Comparison of single incision mini slings and tension-free vaginal tape obturator in the treatment of pure female stress urinary incontinence: results of 2-year investigation
10.3760/cma.j.cn112139-20191210-00603
- VernacularTitle:单切口无张力尿道中段悬吊术和经闭孔无张力尿道中段悬吊术治疗女性单纯性压力性尿失禁2年结果的比较研究
- Author:
Jianzhong ZHANG
1
;
Peng ZHANG
;
Liyang WU
;
Chaohua ZHANG
;
Yong WANG
Author Information
1. 首都医科大学附属北京朝阳医院泌尿外科 100020
- Keywords:
Urinary incontinence, stress;
Suburethral slings;
Treatment outcome
- From:
Chinese Journal of Surgery
2020;58(5):388-392
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical efficacy and safety of single incision mini slings (contasure needless, C-NDL) and tension-free vaginal tape obturator (TVT-O) in the treatment of pure female stress urinary incontinence(SUI).Methods:Clinical data of 107 female SUI patients who underwent C-NDL ( n=51) or TVT-O ( n=56) procedure during October 2013 and October 2017 in Department of Urology, Beijing Chaoyang Hosptial, Capital Medical University were enrolled.The age of the patients in the C-NDL and TVT-O group was (58.8±9.3) years (range: 43 to 81 years) vs.(56.9±11.4) years (range: 32 to 87 years), the cough leak point pressure was 70(20) cmH 2O ( M( Q R), 1 cmH 2O=0.098 kPa) vs. 80(25) cmH 2O. The pre- and peri-operative data, subjective cure rate, objective cure rate, quality of life, International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Incontinence Impact Questionnaire-Short Form (IIQ-7) and other complications were compared. The t test, Wilcoxon rank sum test, analysis of variance, χ 2 test andFisher exact test were applied to compare the indexes. Results:In the C-NDL and TVT-O group, the median operation time was 30(10) minutes vs. 40(30) minutes ( Z=-3.73, P<0.01). The postoperative follow-up period was 32.0(17.4) months vs.41.0(23.2)months. At the latest follow-up, the objective cure rate was 48/51 vs. 54/56 (χ 2=0.01, P=0.94), the subjective cure rate was 43/51 vs. 50/56 (χ 2=0.03, P=0.86), ICIQ-SF was 2.29±4.02 (range:0 to 13) vs. 1.71±3.67 (range:0 to 18), and IIQ-7 was 1.12±1.85 (range: 0 to 7) vs.0.70±1.70 (range: 0 to 6). The statistically significant difference in the postoperative visual pain analogue scale (VAS) were found between the two groups (0(1.5) vs.1.0(1.0), Z=3.41, P<0.01). Dysuria occurred in 2 patients in each group, vaginal pain occurred in 1 patient in the C-NDL group, groin pain occurred in 2 patients and urinary urgency occurred in 3 patients in the TVT-O group too. There were no significant difference between the complication rates of the 2 group (3/51 vs.7/51, P=0.325). Conclusion:Both C-NDL and TVT-O may be effective and reliable in the treatment of female SUI.
