Early Experience with Transobturator Vaginal Tape Inside-out(TVT-O) Procedure for the Treatment of Female Stress Urinary Incontinence.
- Author:
Sang Jin OH
1
;
Seung Chol PARK
;
Hee Jong JEONG
Author Information
1. Department of Urology, Wonkwang University School of Medicine, Iksan, Korea. uroblue@wonkwang.ac.kr
- Publication Type:Original Article
- Keywords:
Urinary stress incontinence;
Surgery
- MeSH:
Anesthesia, Spinal;
Catheters;
Female*;
Follow-Up Studies;
Humans;
Intermittent Urethral Catheterization;
Length of Stay;
Operative Time;
Physical Examination;
Postoperative Complications;
Retrospective Studies;
Suburethral Slings;
Urinalysis;
Urinary Incontinence*;
Urinary Incontinence, Stress;
Urinary Incontinence, Urge;
Urodynamics
- From:Journal of the Korean Continence Society
2006;10(1):33-37
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Tension free vaginal tape, which has become the common therapy for female stress urinary incontinence, has a complication associated with a blind passage. Transobturator vaginal tape inside-out (TVT-O) is a technique for the passage of the tape through the obturator foramens from inside to outside. We intend to evaluate the efficacy and safety of the TVT-O. MATERIALS AND METHODS: From September 2004 to December 2004, 35 patients underwent TVT-O under spinal anesthesia. Among them, 30 patients have been followed-up more than 12 months. The preoperative assessment included past history, physical examination, voiding diary, 1-hour pad test, urinalysis, voiding cystourethrography (VCUG), urodynamic study. Post-operatively a 16 Fr urethral Foley catheter was left for 24 hours. The procedural outcome, subjective satisfaction and complications were assessed retrospectively. RESULTS: The mean operative time was 15 minutes (range 12~20). Average hospital stay was 3.5 days (range 2~14). No intraoperative or postoperative complications were noted. One patient had immediate voiding difficulty, which was resolved after 2 weeks of clean intermittent catheterization. Three out of 10 patients (30%) with urge incontinence improved after the operation. The mean followed-up period was 13 months. Of 30 patients, 29 patients (96.6%) were cured and 1 patient (3.3%) improved. Subjective cure was present in 29 patients (96.6%). CONCLUSION: TVT-O is a simple, safe and effective surgical treatment for female stress urinary incontinence. However, a longer follow-up will be necessary to determine its long-term effect.
