Transobturator or retropublic passage tension-free vaginal tape for 254 female patients with stress urinary incontinence
- VernacularTitle:经闭孔或耻骨后无张力阴道吊带术治疗女性压力性尿失禁的临床分析
- Author:
Li HONG
;
Xuexian XU
;
Bingyan ZHAN
- Publication Type:Journal Article
- Keywords:
Urinary incontinence,stress;
Gynecologic surgical procedures
- From:
Chinese Journal of General Practitioners
2008;7(7):487-489
- CountryChina
- Language:Chinese
-
Abstract:
This study was to retrospectively report the clinical effects of retropublic passage tension free vaginal tape(TVT)vs.transobturator tape(TVT-O)on 254 female patients with stress urinary incontinence(SUI).Our findings showed that mean operative time was significantly lower in TVT-O group than that in TVT group[(19±4)min vs.(27±6)min;P＜0.05].Perioperative complications were more commonly seen in the retropubic procedure(2.9% vs.8.8%;P＜0.01).There was no significant difference in intraoperative blood loss[(19±6)ml vs.(31±8)ml in TVT-O or TVT groups;P＞0.05]and in-hospital stay[(4.1±1.5)d vs.(4.5±1.8)d in TVT-O or TvT groups;P＞0.05]between the two groups.Grouts-Blaivas Score demonstrated that those two treatment groups did not differ significantly in 24-hour(93.6% vs.91.2%;P＞0.05)or long-term postoperative cure rate(94.5% vs.94.3%;P＞0.05).We suggested that TVT or TVT-O seemed to be equally effective in surgical treatment of SUI.However,TVT-O had advantage of relatively lower overall perioperative complication rate.
