comparison of tension-free vaginal tape versus transobturator tape in women with stress urinary incontinence

نویسندگان

zinat ghanbari vali-e-asr reproductive health research center, medical sciences/university of tehran, iran

bahareh hajibaratali vali-e-asr reproductive health research center, medical sciences/university of tehran, iran

mamak shariat vali-e-asr reproductive health research center, medical sciences/university of tehran, iran

چکیده

objective: this study compared the tension-free vaginal tape (tvt) and transobturator tape (tot) procedures for surgical treatment of stress urinary incontinence in women. materials and methods: this prospective non randomized clinical trial was conducted in vali-e-asr hospital from march 2001 to march 2005. a total of 71 patients with clinical and urodynamic diagnosis of stress urinary incontinence (sui) were enrolled in the study. patients were divided into two groups and underwent tvt or tot procedures. mean operation time, cure rate, post  operative urinary retention, bleeding and infection were compared between two groups. spss software was used for statistical analysis. chi square and fisher exact test calculated the effects of the nominal variables. mean difference of quantitative variables were compared by student's t- test. p ≤0.05 was considered statistically significant. results: there was no significant difference in mean time of operation and peri-operative complications among groups. urinary retention was 13.8% (n=5) in the tvt group versus 2.8% (n=1) in tot group (ns). the rates of cure (91.6% vs 91.4%), improvement (5.6% vs 8.6%) and failure (2.8% vs 0) were similar for the tvt and tot groups. the rate of hemorrhagic complications was 5.5% in tvt and 2.8% in tot group (ns). conclusion: tot appears to be equally efficient to tvt for  surgical treatment of stress urinary incontinence after 30 months follow-up.

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منابع مشابه

Comparison of Tension-free Vaginal Tape Versus Transobturator Tape in Women with Stress Urinary Incontinence

1Correspondence: Zinat Ghanbari, Vali-e-Asr Reproductive Health Research Center, Imam Khomeini Hospital, Keshavarz Blvd., Tehran, 14194, Iran. Tel: +98-2166939320 Fax: +98-2166937321 E-mail: [email protected] described by Ulmsten in 1995 and is currently used as a standard minimally invasive procedure (1). Delorme (2) first described suburethral placement of a tape or the Transobturator ta...

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Tension-free vaginal tape versus transobturator tape as surgery for stress urinary incontinence: results of a multicentre randomised trial.

OBJECTIVES This prospective, multicentre, randomised study compared the safety and success rate of tension-free vaginal tape (TVT) and transobturator tape (TOT) in treatment of female stress urinary incontinence. METHODS Of 148 women, 73 were randomised to TVT and 75 to TOT. Preoperative workups included case history, clinical examination, Urogenital Distress Inventory and Impact Incontinence...

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Comparison of tension-free vaginal tape and transobturator tape procedure for the treatment of stress urinary incontinence.

PURPOSE OF REVIEW The aim of this review was to assess the recent evidence on the effectiveness and complications of tension-free vaginal tape (TVT) and transobturator tape (TOT) procedures for female stress urinary incontinence between January 2008 and March 2009. RECENT FINDINGS A meta-analysis of recent studies revealed that the short-term objective cure rate was borderline worse in the TO...

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Tension-Free Vaginal Tape, Transobturator Tape, and Own Modification of Transobturator Tape in the Treatment of Female Stress Urinary Incontinence: Comparative Analysis

INTRODUCTION This study is a comparative evaluation of the TVT, TOT, and our own modification of TOT (mTOT) in the treatment of female stress urinary incontinence from a single center experience. MATERIAL AND METHODS The study was conducted on 527 patients with SUI diagnosed on the basis of urodynamic studies. They were divided into three groups--TVT: n=142, (TOT): n=129, and mTOT: n=256. All...

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عنوان ژورنال:
journal of family and reproductive health

جلد ۱، شماره ۲، صفحات ۶۵-۶۸

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