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Transobturator tape procedure versus tension‐free vaginal tape for treatment of stress urinary incontinence
Author(s) -
Wang Wenyan,
Zhu Lan,
Lang Jinghe
Publication year - 2009
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2008.09.013
Subject(s) - medicine , groin , urinary incontinence , concomitant , surgery , urinary system , medial compartment of thigh , urinary retention , thigh , urology
Objective To compare the efficacy and safety of the tension‐free vaginal tape (TVT) and inside‐out transobturator tape (TVT‐O) procedures for the treatment of stress urinary incontinence (SUI). Methods A total of 315 women with or without concomitant pelvic organ prolapse repairs were randomly allocated to undergo a TVT or TVT‐O procedure. Demographic data, intra‐ and postoperative complications, and surgical outcomes were analyzed. Results Fifteen patients were lost to follow‐up. There were no significant differences in cure rates between the 2 groups at 6, 12, 24, and 36 months' follow‐up. Hematomas occurred in 4 patients and there were 6 vaginal tape erosions. Urinary retention and de novo urinary urgency were similar in both groups. The operative time was significantly shorter for TVT‐O than for TVT without other procedures ( P < 0.001) and postoperative groin/thigh pain was higher ( P < 0.05) in the TVT‐O group. Conclusion Both techniques appear equally effective for the treatment of SUI. However, TVT‐O had a shorter operative time and a higher rate of groin/thigh pain.