Comparison of tension-free vaginal tape and transobturator tape procedure for the treatment of stress urinary incontinence.
نویسندگان
چکیده
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 TOT group compared with TVT [odds ratio (OR) 0.62; 95% confidence interval (CI) 0.37-1.00; P = 0.05]. Bladder perforation (OR 12.23; 95% CI 2.86-52.34) was significantly more common, whereas groin/thigh pain was significantly less in the TVT group (OR 0.32; 95% CI 0.11-0.92; P = 0.022). Postoperative urinary retention was slightly more in women undergoing TVT than those undergoing TOT (OR 1.6; 95% CI 0.90-3.12; P = 0.06). The rates of vaginal erosion (OR 0.34; 95% CI 0.09-1.33), de-novo urgency (OR 1.21; 95% CI 0.52-2.79) and urinary tract infection (OR 0.88; 95% CI 0.56-1.38) were comparable in both procedures. In addition, TVT appeared to be more obstructive than TOT, as evidenced by ultrasonographic and urodynamic findings. Changes in sexual function need further investigation because this issue has not been well studied for either sling procedure. SUMMARY TOT has the advantages over TVT with shorter operative time and a relatively lower complication rate. For women with intrinsic sphincter deficiency, however, TVT appears to be a better option because it is more obstructive.
منابع مشابه
[Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape].
INTRODUCTION/AIM Current method in the treatment of female urinary incontinence implies the placement of tension-free suburethral vaginal tape, using a retropubic or transobturator approach. Considering numerous complications related to retropubic approach, we reported the results of transobturator procedure in prospective study. METHODS We used a non-absorbable polypropylene tape with the ou...
متن کاملUse of transobturator suburethral tape for surgical treatment of stress urinary incontinence in a renal transplant patient.
Female stress urinary incontinence (SUI) is being treated successfully with placement of tension-free vaginal tape.The use of synthetic mesh in renal transplant patients is rarely reported. No case of surgical treatment of SUI in a renal transplant patient using transobturator suburethral tape is listed on MEDLINE. The transobturator tape technique is a minimally invasive procedure that avoids ...
متن کاملComparison 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...
متن کاملدرمان بی اختیاری استرسی ادرار در زنان با استفاده از (Tension-free vaginal tape=TVT)
Background and Aim: This study was conducted to evaluate the safety and efficacy of Tension-free Tape for the surgical treatment of female stress urinary incontinence. Materials and Methods: In a prospective open study for pre and post operative, we followed 36 patients at least 1.5 years after surgery (18-28 months) all patients underwent the operation under local anesthesia, allowing the surg...
متن کاملOutcome of Treatment of Anterior Vaginal Wall Prolapse and Stress Urinary Incontinence with Transobturator Tension-Free Vaginal Mesh (Prolift) and Concomitant Tension-Free Vaginal Tape-Obturator
Objective. It is to assess the feasibility, effectiveness, and safety of transobturator tension-free vaginal mesh (Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O) system as a treatment of female anterior vaginal wall prolapse associated with stress urinary incontinence (SUI). Patients and Methods. Between December 2006 and July 2007, 20 patients with anterior genital prolap...
متن کاملTension-free Vaginal Tape versus Transobturator Tape: Tightening of the Strings?
Hypothesis / aims of study Stress urinary incontinence (SUI) is a common problem for women. SUI has proven to have a negative impact on the quality of life for women suffering from this condition. Treatment of the condition consists mainly of physiotherapy and/or operative treatment. Nowadays the midurethral sling is the operative procedure of first choice. This sling can be placed by two diffe...
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ورودعنوان ژورنال:
- Current opinion in obstetrics & gynecology
دوره 21 4 شماره
صفحات -
تاریخ انتشار 2009