Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy
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 s...
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Published in | Haseki tıp bülteni Vol. 55; no. 3; pp. 181 - 186 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Istanbul
Haseki Eğitim ve Araştırma Hastanesi
01.09.2017
Galenos Publishing House Galenos Yayinevi |
Subjects | |
Online Access | Get full text |
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Summary: | 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. |
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ISSN: | 1302-0072 2147-2688 |
DOI: | 10.4274/haseki.58077 |