The clinical effects of transobturator tension-free vaginal tape obturator inside-out for the treatment of female stress urinary incontinence
10.3760/cma.j.issn.0254-9026.2013.01.018
- VernacularTitle:经闭孔无张力阴道悬吊术治疗女性压力性尿失禁患者临床效果分析
- Author:
Jianlong WANG
;
Yaoguang ZHANG
;
Fei WANG
;
Ben WAN
;
Janye WANG
- Publication Type:Journal Article
- Keywords:
Urinary incontinence,stress;
Dysuria
- From:
Chinese Journal of Geriatrics
2013;(1):69-72
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effects of tension-free vaginal tape obturator system inside-out (TVT-O) for the treatment of female stress urinary incontinence.Methods A retrospective analysis of 102 patients with stress urinary incontinence who were performed TVT-O surgery in our hospital from October 2011 to June 2012.The postoperative follow-up time was 1 to 8 months.Results 102 patients with stress urinary incontinence were effectively controlled after surgery,the subjective satisfactory rate was 96.1％ (98 cases),the objective of efficiency was 93.1％(95 cases).After a mean follow-up of 1-8 months,no symptoms were in recurrence.The average surgery time was (35.0± 2.1) min and the average blood loss was (25.0± 6.4) ml.International consultation on incontinence questionnaire short form (ICIQ-SF) score was 16.2 ± 3.4 beforc operation and reduced to 8.7±2.6 after 4 weeks (P＜0.05).Incontinence quality of life questionnaire score (I-QOL) preopcratively was 40.2±19.5,and 88.7±12.3 after 4 weeks (P＜0.05).One hour urine pad test:the mean preoperative urine leakage was (27.6±8.2) g,and became (5.5± 1.3)g 4weeks after operation (P＜0.05).Two patients had dysuria 3 days after surgery and became recovery after keeping catheterization one week.Eight patients had groin thigh pain which remitted two days to one week later.One patient was diagnosed overactive bladder firstly and three patients had suffered current urinary infection after surgery.Conclusions TVT-O is an effective treatment method for female stress urinary incontinence because of its high level of standardization,small trauma,few complications and fast recovery.
