Transobturator or retropublic passage tension-free vaginal tape for 254 female patients with stress urinary incontinence

Abstract

This study was to retrospectively report the clinical effects of retropublic passage tension free vaginal tape(TVT)vs.transobturator tape(TVT-O)on 254 female patients with stress urinary incontinence(SUI).Our findings showed that mean operative time was significantly lower in TVT-O group than that in TVT group[(19±4)min vs.(27±6)min;P＜0.05].Perioperative complications were more commonly seen in the retropubic procedure(2.9% vs.8.8%;P＜0.01).There was no significant difference in intraoperative blood loss[(19±6)ml vs.(31±8)ml in TVT-O or TVT groups;P＞0.05]and in-hospital stay[(4.1±1.5)d vs.(4.5±1.8)d in TVT-O or TvT groups;P＞0.05]between the two groups.Grouts-Blaivas Score demonstrated that those two treatment groups did not differ significantly in 24-hour(93.6% vs.91.2%;P＞0.05)or long-term postoperative cure rate(94.5% vs.94.3%;P＞0.05).We suggested that TVT or TVT-O seemed to be equally effective in surgical treatment of SUI.However,TVT-O had advantage of relatively lower overall perioperative complication rate. Key words: Urinary incontinence,stress; Gynecologic surgical procedures