Rajendra M, Han HC, Lee LC, Tseng LAA, Wong HF. Retrospective study on tension-free vaginal tape obturator (TVT-O).
Int Urogynecol J 2011;
23:327-34. [PMID:
21892684 DOI:
10.1007/s00192-011-1552-7]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2011] [Accepted: 08/10/2011] [Indexed: 10/17/2022]
Abstract
INTRODUCTION AND HYPOTHESIS
We aim to report the 3-year outcome and complications of the tension-free vaginal tape obturator (TVT-O) in treating female stress urinary incontinence (SUI).
METHODS
Retrospective analysis for complications and outcome of surgery was performed in 419 women undergoing the TVT-O from 2004 to 2006.
RESULTS
Three patients (0.8%) with an isolated TVT-O had a blood loss of more than 200 ml. Two patients (0.5%) had bladder perforation. Out of 11 readmitted patients (2.6%), 10 were due to voiding difficulty. Six patients (1.4%) required tape loosening or division. Persistent pain occurred in 3.6% and erosion in 2.4% of patients. One hundred eighty-five patients (44.2%) came for follow-up at 3 years. The actual subjective and objective success rates were 89.7% and 99.9% at 3 years follow-up, respectively. With imputation, the 3-year subjective and objective success rates were 86.9% and 97.4%, respectively.
CONCLUSIONS
The TVT-O is effective in treating female SUI with minimal complications.
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