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Which type of mid-urethral sling procedure should be chosen for treatment of stress urinary incontinance with intrinsic sphincter deficiency? Tension-free vaginal tape or transobturator tape.
Acta Obstet Gynecol Scand. 2009; 88(8):920-6.AO

Abstract

OBJECTIVE

To compare tension-free vaginal tape (TVT) and transobturator tape (TOT) for surgical treatment of stress urinary incontinence (SUI) with intrinsic sphincter deficiency.

DESIGN

Retrospective study.

SETTING

Gynecology department, Bakirkoy Women and Childrens' Hospital, Istanbul.

SAMPLE

Three hundred women urodynamically diagnosed with stress incontinence with intrinsic sphincter deficiency underwent synthetic mid-urethral sling procedures (TVT = 180, TOT = 120).

METHODS

Before the operation, a complete medical history was taken and a gynecologic examination was performed. Subjects with detrusor overactivity or previous sling surgery were excluded. Clinical checkups were conducted at 3, 6, and 12 months, and then annually.

MAIN OUTCOME MEASURES

Intraoperative complications, postoperative complications, and subjective cure rates.

RESULTS

There were no significant differences in demographics between the TVT and TOT groups: mean age, parity, body mass index, menopausal status, and hormone replacement therapy. At a mean follow-up of 31.2 +/- 9.1 (range 12-46) months, the overall cure rates were 78.3% for TVT and 52.5% TOT (p < 0.0001). The risk of treatment failure in women who received TOT was 4.9 times higher than in women who underwent TVT. There were no significant differences in perioperative and postoperative complication rates between the two groups.

CONCLUSION

TVT appears to be the preferable surgical option for the treatment of SUI with intrinsic sphincter deficiency.

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Authors+Show Affiliations

Gungorduk K
Department of Obstetrics and Gynecology, Istanbul Bakirkoy Women and Childrens' Hospital, Istanbul, Turkey. maidenkemal@yahoo.com
Celebi I
No affiliation info available
Ark C
No affiliation info available
Celikkol O
No affiliation info available
Yildirim G
No affiliation info available

MeSH

AdultCohort StudiesDisease-Free SurvivalFemaleHumansMiddle AgedProsthesis ImplantationRetrospective StudiesSuburethral SlingsTreatment OutcomeUrinary CatheterizationUrinary Incontinence, Stress

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19565366

Citation

Gungorduk, Kemal, et al. "Which Type of Mid-urethral Sling Procedure Should Be Chosen for Treatment of Stress Urinary Incontinance With Intrinsic Sphincter Deficiency? Tension-free Vaginal Tape or Transobturator Tape." Acta Obstetricia Et Gynecologica Scandinavica, vol. 88, no. 8, 2009, pp. 920-6.
Gungorduk K, Celebi I, Ark C, et al. Which type of mid-urethral sling procedure should be chosen for treatment of stress urinary incontinance with intrinsic sphincter deficiency? Tension-free vaginal tape or transobturator tape. Acta Obstet Gynecol Scand. 2009;88(8):920-6.
Gungorduk, K., Celebi, I., Ark, C., Celikkol, O., & Yildirim, G. (2009). Which type of mid-urethral sling procedure should be chosen for treatment of stress urinary incontinance with intrinsic sphincter deficiency? Tension-free vaginal tape or transobturator tape. Acta Obstetricia Et Gynecologica Scandinavica, 88(8), 920-6. https://doi.org/10.1080/00016340903100354
Gungorduk K, et al. Which Type of Mid-urethral Sling Procedure Should Be Chosen for Treatment of Stress Urinary Incontinance With Intrinsic Sphincter Deficiency? Tension-free Vaginal Tape or Transobturator Tape. Acta Obstet Gynecol Scand. 2009;88(8):920-6. PubMed PMID: 19565366.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Which type of mid-urethral sling procedure should be chosen for treatment of stress urinary incontinance with intrinsic sphincter deficiency? Tension-free vaginal tape or transobturator tape. AU - Gungorduk,Kemal, AU - Celebi,Ibrahim, AU - Ark,Cemal, AU - Celikkol,Ozgu, AU - Yildirim,Gokhan, PY - 2009/7/1/entrez PY - 2009/7/1/pubmed PY - 2009/8/11/medline SP - 920 EP - 6 JF - Acta obstetricia et gynecologica Scandinavica JO - Acta Obstet Gynecol Scand VL - 88 IS - 8 N2 - OBJECTIVE: To compare tension-free vaginal tape (TVT) and transobturator tape (TOT) for surgical treatment of stress urinary incontinence (SUI) with intrinsic sphincter deficiency. DESIGN: Retrospective study. SETTING: Gynecology department, Bakirkoy Women and Childrens' Hospital, Istanbul. SAMPLE: Three hundred women urodynamically diagnosed with stress incontinence with intrinsic sphincter deficiency underwent synthetic mid-urethral sling procedures (TVT = 180, TOT = 120). METHODS: Before the operation, a complete medical history was taken and a gynecologic examination was performed. Subjects with detrusor overactivity or previous sling surgery were excluded. Clinical checkups were conducted at 3, 6, and 12 months, and then annually. MAIN OUTCOME MEASURES: Intraoperative complications, postoperative complications, and subjective cure rates. RESULTS: There were no significant differences in demographics between the TVT and TOT groups: mean age, parity, body mass index, menopausal status, and hormone replacement therapy. At a mean follow-up of 31.2 +/- 9.1 (range 12-46) months, the overall cure rates were 78.3% for TVT and 52.5% TOT (p < 0.0001). The risk of treatment failure in women who received TOT was 4.9 times higher than in women who underwent TVT. There were no significant differences in perioperative and postoperative complication rates between the two groups. CONCLUSION: TVT appears to be the preferable surgical option for the treatment of SUI with intrinsic sphincter deficiency. SN - 1600-0412 UR - https://www.unboundmedicine.com/medline/citation/19565366/Which_type_of_mid_urethral_sling_procedure_should_be_chosen_for_treatment_of_stress_urinary_incontinance_with_intrinsic_sphincter_deficiency_Tension_free_vaginal_tape_or_transobturator_tape_ L2 - https://doi.org/10.1080/00016340903100354 DB - PRIME DP - Unbound Medicine ER -