Transobturator tension-free vaginal tape technique procedure for the treatment of female stress urinary incontinence
10.3760/cma.j.issn.1673-4904.2010.20.003
- VernacularTitle:经闭孔入路阴道无张力性尿道吊带术治疗女性压力性尿失禁
- Author:
Lei ZHANG
;
Yijun WANG
;
Yinghe CHEN
;
Youhua HE
- Publication Type:Journal Article
- Keywords:
Urinary incontinence,stress;
Suburethral slings;
Vagina;
Therapeutic uses
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(20):6-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate effectiveness and safety of the transobturator tension-free vaginal tape technique (TVT-O) for the treatment of female stress urinary incontinence(SUI). Methods Twenty-six cases of SUI patients with average (52.6±6.3) years old were included. Mean course of disease was (9.2± 2.3) years. Two cases were type Ⅱ ,23 cases were type Ⅱ/Ⅲ,and 1 case was type ID. One case had history of pelvic operation procedure,2 cases accompanied by urgent urinary incontinence. All cases were undergone TVT-0 procedure. The methods of this procedure and the outcomes and complications were closely analyzed. Results The average operating duration was (18.0 ±2.3) min (15-20 min) and average blood loss was (20.0±3.4)ml (10-40 ml). Twenty-four cases (92.3%) were cured, 2 cases (7.7%) were improved, 2 cases (7.7% ) had dysuria, 1 case improved after prolonged indwelling of catheter, 1 case was recovery with urethral dilations. Four cases (15.4% ) suffered pain of thigh skin around the wound, and relieved by analgesia. One case (3.8%) complained of frequency of micturition, and improved by medicine. Twenty-six cases were followed up of 8-16 months with no recurrence. Conclusion TVT-0 for the treatment of SUI is a simple optimal and reliable method with less complications and eusemia.
