Chan
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Abstract
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Introduction: The recent media attention towards vaginal mesh procedures has put their complication rate under greater scrutiny. Data to date have been sparse regarding the long-term outcomes of mid-urethral tape procedures (MUT). We present our experience of MUT performed over a 10-year period.

Methods: All patients who underwent MUT insertion or removal between October 2007 and January 2018 were retrospectively analysed.

Results: 737 MUT procedures were performed in 731 women. Of these, 23 patients required tape removal surgery giving an excision rate of 3.1%. 24 tape removal procedures were performed for women who had MUT surgery elsewhere. For the patients who had excision surgery the average time between insertion and removal was 16 months (range 0-72). The number of tape removal procedures performed doubled in 2017 compared to that of 2016 and 2015.

Conclusion: Mid urethral tape procedures in our series had an excision rate of 3.1%. The number of tape removal procedures performed per year at our trust appears to be increasing. Nearly half of the patients, who had tapes removed at our trust, had had their initial tape insertion surgery in another unit. Therefore, the true incidence of tape removal remains uncertain. We look forward to long-term data from national audit projects and welcome the involvement of other allied specialties in the formation of more powerful data.
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