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[Comparative study of tension-free vaginal tape and fascia lata for stress urinary incontinence].
Zhonghua Fu Chan Ke Za Zhi. 2004 Oct; 39(10):658-61.ZF

Abstract

OBJECTIVE

To compare the efficacy of surgically managing stress urinary incontinence (SUI) with tension-free vaginal tape (TVT) and autologous fascia lata pubovaginal sling (Lata).

METHODS

Sixty-seven patients suffering from SUI entered this prospective study. The patients were divided into two groups randomly, 48 in TVT group and 19 in Lata group. The average follow-up time post-operation was 20 months in TVT group and 37 months in Lata group.

RESULTS

The operating time was (27 +/- 5) min in TVT and (125 +/- 13) min in Lata. The volume of blood loss during surgery was: (27 +/- 6) ml in TVT and (67 +/- 11) ml in Lata. The post-operative recovery period in the hospital was: TVT, 1.8 days and Lata, 7.2 days. The differences between the two groups for these three parameters were statistically significant (P < 0.01). The 3-month cure rate post-operations was 94% (45/48) for TVT and 95% (18/19) for Lata. The surgical complications included 1 case of vesical perforation and 2 cases of overactive bladder in TVT group.

CONCLUSIONS

TVT and Lata are both effective and safe surgical treatments for stress urinary incontinence. TVT has the benefits of being minimally invasive with a shorter operating time and a quicker recovery for the patients. A disadvantage is that the tape used in TVT is expensive, making the operation rather costly. Lata on the other hand is cheaper and may result in fewer complications, but the operation is not as easy for the patient.

Authors+Show Affiliations

Song YF
Department of Obstetrics and Gynecology, Fuzhou General Hospital, Nanjing Military Command, Fuzhou 350025, China.
Huang HJ
No affiliation info available
Xu B
No affiliation info available
Hao L
No affiliation info available

MeSH

AgedFascia LataFemaleHumansMiddle AgedPostoperative ComplicationsProspective StudiesRecurrenceSuburethral SlingsTime FactorsUrinary Incontinence, StressUrologic Surgical Procedures

Pub Type(s)

Comparative Study
English Abstract
Journal Article
Randomized Controlled Trial

Language

chi

PubMed ID

16144560

Citation

Song, Yan-feng, et al. "[Comparative Study of Tension-free Vaginal Tape and Fascia Lata for Stress Urinary Incontinence]." Zhonghua Fu Chan Ke Za Zhi, vol. 39, no. 10, 2004, pp. 658-61.
Song YF, Huang HJ, Xu B, et al. [Comparative study of tension-free vaginal tape and fascia lata for stress urinary incontinence]. Zhonghua Fu Chan Ke Za Zhi. 2004;39(10):658-61.
Song, Y. F., Huang, H. J., Xu, B., & Hao, L. (2004). [Comparative study of tension-free vaginal tape and fascia lata for stress urinary incontinence]. Zhonghua Fu Chan Ke Za Zhi, 39(10), 658-61.
Song YF, et al. [Comparative Study of Tension-free Vaginal Tape and Fascia Lata for Stress Urinary Incontinence]. Zhonghua Fu Chan Ke Za Zhi. 2004;39(10):658-61. PubMed PMID: 16144560.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Comparative study of tension-free vaginal tape and fascia lata for stress urinary incontinence]. AU - Song,Yan-feng, AU - Huang,Hui-juan, AU - Xu,Bo, AU - Hao,Lan, PY - 2005/9/8/pubmed PY - 2010/5/19/medline PY - 2005/9/8/entrez SP - 658 EP - 61 JF - Zhonghua fu chan ke za zhi JO - Zhonghua Fu Chan Ke Za Zhi VL - 39 IS - 10 N2 - OBJECTIVE: To compare the efficacy of surgically managing stress urinary incontinence (SUI) with tension-free vaginal tape (TVT) and autologous fascia lata pubovaginal sling (Lata). METHODS: Sixty-seven patients suffering from SUI entered this prospective study. The patients were divided into two groups randomly, 48 in TVT group and 19 in Lata group. The average follow-up time post-operation was 20 months in TVT group and 37 months in Lata group. RESULTS: The operating time was (27 +/- 5) min in TVT and (125 +/- 13) min in Lata. The volume of blood loss during surgery was: (27 +/- 6) ml in TVT and (67 +/- 11) ml in Lata. The post-operative recovery period in the hospital was: TVT, 1.8 days and Lata, 7.2 days. The differences between the two groups for these three parameters were statistically significant (P < 0.01). The 3-month cure rate post-operations was 94% (45/48) for TVT and 95% (18/19) for Lata. The surgical complications included 1 case of vesical perforation and 2 cases of overactive bladder in TVT group. CONCLUSIONS: TVT and Lata are both effective and safe surgical treatments for stress urinary incontinence. TVT has the benefits of being minimally invasive with a shorter operating time and a quicker recovery for the patients. A disadvantage is that the tape used in TVT is expensive, making the operation rather costly. Lata on the other hand is cheaper and may result in fewer complications, but the operation is not as easy for the patient. SN - 0529-567X UR - https://www.unboundmedicine.com/medline/citation/16144560/[Comparative_study_of_tension_free_vaginal_tape_and_fascia_lata_for_stress_urinary_incontinence]_ DB - PRIME DP - Unbound Medicine ER -