Efficacy and safety of TVT-EXACT procedure for treatment of ISD female stress urinary incontinence

VernacularTitle:TVT-EXACT治疗Ⅲ型女性压力性尿失禁的疗效和安全性的分析
Keywords: Pubic bone/AH/SU; Suburethral slings; Urinary incontinence,stress/SU
From: Journal of Chinese Physician 2017;19(3):352-354
CountryChina
Language:Chinese
Abstract: Objective To investigate the efficacy and complication of Tension-free Vaginal Tape (TVT)-Exact for the treatment of type-Ⅲ female stress urinary incontinence (SUI).Methods A total of 20 type-Ⅲ SUI patients enrolled from November 2013 to June 2016 were retrospectively analyzed.The efficacy and complication of the surgery were evaluated.Results The mean operation time was (20.7 ± 1.60)min (range,19-25 min).The blood loss was 20-50 ml.There were no intraoperative bladder or urethral injury,and no vessel or nerve damage.2 cases with mixed SUI were relieved by medicine.No case had urethral or vaginal erosion.Therapeutic efficacy:15 cases were cured (75％),5 cases were improved (25％),and no case was ineffective.Conclusions TVT-E is a simple,min-invasive,safe and effective surgery for type-Ⅲ SUI.While the long-term efficacy needs great amount of clinical data and long-term follow-up to prove.