Tension-free vaginal tape-obturator in the treatment of stress urinary incontinence: a prospective study with five-year follow-up

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Dali Cheng, Caigang Liu

Abstract

To evaluate the medium-term outcomes of using tension-free vaginal tape-obturator (TVT-O) in the treatment of patients with stress urinary incontinence (SUI). Between December 2004 and November 2005, 103 patients with SUI were enroled and treated with TVT-O with inside-out modification. A minimum five-year follow-up (median, 65 months) was obtained from 100 patients (99.6%). Preoperative and postoperative evaluations were performed for all patients. The objective success rate of the TVT-O procedure was evaluated by a negative stress test. The secondary outcomes measured included one- and five-year subjective success rates, together with the pre- and post-operative urodynamic parameters, complications, quality of life (QOL) analysis, and patient satisfaction. Among the 103 patients, 18 (17.4%) had postoperative voiding difficulties and needed urethral bladder catheterization for various periods. After the TVT-O procedure, complete disappearance of SUI occurred in 87.4% of patients, while improvement was found in about 92%. In addition, there was no difference in the cure rate between year 1 and year 5 after the procedure (P>0.05). In 90 patients, frequency and urge symptoms were significantly improved five years after the proced...Continue Reading

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Citations

Jul 31, 2013·International Urogynecology Journal·Stavros AthanasiouAris Antsaklis
May 17, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·M F AslamM A Denman
Aug 19, 2015·Nature Reviews. Urology·Jerry G BlaivasVladimir Iakovlev
Jan 16, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Giovanni A TommaselliCarmine Nappi
Jun 3, 2016·International Urogynecology Journal·Karin GlavindSabrina Kousgaard
Jul 10, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Shengnan DongJianjun Wang

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