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Surgical outcomes of tension-free vaginal tape (TVT)-abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study

Obstetrics & Gynecology Science 2021년 64권 6호 p.540 ~ 546
김민경, 김주희, 채희동, Chung Jin-Ha, 김현지, 이사라, 김성훈,
소속 상세정보
김민경 ( Kim Min-Kyeong ) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology
김주희 ( Kim Ju-Hee ) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology
채희동 ( Chae Hee-Dong ) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology
 ( Chung Jin-Ha ) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology
김현지 ( Kim Hyeon-Ji ) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology
이사라 ( Lee Sa-Ra ) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology
김성훈 ( Kim Sung-Hoon ) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology

Abstract


Objective: We compared the efficacy and postoperative complications of tension-free vaginal tape (TVT)-abbrevo® (TVT-A) and TVT-obturator® (TVT-O) surgeries for the treatment of stress urinary incontinence (SUI).

Methods: We retrospectively analyzed the medical records of 143 female patients with SUI who underwent TVT-A or TVT-O surgery between January 2010 and December 2019 at the Asan Medical Center in Seoul. We evaluated intra- and postoperative complications such as bladder injury, groin pain, urinary retention, and mesh exposure. We also checked the success rate at 6 months after surgery.

Results: There were no complications, including fever, hematuria, hematoma of the vulva, or bladder injury, immediately after surgery in either group. Postoperative complications 2 weeks post-surgery were groin pain (11.3%), urinary retention (4.9%), and mesh exposure (0.7%). Groin pain was not significantly different between the two groups at 2 weeks, 3 months, and 6 months after surgery (TVT-O vs. TVT-A after 2 weeks: 12.5% vs. 10.3%, P=0.791; 3 months: 0.0% vs. 1.4%, P=0.999; and 6 months: 0.0% vs. 0.0%, P=0.999). Over 90% of the patients reported cure or improved symptoms in both groups. In the univariate logistic analysis, the type of TVT (TVT-O or TVT-A) was not associated with the success rate (odds ratio, 3.21; 95% confidence interval, 0.59-17.40; P=0.175).

Conclusion: TVT-A surgery is comparable with TVT-O in terms of high success rate and low frequency of complications, including bladder injury and groin pain.

키워드

Stress urinary incontinence; Midurethral sling; Tension-free vaginal Tape; Transobturator tape

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