Prospective randomized trial of TVT and TOT as primary treatment for female stress urinary incontinence with or without pelvic organ prolapse in Southeast China.
OBJECTIVE
To compare the outcomes of tension- free vaginal tape (TVT) and transobturator tape (TOT) in the treatment of female stress urinary incontinence with or without concomitant pelvic organ prolapse (POP).


METHODS
One hundred and forty patients with SUI were randomly allocated to TVT (n=70) or TOT (n=70). The objective outcomes were assessed with a stress test, 1-h pad test. Subjective outcomes were assessed with UDI-6/(IIQ-7) questionnaires.


RESULTS
The surgical outcomes revealed no significant difference between TVT and TOT surgical route. Both the subjective and objective cure rates were 91.4% in the TOT group, while 90 and 92.8% in the TVT group, respectively. The results showed the association to pelvic floor surgical techniques did not diminish a year later. TOT procedure has a shorter operative time for patients without concomitant surgery.


CONCLUSIONS
The efficacy and safety of TVT procedure were similar to that of TOT procedure for female stress urinary incontinence with or without concomitant POP.
Wang
Fengmei
F
Department of Obstetrics and Gynecology, Fuzhou General Hospital, 350025, Fuzhou, Fujian, China.
Song
Yanfeng
Y
Huang
Huijuan
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D016037:Single-Blind Method; D053825:Suburethral Slings / Q000592:standards*; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery*