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Surgical therapeutic index of tension-free vaginal tape and transobturator tape for stress urinary incontinence.
Gynecol Obstet Invest. 2008; 65(1):41-6.GO

Abstract

BACKGROUND/AIMS

The aim of this study was to obtain the surgical therapeutic index (STI) of tension-free vaginal tape (TVT) and transobturator tape (TOT) and compare it with the previously obtained result of Burch colposuspension.

METHODS

The study population consisted of 121 patients who were diagnosed as having stress urinary incontinence, underwent TVT or TOT between January 1, 2000 and June 30, 2005 and were followed up for at least 1 year. Patients with detrusor overactivity, urinary tract infection, intrinsic sphincter deficiency and pelvic organ prolapse more than stage II according to the POP-Q system were excluded. The cure and complication rates were investigated, and the STI (median percent cure rate/median percent complication rate) of each operation was calculated.

RESULTS

Of the 121 patients, 61 underwent TVT and 60 received TOT. Patient characteristics and the results of preoperative urodynamic studies showed no significant difference between the two groups. The STI of TOT (2.72, 4.08, 4.23, 5.29) was higher than that of Burch colposuspension (1.19, 2.27, 2.89, 3.53) and TVT (2.77, 3.69, 3.23, 3.17) irrespective of follow-up months (at 1, 3, 6, 12 months).

CONCLUSION

TOT seems to be a more suitable surgical procedure for stress urinary incontinence with urethral hypermobility.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article

Language

eng

PubMed ID

17713345

Citation

Jeon, Myung Jae, et al. "Surgical Therapeutic Index of Tension-free Vaginal Tape and Transobturator Tape for Stress Urinary Incontinence." Gynecologic and Obstetric Investigation, vol. 65, no. 1, 2008, pp. 41-6.
Jeon MJ, Chung da J, Park JH, et al. Surgical therapeutic index of tension-free vaginal tape and transobturator tape for stress urinary incontinence. Gynecol Obstet Invest. 2008;65(1):41-6.
Jeon, M. J., Chung, d. a. . J., Park, J. H., Kim, S. K., Kim, J. W., & Bai, S. W. (2008). Surgical therapeutic index of tension-free vaginal tape and transobturator tape for stress urinary incontinence. Gynecologic and Obstetric Investigation, 65(1), 41-6.
Jeon MJ, et al. Surgical Therapeutic Index of Tension-free Vaginal Tape and Transobturator Tape for Stress Urinary Incontinence. Gynecol Obstet Invest. 2008;65(1):41-6. PubMed PMID: 17713345.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical therapeutic index of tension-free vaginal tape and transobturator tape for stress urinary incontinence. AU - Jeon,Myung Jae, AU - Chung,Da Jung, AU - Park,Joo Hyun, AU - Kim,Sei Kwang, AU - Kim,Jae Wook, AU - Bai,Sang Wook, Y1 - 2007/08/22/ PY - 2006/12/04/received PY - 2007/03/07/accepted PY - 2007/8/24/pubmed PY - 2008/2/20/medline PY - 2007/8/24/entrez SP - 41 EP - 6 JF - Gynecologic and obstetric investigation JO - Gynecol Obstet Invest VL - 65 IS - 1 N2 - BACKGROUND/AIMS: The aim of this study was to obtain the surgical therapeutic index (STI) of tension-free vaginal tape (TVT) and transobturator tape (TOT) and compare it with the previously obtained result of Burch colposuspension. METHODS: The study population consisted of 121 patients who were diagnosed as having stress urinary incontinence, underwent TVT or TOT between January 1, 2000 and June 30, 2005 and were followed up for at least 1 year. Patients with detrusor overactivity, urinary tract infection, intrinsic sphincter deficiency and pelvic organ prolapse more than stage II according to the POP-Q system were excluded. The cure and complication rates were investigated, and the STI (median percent cure rate/median percent complication rate) of each operation was calculated. RESULTS: Of the 121 patients, 61 underwent TVT and 60 received TOT. Patient characteristics and the results of preoperative urodynamic studies showed no significant difference between the two groups. The STI of TOT (2.72, 4.08, 4.23, 5.29) was higher than that of Burch colposuspension (1.19, 2.27, 2.89, 3.53) and TVT (2.77, 3.69, 3.23, 3.17) irrespective of follow-up months (at 1, 3, 6, 12 months). CONCLUSION: TOT seems to be a more suitable surgical procedure for stress urinary incontinence with urethral hypermobility. SN - 1423-002X UR - https://www.unboundmedicine.com/medline/citation/17713345/Surgical_therapeutic_index_of_tension_free_vaginal_tape_and_transobturator_tape_for_stress_urinary_incontinence_ L2 - https://www.karger.com?DOI=10.1159/000107491 DB - PRIME DP - Unbound Medicine ER -