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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
- Source :
- BioMed Research International, Vol 2014 (2014), BioMed Research International
- Publication Year :
- 2014
- Publisher :
- Hindawi Publishing Corporation, 2014.
-
Abstract
- 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 of the patients underwent evaluation at 1, 3, and 6 months after surgery. Results were statistically analysed and compared.Results. Objective and subjective effectiveness after the surgery were not significantly different in the study groups and ranged from 90.1% to 96.4%. Mean surgery time was 32.3, 28.2, and 26.4 in the TVT, TOT, and mTOT, respectively. Mean hospitalization time was 2.51 days. Mean catheter maintenance time was significantly higher in the TVT than in other groups. In the TVT group total incidence of complications was 13.4%, and it was significantly higher than that in TOT and mTOT (9.3% and 8.6%, resp.).Conclusions. TVT, TOT, and mTOT are highly effective and safe methods in the treatment of SUI. There are no differences in the efficacy between the methods with a little higher percentage of complications in the TVT group.
- Subjects :
- Transobturator tape
Study groups
medicine.medical_specialty
Article Subject
Urinary Incontinence, Stress
Operative Time
Urodynamic studies
lcsh:Medicine
Urinary incontinence
Prosthesis Design
Single Center
General Biochemistry, Genetics and Molecular Biology
Comparative evaluation
Postoperative Complications
Risk Factors
Humans
Medicine
Suburethral Slings
General Immunology and Microbiology
business.industry
lcsh:R
Tension free vaginal tape
General Medicine
Length of Stay
Middle Aged
Surgery
Equipment Failure Analysis
Catheter
Treatment Outcome
Female
Poland
medicine.symptom
business
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 23146133
- Database :
- OpenAIRE
- Journal :
- BioMed Research International
- Accession number :
- edsair.doi.dedup.....a602b1bd92338621bb3b8cb43cfec0ed
- Full Text :
- https://doi.org/10.1155/2014/347856