Efficacy and safety of tension free vaginal tape obturator technique in females stress urinary incontinence
10.3760/cma.j.issn.1000-6702.2012.09.011
- VernacularTitle:经闭孔无张力尿道吊带术治疗女性压力性尿失禁的疗效与安全性分析
- Author:
Yaoguang ZHANG
;
Dong WEI
;
Jianye WANG
;
Ben WAN
;
Ming LIU
;
Jianlong WANG
;
Yaqun ZHANG
;
Bin JIN
;
Jianye WU
;
Fei WANG
;
Baoming JIA
- Publication Type:Journal Article
- Keywords:
Urinary incontinence,stress;
Female;
Surgical procedures,elective
- From:
Chinese Journal of Urology
2012;33(9):672-674
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of tension free vaginal tape obturator technique (TVT-O) in females stress urinary incontinence (SUI).Methods From June 2008 to May 2012,156 cases of female SUI were treated with TVT-O procedure in our hospital.The mean age is 56.3 ±13.9 years.There were 79.5％ patients who suffered simple SUI while 20.5％ patients with SUI and urge urinary incontinence (UUI).The mean follow-up time was 16.5 months.All patient’s ICI-Q-SF scores and I-QOL scores were collected.The efficacy and safety of TVT-O were analyzed.Results The mean operative time was 34 ± 11 minutes and the mean estimated blood loss were 15 ± 9 ml.One hundred and forty-five cases were cured with TVT-O (92.9％) while 8 cases were improved (5.1％).The preoperative and postoperative ICI-Q-SF symptom scores were 8.2 ± 2.1 and 0.5 ± 1.3 while the I-QOL life quality scores were 28.5 ± 10.3 and 69.8 ± 9.9 respectively.There was statistical difference between the preoperative and postoperative scores (P ＜ 0.05 ).No bladder injury was recorded during the procedures.There were two cases whose vaginal walt were injured and repaired intraoperatively.No pelvic hematoma,long-term pain,sling erosion,infection and fistula were found in all cases.Three cases ( 1.9％ ) suffered temporary urinary retention and were cured by two weeks urethral catheterization.Conclusions TVT-O technique seems to be an easy and minimally invasive procedu(r)e with less complication,which supports its safety and reliability in the treatment of female SUI.
