A Comparative Study of the Tension-free Vaginal Tape and Transobturator Vaginal Tape Inside-out for the Surgical Treatment of Female Stress Urinary Incontinence.
- Author:
Chan MOON
1
;
Dong Hoon LIM
;
Hyung Yoon MUN
;
Joon RHO
;
Chul Sung KIM
Author Information
1. Department of Urology, Chosun University College of Medicine, Kwang-ju, Korea. jnrho@chosun.ac.kr
- Publication Type:Comparative Study ; Original Article
- Keywords:
Treatment;
Urinary incontinence;
Stress;
Quality of life
- MeSH:
Female*;
Humans;
Quality of Life;
Suburethral Slings*;
Urinary Bladder;
Urinary Incontinence*;
Urodynamics
- From:Journal of the Korean Continence Society
2007;11(1):41-46
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We compared the preoperative with the postoperative outcomes between tension-free vaginal tape (TVT) and transobturator vaginal tape inside-out(TVT-O) for the surgical treatment of female stress urinary incontinence MATERIALS AND METHODS: From January 2003 to December 2005, 72 women, one is TVT group(n=52) and the other is TVT-O group(n=20), after operation following were assigned. The preoperative and postoperative evaluations analysis and urodynamic study and Korean version of I-QoL, surgical outcomes, complications and uroflowmetry were analysed. RESULTS: All outcomes included the patients`states, incontinence quality of life(I-QoL)(p=0.013), the success rate of the cure(p=0.003) and the rate of the patient satisfaction(p=0.001) were not comparable statistically between two groups and there are no differences and no long-term complications such as bladder perforation or prolonged voiding difficulty. Preoperative and postoperative uroflowmetry was similar between the two groups. Mean operation time(TVT: 15.6 min, TVT-O: 13.2 min) was significantly shorter in TVT-O than in TVT. CONCLUSION: The observation of 1-year following-up shows the equally effectiveness between two groups(TVT and TVT-O) as the surgical treatment of stress urinary incontinence.
