Tension-free Vaginal Tape Is an Effective Treatment for Occult Stress Urinary Incontinence in Patients Undergoing Vaginal Repair of Pelvic Organ Prolapse: A Case Series
Bibliographic record
Abstract
In Brief Objectives: To assess tension-free vaginal tape for the treatment of occult stress urinary incontinence in women undergoing reconstructive surgery for prolapse. Methods: We conducted a retrospective case series of 32 women with pelvic organ prolapse and occult stress urinary incontinence undergoing surgery with concomitant tension-free vaginal tape (TVT) in a tertiary care hospital during 1998 to 2003. Incontinence was occult if asymptomatic and only demonstrable with the prolapse reduced. Preoperative prolapse was at or beyond the level of the hymen. Cure of incontinence was assessed after 1 year by the absence of objective urine leakage during clinical examination with coughing and during urodynamics. Results: Thirty-two patients underwent TVT with concomitant prolapse repair. One year after surgery, clinical examination with coughing showed recurrence of stress incontinence in 2 of 32 patients (6.3%), and leak at urodynamics showed a failure of 3 of 32 (9.4%). Subjective incontinence failure was present in 2 of 32 patients (6.3%). Six patients (19%) had recurrence of cystocele at or beyond the hymen at 1 year. Three patients (9%) had a cystotomy at the time of TVT placement; however, these were all recognized at the time of surgery, and there were no sequelae. One patient required intermittent self-catheterization on a long-term basis. Conclusions: TVT offers good cure in patients with occult stress incontinence undergoing prolapse repair. In order to assess tension-free vaginal tape for the treatment of occult stress urinary incontinence in women undergoing reconstructive surgery for prolapse, the authors conducted a retrospective case series of 32 women. At 1 year after surgery, patients showed a good cure rate by clinical examination and urodynamics.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".