TY - JOUR T1 - A prospective trial comparing tension-free vaginal tape and transobturator vaginal tape inside-out for the surgical treatment of female stress urinary incontinence: 1-year followup. AU - Lee,Kyu-Sung, AU - Han,Deok Hyun, AU - Choi,Yang Su, AU - Yum,Seung Hee, AU - Song,Seung Hun, AU - Doo,Chin Kyung, AU - Choo,Myung-Soo, PY - 2005/01/20/received PY - 2006/12/13/pubmed PY - 2007/1/27/medline PY - 2006/12/13/entrez SP - 214 EP - 8 JF - The Journal of urology JO - J Urol VL - 177 IS - 1 N2 - PURPOSE: We prospectively compared the efficacy and safety of tension-free vaginal tape and transobturator vaginal tape inside-out for female stress urinary incontinence. MATERIALS AND METHODS: A total of 120 women with stress urinary incontinence were alternately assigned to the tension-free vaginal tape group (60) or the transobturator vaginal tape inside-out group (60). Preoperative evaluation included urodynamic study and a Korean version of the incontinence quality of life questionnaire. One year after operation the surgical result, patient satisfaction, incontinence quality of life questionnaire, long-term complications and uroflowmetry were evaluated in the 2 groups. RESULTS: Patient characteristics were comparable in the 2 groups. Mean +/- SD operative time was significantly shorter in the transobturator vaginal tape inside-out vs the tension-free vaginal tape group (11 +/- 1.4 vs 15 +/- 1.8 minutes). In the transobturator vaginal tape inside-out and the tension-free vaginal tape groups the rates of cure (86.8% and 86.8%), improvement (6.6% and 8.2%) and failure (6.6% and 5.0%, respectively) were similar. Incontinence quality of life questionnaire parameters 1 year after surgery were improved significantly in each group and there was no difference between the 2 groups (p <0.001 and >0.05, respectively). There was no long-term complication in either group. Preoperative urge incontinence resolved in 80% of the tension-free vaginal tape group and in 100% of the transobturator vaginal tape inside-out group. De novo urgency developed in 4 patients (6.6%) in the transobturator vaginal tape inside-out group. CONCLUSIONS: The tension-free vaginal tape and transobturator vaginal tape inside-out procedures were minimally invasive and similar in operation related morbidity. Transobturator vaginal tape inside-out appeared to be as effective and safe as tension-free vaginal tape for the surgical treatment of stress urinary incontinence in women at 1-year followup. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/17162048/A_prospective_trial_comparing_tension_free_vaginal_tape_and_transobturator_vaginal_tape_inside_out_for_the_surgical_treatment_of_female_stress_urinary_incontinence:_1_year_followup_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2006.08.063?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -