A control study on the clinical outcome of tension-free vaginal tape-obturator and modified tension-free vaginal tape-obturator for female stress urinary incontinence
10.7652/jdyxb201701020
- VernacularTitle:标准TVT-O与改良TVT-O手术治疗女性压力性尿失禁的对照研究
- Author:
Qi CHEN
;
Ning NAN
;
Li XUE
;
Bin CAO
;
Chuance YANG
;
Xu ZHAI
;
Yu WANG
;
Tie CHONG
;
Shanshan YU
;
Chunyan WEI
- Keywords:
stress urinary incontinence;
tension-free vaginal tape-obturator (TVT-O);
modified TVT-O
- From:
Journal of Xi'an Jiaotong University(Medical Sciences)
2017;38(1):96-99
- CountryChina
- Language:Chinese
-
Abstract:
ABSTRACT:Objective To evaluate the curative effect of tension-free vaginal tape-obturator (TVT-O)and modified TVT-O in treating female stress urinary incontinence (SUI).Methods We selected 1 1 3 female patients diagnosed with SUI from January to December 2013 in our department and divided them into standard TVT-O group (group A,5 6 cases)and modified TVT-O group (group B,5 7 cases).We evaluated prospectively the safety,short-term efficacy and complications of operation in the two groups.Results The length from bilateral obturator membrane to the puncture point in the skin was greater in group A than in group B.The average intraoperative blood loss was more in group A than in group B.The median NRS score of postoperatie thigh pain in group A was higher than in group B (P<0 .0 5 ).The two groups did not differ significantly in operation duration,postoperative catheterization,mean hospital stay duration,the length and position from bilateral obturator membrane to the puncture point,or surgical efficacy (P>0.05).Conclusion Both TVT-O and modified TVT-O techniques are effective in treating female SUI.Modified TVT-O has a short path to get through the adductor muscles and less intraoperative blood loss;therefore,it can significantly reduce the complications such as postoperative pain to enhance the quality of life after operation.
