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

Objective We compared the efficacy and postoperative complications of tension-free vaginal tape (TVT)-abbrevo® (TVT-A) and TVT-obturator® (TVT-O) surgeries for the treatment of stress urinary incontinence (SUI). Methods We retrospectively analyzed the medical records of 143 female patients with SUI...

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Autores principales:	Min Kyeong Kim, Ju Hee Kim, Hee Dong Chae, Jin Ha Chung, Hyeon Ji Kim, Sa Ra Lee, Sung Hoon Kim
Formato:	article
Lenguaje:	EN KO
Publicado:	Korean Society of Obstetrics and Gynecology 2021
Materias:	stress urinary incontinence midurethral sling tension-free vaginal tape transobturator tape Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/f32c1fb1a5844f94b5aba75de3dc7c5c
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spelling	oai:doaj.org-article:f32c1fb1a5844f94b5aba75de3dc7c5c2021-11-15T00:50:16ZSurgical outcomes of tension-free vaginal tape (TVT)-abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study2287-85722287-858010.5468/ogs.21178https://doaj.org/article/f32c1fb1a5844f94b5aba75de3dc7c5c2021-11-01T00:00:00Zhttp://www.ogscience.org/upload/pdf/ogs-21178.pdfhttps://doaj.org/toc/2287-8572https://doaj.org/toc/2287-8580Objective We compared the efficacy and postoperative complications of tension-free vaginal tape (TVT)-abbrevo® (TVT-A) and TVT-obturator® (TVT-O) surgeries for the treatment of stress urinary incontinence (SUI). Methods We retrospectively analyzed the medical records of 143 female patients with SUI who underwent TVT-A or TVT-O surgery between January 2010 and December 2019 at the Asan Medical Center in Seoul. We evaluated intra- and postoperative complications such as bladder injury, groin pain, urinary retention, and mesh exposure. We also checked the success rate at 6 months after surgery. Results There were no complications, including fever, hematuria, hematoma of the vulva, or bladder injury, immediately after surgery 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 symptoms in both groups. In the univariate logistic analysis, the type of TVT (TVT-O or TVT-A) was not associated with the success rate (odds ratio, 3.21; 95% confidence interval, 0.59–17.40; P=0.175). Conclusion TVT-A surgery is comparable with TVT-O in terms of high success rate and low frequency of complications, including bladder injury and groin pain.Min Kyeong KimJu Hee KimHee Dong ChaeJin Ha ChungHyeon Ji KimSa Ra LeeSung Hoon KimKorean Society of Obstetrics and Gynecologyarticlestress urinary incontinencemidurethral slingtension-free vaginal tapetransobturator tapeGynecology and obstetricsRG1-991ENKOObstetrics & Gynecology Science, Vol 64, Iss 6, Pp 540-546 (2021)
institution	DOAJ
collection	DOAJ
language	EN KO
topic	stress urinary incontinence midurethral sling tension-free vaginal tape transobturator tape Gynecology and obstetrics RG1-991
spellingShingle	stress urinary incontinence midurethral sling tension-free vaginal tape transobturator tape Gynecology and obstetrics RG1-991 Min Kyeong Kim Ju Hee Kim Hee Dong Chae Jin Ha Chung Hyeon Ji Kim Sa Ra Lee Sung Hoon Kim Surgical outcomes of tension-free vaginal tape (TVT)-abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study
description	Objective We compared the efficacy and postoperative complications of tension-free vaginal tape (TVT)-abbrevo® (TVT-A) and TVT-obturator® (TVT-O) surgeries for the treatment of stress urinary incontinence (SUI). Methods We retrospectively analyzed the medical records of 143 female patients with SUI who underwent TVT-A or TVT-O surgery between January 2010 and December 2019 at the Asan Medical Center in Seoul. We evaluated intra- and postoperative complications such as bladder injury, groin pain, urinary retention, and mesh exposure. We also checked the success rate at 6 months after surgery. Results There were no complications, including fever, hematuria, hematoma of the vulva, or bladder injury, immediately after surgery 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 symptoms in both groups. In the univariate logistic analysis, the type of TVT (TVT-O or TVT-A) was not associated with the success rate (odds ratio, 3.21; 95% confidence interval, 0.59–17.40; P=0.175). Conclusion TVT-A surgery is comparable with TVT-O in terms of high success rate and low frequency of complications, including bladder injury and groin pain.
format	article
author	Min Kyeong Kim Ju Hee Kim Hee Dong Chae Jin Ha Chung Hyeon Ji Kim Sa Ra Lee Sung Hoon Kim
author_facet	Min Kyeong Kim Ju Hee Kim Hee Dong Chae Jin Ha Chung Hyeon Ji Kim Sa Ra Lee Sung Hoon Kim
author_sort	Min Kyeong Kim
title	Surgical outcomes of tension-free vaginal tape (TVT)-abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study
title_short	Surgical outcomes of tension-free vaginal tape (TVT)-abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study
title_full	Surgical outcomes of tension-free vaginal tape (TVT)-abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study
title_fullStr	Surgical outcomes of tension-free vaginal tape (TVT)-abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study
title_full_unstemmed	Surgical outcomes of tension-free vaginal tape (TVT)-abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study
title_sort	surgical outcomes of tension-free vaginal tape (tvt)-abbrevo® and tvt-obturator® for the treatment of stress urinary incontinence: a retrospective study
publisher	Korean Society of Obstetrics and Gynecology
publishDate	2021
url	https://doaj.org/article/f32c1fb1a5844f94b5aba75de3dc7c5c
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Surgical outcomes of tension-free vaginal tape (TVT)-abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study

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