Comparison of the recent curative efficacy of AjustTM sling and TVT in the treatment of stress urinary incontinence
10.3969/j.issn.1671-8348.2017.32.023
- VernacularTitle:AjustTM吊带和TVT治疗压力性尿失禁近期疗效比较
- Author:
Xianhui HU
1
;
Yao ZHANG
;
Yunfeng HE
;
Nan YAO
;
Haoyu XU
Author Information
1. 重庆医科大学附属第一医院泌尿外科 400016
- Keywords:
urinary incontinence,stress;
tension-free vaginal tape;
adjustable single-incision sling;
treatment outcome
- From:
Chongqing Medicine
2017;46(32):4544-4545,4549
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of adjustable single-incision sling(AjustTM) and tension-free vaginal tape(TVT) in the treatment of female stress urinary incontinence(SUI).Methods A total of 88 cases with SUI in our department from January 2011 to December 2015 was retrospectively analyzed,including 62 TVT cases and 26 AjustTM cases.The definite diagnose and grading were based on the medical history,physical examination,cystoscopy,uroflowmetry,provocative test and ICI-Q-SF.All cases were followed up on 6 months after surgery and their uroflowmetry,provocative test and ICI-Q-SF were investigated.Results The average operation time of AjustTM group,(10.0 ± 4.2) min,was shorter than that of TVT group,(50.0± 12.6) min (P＜0.01),and the incidence of operative complications in AjustTM group(3.8％) was less than that in TVT group(6.7％),with significant difference(P＜0.05);The application of these two methods in recent cases showed no significantly statistical difference in objective cure rate,subjective satisfaction,intraoperative blood loss,new-onset OAB,dysuria,perineum discomfort and dyspareunia(P＞0.05).Conclusion AjustTM applied in the treatment of SUI has more advantages than TVT over simplicity,efficiency and safety.
