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Tension Free Vaginal Tape and Transobturator Suburethral Tape for Surgical Treatment of Stress Urinary Incontinence


Authors: L. Krofta 1,2;  J. Feyereisl 1,2;  M. Otčenášek 1,2;  E. Kašíková 1;  M. Pán 1,2
Authors‘ workplace: Ústav pro péči o matku a dítě, Praha-Podolí, ředitel doc. MUDr. J. Feyereisl, CSc. 1;  Katedra gynekologie-porodnictví IPVZ, Praha, vedoucí katedry doc. MUDr. J. Feyereisl, CSc. 2
Published in: Ceska Gynekol 2008; 73(4): 231-239

Overview

Objective:
The purpose of this study was to prospectively and randomly compare tension free vaginal tape (TVT) with transobturator suburethral tape (TVT O) for the surgical treatment of stress urinary incontinence (SUI) in women.

Study design:
288 women with SUI were randomly assigned to either TVT (n-141) or TVT O (n-147). The preoperative evaluation included QoL questionare and a comprehensive urodynamic examination. The 1-year outcome included a urodynamic study.

Results:
Patients characteristics, preoperative QoL were similar in the 2 groups. Mean operative time was significant shorter in TOT group. The rates of cure were similar rot the TVT and TVT O groups, respectively (obj.: 90.1% vs. 88.4%, subj.: 84.7 vs. 80.9%).

Conclusion:
TOT appears to be equally efficient as TVT for surgical treatment of stress urinary incontinence in women.

Key words:
tension free vaginal tape, TVT, TVT O, stress urinary incontinence.


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Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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