{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T02:35:13Z","timestamp":1781058913120,"version":"3.54.1"},"reference-count":7,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2002,9,4]],"date-time":"2002-09-04T00:00:00Z","timestamp":1031097600000},"content-version":"vor","delay-in-days":246,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2002,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess the learning curve characteristics of the first 30 tension\u2010free vaginal tape (TVT) procedures carried out in our medical center and to evaluate its safety and short\u2010term effectiveness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 30 incontinent women with urodynamically proven SUI were enrolled. None had undergone any previous anti\u2010incontinence procedure. All were operated on by one surgeon, in accordance with the technique described by Ulmsten et al. in 1996. Mean follow\u2010up was 11.4\u00b1 3.6 months (range, 5\u201317 months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five (17%) bladder perforations occurred at the beginning of the study, due to inadvertent insertion of the applicator. All perforations were identified by intraoperative cystoscopy. Five other patients (17%) had increased intraoperative bleeding (&gt;200 mL) necessitating vaginal tamponade. Blood transfusions were not required. Eight (27%) patients had immediate postoperative voiding difficulties, necessitating catheterization for 2\u201310 days, but none needed long\u2010term catheterization. There was no local infection or rejection of the Prolene tape was found. All patients were subjectively cured of their stress incontinence; however, urodynamic evaluation revealed \u201casymptomatic genuine stress incontinence\u201d in one patient. Sixteen of 21 patients (80%) with preoperative urge syndrome, had persistent postoperative symptoms. No patient developed de novo urge incontinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The TVT operation is a new, minimally invasive surgical procedure with excellent short\u2010 and medium\u2010term cure rates. However, there is a definite learning curve, and we believe that the operation should only be performed by experienced surgeons. Neurourol. Urodynam. 21:470\u2013472, 2002. \u00a9 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.10056","type":"journal-article","created":{"date-parts":[[2002,10,8]],"date-time":"2002-10-08T22:49:18Z","timestamp":1034117358000},"page":"470-472","source":"Crossref","is-referenced-by-count":45,"title":["Tension\u2010free vaginal tape for stress urinary incontinence: Is there a learning curve?"],"prefix":"10.1002","volume":"21","author":[{"given":"Asnat","family":"Groutz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Gordon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igal","family":"Wolman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariel J.","family":"Jaffa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Menachem P.","family":"David","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph B.","family":"Lessing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2002,9,4]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.1930070502"},{"key":"e_1_2_1_3_1","first-page":"34","article-title":"The tension\u2010free vaginal tape procedure (TVT) for treatment of female urinary incontinence. A minimal invasive surgical procedure","volume":"168","author":"Nilsson CG","year":"1998","journal-title":"Acta Obstet Gynecol Scand"},{"key":"e_1_2_1_4_1","unstructured":"RivaD ViganoR GandiniL MarchianoA QuellariP FerrariA.1998.Tension free vaginal tape for the therapy of stress urinary incontinence: early results and urodynamic analysis. Abstract. Presented at the International Continence Society 28th Annual Meeting; September; Israel."},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01902378"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01901606"},{"key":"e_1_2_1_7_1","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1111\/j.1471-0528.1999.tb08272.x","article-title":"A three\u2010year follow\u2010up of tension free vaginal tape for surgical treatment of female stress urinary incontinence","volume":"106","author":"Ulmsten U","year":"1999","journal-title":"Br J Obstet Gynaecol"},{"key":"e_1_2_1_8_1","first-page":"429","article-title":"Tension\u2010free vaginal tape. A minimally invasive solution to stress urinary incontinence in women","volume":"43","author":"Wang AC","year":"1998","journal-title":"J Reprod Med"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.10056","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.10056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T01:24:01Z","timestamp":1700529841000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.10056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,1]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2002,1]]}},"alternative-id":["10.1002\/nau.10056"],"URL":"https:\/\/doi.org\/10.1002\/nau.10056","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,1]]}}}