Urol. praxi, 2015; 16(1): 29-32
Suburethral tapes for stress incontinence: ten years of experience
- 1 Urologické oddělení ÚVN &ndash, VoFN, Praha
- 2 Gynekologicko-porodnická klinika FNKV Praha a 3. LF UK, Praha
The aim of the paper is to present our experience with implantation of suburethral TVT and TVT-O tapes. From February 2003 to May
2013, 241 women underwent placement of a suburethral tape for stress urinary incontinence at our centres. All the patients were operated
on for the first time. In 68 of them with a mean age of 62 years, retropubic tape was used. Transobturator tape was employed in
173 patients whose mean age was 57 years. Follow-up was performed at 6 and 36 months after the procedure. Subjective complaints
and the quality of life were rated using the VAS tool, and objective evaluation of the surgery effect was done by means of the Valsalva
stress test. Patients with retropubic tape were continent in 100 % and 91 % at 6 and 36 months following the procedure, respectively.
Early complications were noted in 4.4 %. With transobturator tape, full continence was maintained in 100 % and 94 % of patients at 6
and 36 months, respectively. Early complications were observed only in 1.7 % patients. The ten-year experience with the TVT and TVT-O
methods is good. According to the results, the efficacy of both surgical procedures is similar. Rates of early as well as late complications
exhibit a slight difference in favour of TVT-O. A serious haemorrhagic complication was encountered only once in the case of retropubic
tape implantation.
Keywords: stress urinary incontinence, retropubic tape, transobturator tape
Published: March 1, 2015 Show citation
References
- Bailey KV. A Clinical Investigation into Uterine Prolapse with Stress Incontinence Treatment by modified Manchester Colporrhaphy. J. Obstet Gyneacol. Brit. Comm. 1954; 63: 663-676.
Go to original source... - De Lancey JOL. Structural Support of the Urethra as It Relates to Stress Urinary Incontinence: the Hammock Hypothesis. A. J. Obstet. Gynecol., 1994; 170: 1713-1723. Go to original source...
- Ulmsten U, Henriksson L, Johnson P. An Ambulatory Surgical Procedure under Local anesthesia for Treatment of Female Urinary Incontinence. Int. Urogynecol. J., 1996; 7: 81-86. Go to original source...
- Delorm E. La bandelette transobturatrice un procede mini-invasif pour traiter l'incontinence urinaire de la femme. Prog. Urol., 2001; 11: 1306-1313.
Go to PubMed... - Lucas MG, Bosch RJ, Burkhard FC, et al. EAU guidlines on surgical teatment of urinary incontinence. Eur. Urol. 2012; 62(6): 1118-1129. Go to original source... Go to PubMed...
- Cerruto MA, Artibani W. Transobturator versus retropubic synthetic slings: komparative efficancy and safety. Curr.Opin. Urol. 2011; 21(4): 275-280. Go to original source... Go to PubMed...
- Ogah J, Cody JD, Rogerson L. Minimally invasive suburethral sling operations for urinary incontinence in women. Cochrane Database syst. Rev., 2009; 7(4): CD006375. Go to original source... Go to PubMed...
- Rechberger T, Futyma K, Jankiewitz K, Adamiak A, Skorupski P. The clinical effectiveness of retropubic (IVS-02) and transobturator (IVS-04) midurethral slings: randomized trial. Eur.Urol. 2009; 56(1): 24-30. Go to original source... Go to PubMed...
- Barry C, Lim YN, Muller R, Hitchins S, Cortiaans A, Foote A, Greenland H, Frazer M, Rane A. A multi-centre, randomised clinical control trial comparing the retropubic (RP) approach versus the transobturator approach (TO) for tension-free, suburethral sling treatment of urodynamic stress inkontinence: the TORP study. Int.Urogynecol. J. Pelvic Floor Dysfunct. 2007; 19(2): 171-178. Go to original source... Go to PubMed...