Treatment Results and Complications of Anti-incontinence Tape Procedures in Female Stress Urinary Incontinence.
- Author:
Won Ho JUNG
1
;
Hyuk Soo CHANG
;
Choal Hee PARK
Author Information
1. Department of Urology, Keimyung University School of Medicine, Daegu, Korea. chp@dsmc.or.kr
- Publication Type:Original Article
- Keywords:
Urinary stress incontinence;
Treatment outcome;
Suburethral slings
- MeSH:
Cystoscopy;
Exercise Test;
Female*;
Humans;
Physical Examination;
Surveys and Questionnaires;
Suburethral Slings;
Treatment Outcome;
Urinary Incontinence*;
Urinary Incontinence, Stress;
Urinary Tract Infections
- From:Journal of the Korean Continence Society
2007;11(2):165-170
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We compared the treatment results and complications between retropubic route of IVS (intravaginal sling) & SPARC (suprapubic arc) and transobturator route of TOT (transobturator tape) & TVT-O (tension-free vaginal tape-obturator). MATERIALS AND METHODS: Targeting group was limited to 104 patients who were diagnosed with female stress urinary incontinence from January 2004 to July 2005. The preoperative evaluation included careful history taking, physical examination, stress and pad test. The postoperative evaluation included a questionnaire, stress test and complications. RESULTS: The numbers of the patients with IVS, SPARC, TOT and TVT-O were 16, 18, 53, 17, respectively. The success rates (cured+improved) were 93.8 (75+18.8)%, 94.4 (83.3+11.1)%, 98.2 (92.5+5.7)%, 100 (88.2+11.8)%, respectively (p>0.05). There was no serious complication. Although urinary tract infection, supurapubic pain, inguinal pain were reported, all the complications got better with conservative therapy. Transobturator route groups took a bit shorter than retropubic route groups as the operation of IVS, SPARC, TOT, TVT-O took 31.8 minutes, 30 minutes, 20 minutes and 21.2 minutes, respectively (p<0.05). CONCLUSIONS: There were no differences in complications and the results of treatment among IVS, SPARC, TOT and TVT-O. Consequently, if all the operation methods are regarded as the proper ones, transobturator route would be preferred to retropubic route, due to shorter operation time and unnecessary for cystoscopy.
