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Tension-Free Vaginal Tape Versus Transobturator Tape for Treatment of Female Stress Urinary Incontinence: A 2-Year Follow-Up Investigation

• 2010
العودة
معلومات البحث
المؤلفون Osama Abdelwahab, Hammouda Sherif
الكلمات المفتاحية Not Available
المجلة العلمية Not Available
الناشر Not Available
المجلد Not Available
العدد Not Available
الصفحات Not Available
publication.type International
رابط البحث Not Available
المواد المرفقة Not Available
الملخص
INTRODUCTION: The purpose of the study was to compare intraoperative, perioperative, and long-term (2-year)
safety and efficacy of procedures using tension-free vaginal tape (TVT) versus transobturator tape (TOT) for the
treatment of female stress urinary incontinence (SUI).
METHODS: Participants were 120 female patients with SUI. They were randomly assigned to 2 equal groups,
receiving either TVT or TOT. All patients were evaluated by history, physical examination, urine culture,
pelviabdominal ultrasound, and urodynamics; they also completed the International Consultation of Incontinence
Questionnaire-Short Form (ICIQ-SF). Patients were followed for 2 years. The groups were compared for operative
outcomes, complications, maximum flow rates (Qmax) before surgery and at 3-month follow-up intervals, cure
rates, and ICIQ-SF scores.
RESULTS: Patients receiving TVT had significantly higher intraoperative blood loss (P < .001) and longer operative
times (P < .001). There was no significant group difference in length of hospital stay. Qmax levels decreased
after surgery, with no group differences at any follow-up evaluation. Minor complications occurred in < 10%
of all patients, with no significant group differences. The success rate was 93.3 % (cure 83.3%; improved 10%)
following use of TVT and 96.6% (cure 86.6%; improved 10%) following use of TOT; group differences were not
significant. All patients with failed procedures had VLPP < 60 cmH20 and grade III SUI. Mean preoperative ICIQ-SF
scores, a quality of life measure, were significantly lowered for all patients following surgery with no significant
group differences.
CONCLUSIONS: Use of TVT and TOT in surgery result in similar outcomes, including cure rates. Based on the results
of this 2-year study, both procedures have similar morbidity and should be considered safe and effective.