Περίληψη:
Background: To assess the efficacy and complications of tension-free
vaginal tape (TVT) versus tension-free vaginal tape obturator in women
with urodynamic stress incontinence. Methods: Prospective, randomized
study. Initially, 91 patients were included in the study and 89 of them
were available at 12 months follow-up. Forty-six patients were subjected
to classic TVT procedure and 43 to transobturator vaginal tape from
inside to outside (TVT-O) operation. There was no significant difference
between the groups for age, BMI, menopausal status and prolapse. No
patients had cystocele greater than stage I. Subjective and objective
cure and improvement rate, mean operative time, hospital stay and
complications incidence were assessed. Results: Mean operative time was
significant shorter in the TVT-O group (17.4 +/- 6.9 min) compared to
the TVT group (26.7 +/- 8.6 min). There was no significant difference in
the duration of hospital stay between two groups. The objective cure
rate for TVT group was 89%, the improvement rate was 6.5%, the failure
rate was 4.3% and the subjective cure rate 73.9%. The objective cure
rate for TVT-O group was 90%, the improvement rate was 7.6%, the
failure rate was 2.5% and the subjective cure rate 76.7%. The
hemoglobin loss ranged between 1.0 +/- 0.5 g/dl for TVT group and 0.9
+/- 0.4 g/dl for TVT-O group. Conclusion: The TVT-O technique presents
success rates comparable to the classic TVT method in the short term.
Copyright (c) 2006 S. Karger AG, Basel.
Συγγραφείς:
Liapis, Angelos
Bakas, Panagiotis
Giner, Maria
Creatsas,
Georgios
