Transobturator tension-free tape procedure for treatment of female stress urinary incontinence: A report of 206 cases
10.3760/cma.j.issn.1000-6702.2011.05.014
- VernacularTitle:经闭孔尿道吊带术治疗女性压力性尿失禁206例临床分析
- Author:
Huibing LI
;
Ping FANG
;
Guang SUN
;
Yan WANG
;
Feng SUN
- Publication Type:Journal Article
- Keywords:
Urinary incontinence,stress;
Female;
Transobturator tension-free tape;
Clinieal effect
- From:
Chinese Journal of Urology
2011;32(5):330-332
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the safety and efficacy of the transohturator tape (TOT) for surgical treatment of female stress urinary incontinence (SUI). Methods Clinical data of 206 TOT procedures for female urinary incontinence from Jan 2007 to Dec 2009 was retrospectively analyzed.Thirty-one women were identified as having mixed stress urinary incontinence.The mean age was 54.29 years(range,32-81 years),themean disease coursewas 10.31 years (range,1-40 years),and the mean follow-up time was 17.3 months (range,3-39 months).Therapeutic effects were assessed by Grouts-Blaivas outcome score.The results of the operation,complications and changes of urodynarnics were observed. Results The TOT operations were conducted under local anesthesia.The mean operative time was 23.9 min (range,16-35 min),Mean blood loss was 17.8 ml(range,15-30 ml).Short-term complications were as follows:thigh pain 14.08%,dysuria 5.83%,urinary posture change 0.97% and urinary retention 0.49%.The long-term complication rate was 0.97%,including vaginal wall defect and tape exposure in one case:the burr of tape exposure and sex life influence in one case.Long-term symptoms disappeared completely in 202 cases.The cure rate was 98.06%,and the rate of satisfaction was 100%. Conclusions Our results demonstrate that TOT procedure is a minimally invasive,safe and effective surgical treatment for stress urinary incontinence.
