Comparing vaginal tape and transobturator tape for the treatment of mild and moderate stress incontinence.
OBJECTIVE
To compare the efficacy and safety of the tension-free vaginal tape (TVT) and transobturator suburethral tape (TVT-O) procedures for the treatment of mild and moderate stress urinary incontinence (SUI).


METHODS
A total of 56 women were randomly selected to undergo the TVT-O or the TVT procedure. In some patients, vaginal repair or vaginal hysterectomy was done simultaneously for associated indications.


RESULTS
Mean blood loss and hospital stay duration were the same for the 2 groups, but mean +/- SD operative time was significantly shorter in the TVT-O than in the TVT group (16+/-4 min vs 27+/-6 min; P<0.001). On the second day following surgery a residual urine volume less than 100 mL was noted in 86% and 89% of the patients in the TVT-O and TVT groups, respectively; cure was achieved in 92.9% and 92.6% of the patients. No serious complications occurred in either group. Outcome was subjectively assessed, with the patients followed-up for a mean of 27.6 months.


CONCLUSIONS
No significant differences in rates of cure, postoperative urine retention, or operative complications were found following the TVT-O or the TVT procedure.
Zhu
Lan
L
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China.
Lang
Jinghe
J
Hai
Ning
N
Wong
Felix
F
D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D002681:China; D003558:Cystoscopy; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications; D011446:Prospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D016055:Urinary Retention / Q000209:etiology
D011126:Polypropylenes