Comparative study of vaginal wall suspension via percutaneous puncture and tension-free vaginal tape on female stress urinary incontinence
- VernacularTitle:经皮穿刺阴道壁悬吊术和无张力阴道吊带术治疗女性压力性尿失禁对比研究
- Author:
Hao JING
;
Renfang XU
;
Xiaozhou HE
;
Zhifu CHAO
;
Wenjun CHE
;
Haiyan XU
- Publication Type:Journal Article
- Keywords:
Urinary incontinence;
Percutaneous puneture;
Suspension
- From:
Chinese Journal of Urology
2008;29(z1):77-78
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the therapeutic effect,advantages and disadvantages of 2 different methods on female stress urinary incontinence(SUI),vaginal wall suspension via percutaneous puncture(VWS-PP)and tension-free vaginal tape(TVT).Methods Fourteen SUI cases were treated by VWS-PP and 12 SUI cases were treated by TVT.The patients'age and course in 2 treatment groups were similar,and they were followed up 6 weeks,6 months and 1 year post-operatively.Therapeutic effect was evaluated by presence or absence of urinary incontinence when abdominal pressure increased.Meanwhile,operation time and complication were also compared.Results The therapeutic effect in VWS-PP group resembled as in TVT group,but the complication in VWS-PP was much less than that in TVT.The mean operation time of the VWS-PP group was 80 min(range from 60 to 90 min).while that of TVT group was 35 min(range from 25 to 50 min).The difference between 2 groups was statistically significant(P＜0.01).Conclusions The VWS-PP method is an effective,safe and mini-invasive operation for SUI.similar to TVT.Although the operation time in VWS-PP group is much longer than that in TVT group,the trauma is tinier and the surgeon can observe the anatomy reset by ultrasonic wave.
