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Outcome and sexual function after transobturator tape procedure versus tension-free vaginal tape SECUR: a randomized controlled trial.
Menopause. 2014 Jun; 21(6):641-5.M

Abstract

OBJECTIVE

This study aims to compare efficacy, safety, and sexual function between inside-out transobturator tape (TVT-O) and tension-free vaginal tape SECUR (TVT-S) procedures for stress urinary incontinence (SUI) treatment.

METHODS

Ninety-four women without concomitant pelvic organ prolapse repairs were randomly allocated to undergo TVT-O or TVT-S procedure. Demographic data, intraoperative and postoperative complications, and surgical outcomes were analyzed. Patients completed the Chinese version of the Incontinence Impact Questionnaire Short Form and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire Short Form (PISQ-12) before surgical operation and on follow-up after surgical operation.

RESULTS

There were no significant differences in cure rates between the two groups at 12 and 24 months of follow-up. Hematomas occurred in two patients in the TVT-O group. Urinary retention and de novo urinary urgency were similar in both groups. Operative time was significantly shorter for patients in the TVT-S group (P < 0.05), and postoperative groin/thigh pain was higher (P < 0.05) in the TVT-O group. In both groups, Incontinence Impact Questionnaire Short Form scores improved significantly after surgical operation (P < 0.001). Compared with a mean (SD) score of 33.9 (4.5) postoperatively (12 mo), the total PISQ-12 score before surgical operation was 30.9 (6.5), representing a significant difference (P = 0.021) in the TVT-S group. There was no significant difference in PISQ-12 scores before and after the TVT-O procedure.

CONCLUSIONS

The two techniques seem to be equally effective for SUI treatment. However, TVT-O results in a higher rate of groin/thigh pain and longer operative time. TVT-S can improve quality of life and sexual function in women with SUI.

Authors+Show Affiliations

From the Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

24149923

Citation

Tang, Xiang, et al. "Outcome and Sexual Function After Transobturator Tape Procedure Versus Tension-free Vaginal Tape SECUR: a Randomized Controlled Trial." Menopause (New York, N.Y.), vol. 21, no. 6, 2014, pp. 641-5.
Tang X, Zhu L, Liang S, et al. Outcome and sexual function after transobturator tape procedure versus tension-free vaginal tape SECUR: a randomized controlled trial. Menopause. 2014;21(6):641-5.
Tang, X., Zhu, L., Liang, S., & Lang, J. (2014). Outcome and sexual function after transobturator tape procedure versus tension-free vaginal tape SECUR: a randomized controlled trial. Menopause (New York, N.Y.), 21(6), 641-5. https://doi.org/10.1097/GME.0000000000000119
Tang X, et al. Outcome and Sexual Function After Transobturator Tape Procedure Versus Tension-free Vaginal Tape SECUR: a Randomized Controlled Trial. Menopause. 2014;21(6):641-5. PubMed PMID: 24149923.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcome and sexual function after transobturator tape procedure versus tension-free vaginal tape SECUR: a randomized controlled trial. AU - Tang,Xiang, AU - Zhu,Lan, AU - Liang,Shuo, AU - Lang,Jinghe, PY - 2013/10/24/entrez PY - 2013/10/24/pubmed PY - 2015/2/20/medline SP - 641 EP - 5 JF - Menopause (New York, N.Y.) JO - Menopause VL - 21 IS - 6 N2 - OBJECTIVE: This study aims to compare efficacy, safety, and sexual function between inside-out transobturator tape (TVT-O) and tension-free vaginal tape SECUR (TVT-S) procedures for stress urinary incontinence (SUI) treatment. METHODS: Ninety-four women without concomitant pelvic organ prolapse repairs were randomly allocated to undergo TVT-O or TVT-S procedure. Demographic data, intraoperative and postoperative complications, and surgical outcomes were analyzed. Patients completed the Chinese version of the Incontinence Impact Questionnaire Short Form and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire Short Form (PISQ-12) before surgical operation and on follow-up after surgical operation. RESULTS: There were no significant differences in cure rates between the two groups at 12 and 24 months of follow-up. Hematomas occurred in two patients in the TVT-O group. Urinary retention and de novo urinary urgency were similar in both groups. Operative time was significantly shorter for patients in the TVT-S group (P < 0.05), and postoperative groin/thigh pain was higher (P < 0.05) in the TVT-O group. In both groups, Incontinence Impact Questionnaire Short Form scores improved significantly after surgical operation (P < 0.001). Compared with a mean (SD) score of 33.9 (4.5) postoperatively (12 mo), the total PISQ-12 score before surgical operation was 30.9 (6.5), representing a significant difference (P = 0.021) in the TVT-S group. There was no significant difference in PISQ-12 scores before and after the TVT-O procedure. CONCLUSIONS: The two techniques seem to be equally effective for SUI treatment. However, TVT-O results in a higher rate of groin/thigh pain and longer operative time. TVT-S can improve quality of life and sexual function in women with SUI. SN - 1530-0374 UR - https://www.unboundmedicine.com/medline/citation/24149923/Outcome_and_sexual_function_after_transobturator_tape_procedure_versus_tension_free_vaginal_tape_SECUR:_a_randomized_controlled_trial_ L2 - https://doi.org/10.1097/GME.0000000000000119 DB - PRIME DP - Unbound Medicine ER -