Effectiveness and Complications of TVT and TVT - O Operations in the Treatment of Female Stress Urinary Incontinence. Five Years Follow - Up Prospective Study

Abstract

The Aim of the Study: To compare TVT (tension - free vaginal tape) and TVT - O (tension - free vaginal tape obturator) operations: results, complications, effectiveness after 5 years of follow - up. Material and M ethods: A single center nonblind, prospective study of women with SUI who were randomized to TVT and TVT - O from April 2005 to April 2013. Prospective study out of 394 patients, 114 were operated using TVT operation and 280 patients – TVT - O operation. There was no significant difference between groups concerning the age, BMI (body mass index), parity, menopausal status and prolapse (no patients had cystocele greater than stage II). Results: Mean operat ive time was significantly shorter in the TVT - O group (18±4.6 min) compared with the TVT group (27±7.1 min). There were no significant differences in the effectiveness of both procedures after 5 years. Hospital stay was statistically significantly shorter in TVT - O group (1.2±0.5 days) than in TVT group (4.0±0.6 days). Significantly less complication were in TVT - O group. Conclusion: TVT and TVT - O operations are equally effective for the surgical treatment of female stress urinary incontinence. TVT - O had a sh orter operation time and a lower complication rate.