ISSN: 2474-9230
Authors: Rosita AniulienÄ—*, Birute Zilaitiene, Povilas Aniulis and Rimantas Zalinkevicius
The Aim of the Study: To compare TVT (tension - free vaginal tape) and TVT-O (tension-free vaginal tape obturator) operations: results, complications, effectiveness after 5 years of follow-up. Material and Methods: A single center nonblind, prospective study of women with SUI who were randomized to TVT and TVT-O from April 2005 to April 2013. Prospective study out of 394 patients, 114 were operated using TVT operation and 280 patients – TVT-O operation. There was no significant difference between groups concerning the age, BMI (body mass index), parity, menopausal status and prolapse (no patients had cystocele greater than stage II). Results: Mean operative time was significantly shorter in the TVT-O group (18±4.6 min) compared with the TVT group (27±7.1 min). There were no significant differences in the effectiveness of both procedures after 5 years. Hospital stay was statistically significantly shorter in TVT-O group (1.2±0.5 days) than in TVT group (4.0±0.6 days). Significantly less complication were in TVT-O group. Conclusion: TVT and TVT-O operations are equally effective for the surgical treatment of female stress urinary incontinence. TVT-O had a shorter operation time and a lower complication rate.
Keywords: Tension-Free Vaginal Tape; Tension-Free Vaginal Tape Obturator from Inside to Outside; Stress Urinary Incontinence; Female Urinary Incontinence; Surgical Treatment of Female Urinary Incontinence
