Surgical outcomes of tension-free vaginal tape (TVT)- abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study

Min Kyeong Kim; Ju Hee Kim; Hee Dong Chae; Jinha Chung; Hyeon Ji Kim; Sa Ra Lee; Sung Hoon Kim

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자료유형: 학술저널

저자정보: Min Kyeong Kim (University of Ulsan College of Medicine) Ju Hee Kim (University of Ulsan College of Medicine) Hee Dong Chae (University of Ulsan College of Medicine) Jinha Chung (University of Ulsan College of Medicine) Hyeon Ji Kim (University of Ulsan College of Medicine) Sa Ra Lee (Asan Medical Center) Sung Hoon Kim (Asan Medical Center University of Ulsan College of Medicine)

저널정보: 대한산부인과학회 Obstetrics & Gynecology Science Obstetrics & Gynecology Science 제64권 제6호

발행연도: 2021.11

수록면: 540 - 546 (7page)

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ObjectiveWe compared the efficacy and postoperative complications of tension-free vaginal tape (TVT)-abbrevo® (TVT-A) andTVT-obturator® (TVT-O) surgeries for the treatment of stress urinary incontinence (SUI). MethodsWe retrospectively analyzed the medical records of 143 female patients with SUI who underwent TVT-A or TVT-Osurgery between January 2010 and December 2019 at the Asan Medical Center in Seoul. We evaluated intra- andpostoperative complications such as bladder injury, groin pain, urinary retention, and mesh exposure. We also checkedthe success rate at 6 months after surgery. ResultsThere were no complications, including fever, hematuria, hematoma of the vulva, or bladder injury, immediately aftersurgery in either group. Postoperative complications 2 weeks post-surgery were groin pain (11.3%), urinary retention(4.9%), and mesh exposure (0.7%). Groin pain was not significantly different between the two groups at 2 weeks,3 months, and 6 months after surgery (TVT-O vs. TVT-A after 2 weeks: 12.5% vs. 10.3%, P=0.791; 3 months: 0.0% vs. 1.4%, P=0.999; and 6 months: 0.0% vs. 0.0%, P=0.999). Over 90% of the patients reported cure or improved symptomsin both groups. In the univariate logistic analysis, the type of TVT (TVT-O or TVT-A) was not associated with the successrate (odds ratio, 3.21; 95% confidence interval, 0.59-17.40; P=0.175). ConclusionTVT-A surgery is comparable with TVT-O in terms of high success rate and low frequency of complications, includingbladder injury and groin pain.

#Stress urinary incontinence #Midurethral sling #Tension-free vaginal Tape #Transobturator tape

참고문헌 (24)

참고문헌 신청

Haylen BT / 2011 / An International Urogynecological Association (IUGA) / International Continence Society (ICS)joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) & grafts in female pelvic floor surgery / Int Urogynecol J 22:3~15

Luber KM. / 2004 / The definition, prevalence, and risk factors for stress urinary incontinence / Rev Urol 6(Suppl 3):S3~S9

최훈 / 2015 / Population-Based Survey on Disease Insight, Quality of Life, and Health-Seeking Behavior Associated With Female Urinary Incontinence / International Neurourology Journal 19(1):39~46

Choo MS / 2007 / Prevalence of urinary incontinence in Korean women : an epidemiologic survey / Int Urogynecol J Pelvic Floor Dysfunct 18:1309~1315

Pandey D / 2019 / Interventions and quality of life in stress urinary incontinence / Gynecol Minim Invasive Ther 8:106~112

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