The Quality of Life after Tension-Free Vaginal Tape and Transobturator Vaginal Tape Inside-Out for the Surgical Treatment of Female Stress Urinary Incontinence.
- Author:
Sun Ouck KIM
1
;
Hyang Sik CHOI
;
Jun Seok KIM
;
Jae Sang JOO
;
Chul Woong YOUN
;
Seug Il JUNG
;
Teck Won KANG
;
Dong Deuk KWON
;
Kwang Sung PARK
;
Soo Bang RYU
Author Information
1. Department of Urology, Chonnam National University Medical School, Gwangju, Korea. urokwon@gmail.com
- Publication Type:Original Article
- Keywords:
Urinary stress incontinence;
Surgical mesh;
Quality of life
- MeSH:
Female;
Humans;
Physical Examination;
Quality of Life*;
Surveys and Questionnaires;
Suburethral Slings*;
Surgical Mesh;
Urinary Incontinence*;
Urinary Incontinence, Stress;
Urodynamics
- From:Journal of the Korean Continence Society
2008;12(1):58-63
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The change of quality of life following a tension-free vaginal tape (TVT) and transobturator vaginal tape (TVT-O) procedure was investigated in patients with stress urinary incontinence. MATERIALS AND METHODS: We included 86 women with stress urinary incontinence who underwent the TVT or TVT-O procedure and followed up for at least 1 year. Preoperatively, the patients were evaluated with history taking, physical examination, urodynamics to determine abdominal leak point pressure (ALPP) and pre- and postoperative quality of life was evaluated by incontinence quality of life questionnaire (I-QoL). The success after operation was defined as the absence of any subjective complaint of leakage. RESULTS: The rate of cure of TVT and TVT-O procedure were 84%, 92% and the rate of improvement of them were 16%, 8%, respectively. Preoperative patient characteristics including uroflowmetric parameters and ALPP were comparable in the two groups. The I-QoL parameters one year after surgery were statistically significant increase in I-QoL scores in each groups. There were no serious or long-term complications related to both procedures. CONCLUSIONS: These data suggest that the TVT and TVT-O procedure are effective for treating female stress incontinence and also in the aspect of improving quality.
