title: Surgical therapeutic index of tension-free vaginal tape and transobturator tape for stress urinary incontinence.
abstract: OBJECTIVE
  The aim of this study was to obtain the surgical therapeutic index (STI) of tension-free vaginal tape (TVT) and transobturator tape (TOT) and compare it with the previously obtained result of Burch colposuspension.
  
  
  METHODS
  The study population consisted of 121 patients who were diagnosed as having stress urinary incontinence, underwent TVT or TOT between January 1, 2000 and June 30, 2005 and were followed up for at least 1 year. Patients with detrusor overactivity, urinary tract infection, intrinsic sphincter deficiency and pelvic organ prolapse more than stage II according to the POP-Q system were excluded. The cure and complication rates were investigated, and the STI (median percent cure rate/median percent complication rate) of each operation was calculated.
  
  
  RESULTS
  Of the 121 patients, 61 underwent TVT and 60 received TOT. Patient characteristics and the results of preoperative urodynamic studies showed no significant difference between the two groups. The STI of TOT (2.72, 4.08, 4.23, 5.29) was higher than that of Burch colposuspension (1.19, 2.27, 2.89, 3.53) and TVT (2.77, 3.69, 3.23, 3.17) irrespective of follow-up months (at 1, 3, 6, 12 months).
  
  
  CONCLUSIONS
  TOT seems to be a more suitable surgical procedure for stress urinary incontinence with urethral hypermobility.
authors: Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.
authors: Myung Jae
authors: MJ
authors: Jeon
authors: Da Jung
authors: da J
authors: Chung
authors: Joo Hyun
authors: JH
authors: Park
authors: Sei Kwang
authors: SK
authors: Kim
authors: Jae Wook
authors: JW
authors: Kim
authors: Sang Wook
authors: SW
authors: Bai
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000379:methods*