Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy

• Published in: Haseki tıp bülteni Vol. 55; no. 3; pp. 181 - 186
• Main Authors: Güngör, Emre Sinan, Han, Ağahan, Kıyak, Hüseyin
• Format: Journal Article
• Language: English
• Published: Istanbul Haseki Eğitim ve Araştırma Hastanesi 01.09.2017; Galenos Publishing House; Galenos Yayinevi
• Subjects: Bladder; Hysterectomy; Patients; pelvic surgery; prolapse repair; Sağlık Hizmetleri; Stress urinary incontinence; Success; Surgery; Surgical techniques; tension-free vaginal tape; Tıp; Urine; İstanbul; Türkiye; pelvic surgery; pelvik cerrahi; Stres üriner inkontinans; prolapse repair; prolapsus onarımı; tension-free vaginal tape; Stress urinary incontinence; gerilimsiz vajinal bant
• ISSN: 1302-0072; 2147-2688
• DOI: 10.4274/haseki.58077

Aim: To evaluate and compare the results and complications of tension-free vaginal tape (TVT) when performed alone or with vaginal hysterectomy (VH) and to evaluate the mid-term success rates of TVT for both groups. Methods: A retrospective study was performed on 179 patients who had TVT alone for stress urinary incontinance (SUI) or TVT with VH for SUI and vaginal prolapse. Demographic, outcome and complication data were obtained from medical records. The main outcome measures were postoperative SUI and voiding dysfunction. Results: The mean age of the patients who underwent TVT and TVT+VH were 50.2±6.8 and 52.2±8.1, respectively (p>0.05) and the mean parity was 4±2.07 and 4.15±2.02, respectively (p>0.05). The success rate was significantly higher in TVT alone group than in TVT+VH group (93.6% vs. 84.5%, p<0.05). The postoperative followup period was 15.1±4.3 months for TVT group and 14.4±3.3 months for TVT+VH group (p>0.05). Overall complication rate was higher in TVT+VH group (4.2% vs. 9.5%, p<0.05). Postoperative residuel urine volumes were significantly higher than preoperative residuel urine volumes in both groups (p=0.001). Due to mesh rejection, second surgery was performed in one patient from both groups to reomove the mesh. Conclusion: Midterm success rates were significantly higher in TVT group than in TVT+VH group, but success rates in TVT+VH were acceptable. Overall complication rates were higher in TVT+VH group; requirement for a second surgery was similar for both groups.