Transvaginal vs transobturator approach for synthetic sling placement in patients with stress urinary incontinence
We present comparative short-term experience with the transvaginal (TVT) and the transobturator (TVT-O) approaches for the treatment of stress urinary incontinence (SUI). We studied 315 women with SUI, treated with a tension-free tape placement. The TVT approach was applied in 265 women, while 50 wo...
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Published in | International Urogynecology Journal Vol. 19; no. 3; pp. 357 - 360 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
Springer-Verlag
01.03.2008
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
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Summary: | We present comparative short-term experience with the transvaginal (TVT) and the transobturator (TVT-O) approaches for the treatment of stress urinary incontinence (SUI). We studied 315 women with SUI, treated with a tension-free tape placement. The TVT approach was applied in 265 women, while 50 women were treated by the TVT-O approach. The mean operation time was 25 and 17 min in the TVT and TVT-O group, respectively (
p
< 0.001). In the TVT group, continence rates were 87% after 1 year, while in the TVT-O group, the continence rate was 94%. Postoperative pain was reported in 14.4 and 28% of the TVT and TVT-O patients, respectively (
p
= 0.02). Complications such as bladder perforation, retropubic hematoma, and urinary retention took place only in the TVT group. Urinary tract infections were recorded in 20 and 8% of the TVT and TVT-O patients, respectively (
p
= 0.04), while vaginal erosion took place in 1.5 and 2% and de novo urgency in 14 and 8%. Both approaches show high rates of cure at the first postoperative year, while complications are less with the TVT-O procedure. |
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ISSN: | 0937-3462 1433-3023 |
DOI: | 10.1007/s00192-007-0440-7 |