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[TVT-O treatment of stress urinary incontinence: immediate and one-year results].
Gynecol Obstet Fertil. 2007 Jun; 35(6):523-9.GO

Abstract

OBJECTIVE

To compare one-year results between the classic retropupubic (TVT) and the in-out transobturator approaches (TVT-O) of tension-free vaginal tape for the treatment of stress urinary incontinence (SUI).

PATIENTS AND METHODS

The first 82 patients operated for SUI by TVT-O in our institution were included in the analysis. Patients were evaluated at 1 and 12 months. The global satisfaction rate was assessed at 12 months by a self-reported questionnaire. Results were compared to those of the first 124 patients operated of SUI by TVT in the same institution and by the same surgeons between 1996 and 1999.

RESULTS

Except a younger mean age in the TVT-O group (57 versus 60 years), no other preoperative parameter was significantly different between the TVT and the TVT-O groups. The mean operating time was shorter in the TVT-O group (15 versus 30 minutes, P<0.001). No intraoperative complication occurred. The rate of bladder perforation was significantly lower in the TVT-O group (0 versus 8.8%, P=0.004). The rate of post-voiding residual less than 100 ml was higher in the TVT-O group (88 versus 61%, P<0.001). In the TVT-O group, 40% of patients had postoperative inguinal pain (mean=9 days, range 2-15 days). After 12 months from TVT-O, 85% of patients were completely dry, 6% had de novo over bladder activity, and 93.5% of patients were satisfied with the treatment they received. The 12-month results were not significantly different between the TVT and the TVT-O groups.

DISCUSSION AND CONCLUSION

With a follow-up of 12 months, TVT-O is as efficient as TVT and has a lower risk of bladder injury, a cut by half operating time, and less postoperative dysuria.

Authors+Show Affiliations

Service deChirurgie Viscérale et Gynécologique, Groupe Hospitalier Diaconesses Croix-Saint-Simon, Paris, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

17512236

Citation

Descazeaud, A, et al. "[TVT-O Treatment of Stress Urinary Incontinence: Immediate and One-year Results]." Gynecologie, Obstetrique & Fertilite, vol. 35, no. 6, 2007, pp. 523-9.
Descazeaud A, Salet-Lizée D, Villet R, et al. [TVT-O treatment of stress urinary incontinence: immediate and one-year results]. Gynecol Obstet Fertil. 2007;35(6):523-9.
Descazeaud, A., Salet-Lizée, D., Villet, R., Ayoub, N., Abitayeh, G., Cotelle, O., & Gadonneix, P. (2007). [TVT-O treatment of stress urinary incontinence: immediate and one-year results]. Gynecologie, Obstetrique & Fertilite, 35(6), 523-9.
Descazeaud A, et al. [TVT-O Treatment of Stress Urinary Incontinence: Immediate and One-year Results]. Gynecol Obstet Fertil. 2007;35(6):523-9. PubMed PMID: 17512236.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [TVT-O treatment of stress urinary incontinence: immediate and one-year results]. AU - Descazeaud,A, AU - Salet-Lizée,D, AU - Villet,R, AU - Ayoub,N, AU - Abitayeh,G, AU - Cotelle,O, AU - Gadonneix,P, Y1 - 2007/05/23/ PY - 2006/10/31/received PY - 2007/03/19/accepted PY - 2007/5/22/pubmed PY - 2007/8/29/medline PY - 2007/5/22/entrez SP - 523 EP - 9 JF - Gynecologie, obstetrique & fertilite JO - Gynecol Obstet Fertil VL - 35 IS - 6 N2 - OBJECTIVE: To compare one-year results between the classic retropupubic (TVT) and the in-out transobturator approaches (TVT-O) of tension-free vaginal tape for the treatment of stress urinary incontinence (SUI). PATIENTS AND METHODS: The first 82 patients operated for SUI by TVT-O in our institution were included in the analysis. Patients were evaluated at 1 and 12 months. The global satisfaction rate was assessed at 12 months by a self-reported questionnaire. Results were compared to those of the first 124 patients operated of SUI by TVT in the same institution and by the same surgeons between 1996 and 1999. RESULTS: Except a younger mean age in the TVT-O group (57 versus 60 years), no other preoperative parameter was significantly different between the TVT and the TVT-O groups. The mean operating time was shorter in the TVT-O group (15 versus 30 minutes, P<0.001). No intraoperative complication occurred. The rate of bladder perforation was significantly lower in the TVT-O group (0 versus 8.8%, P=0.004). The rate of post-voiding residual less than 100 ml was higher in the TVT-O group (88 versus 61%, P<0.001). In the TVT-O group, 40% of patients had postoperative inguinal pain (mean=9 days, range 2-15 days). After 12 months from TVT-O, 85% of patients were completely dry, 6% had de novo over bladder activity, and 93.5% of patients were satisfied with the treatment they received. The 12-month results were not significantly different between the TVT and the TVT-O groups. DISCUSSION AND CONCLUSION: With a follow-up of 12 months, TVT-O is as efficient as TVT and has a lower risk of bladder injury, a cut by half operating time, and less postoperative dysuria. SN - 1297-9589 UR - https://www.unboundmedicine.com/medline/citation/17512236/[TVT_O_treatment_of_stress_urinary_incontinence:_immediate_and_one_year_results]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1297-9589(07)00210-X DB - PRIME DP - Unbound Medicine ER -