| Early Experience with Transobturator Vaginal Tape Inside-out(TVT-O) Procedure for the Treatment of Female Stress Urinary Incontinence. |
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| Sang Jin Oh, Seung Chol Park, Hee Jong Jeong |
| Department of Urology, Wonkwang University School of Medicine, Iksan, Korea. uroblue@wonkwang.ac.kr |
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| ABSTRACT |
PURPOSE
Tension free vaginal tape, which has become the common therapy for female stress urinary incontinence, has a complication associated with a blind passage. Transobturator vaginal tape inside-out (TVT-O) is a technique for the passage of the tape through the obturator foramens from inside to outside. We intend to evaluate the efficacy and safety of the TVT-O.
MATERIALS AND METHODS
From September 2004 to December 2004, 35 patients underwent TVT-O under spinal anesthesia. Among them, 30 patients have been followed-up more than 12 months.
The preoperative assessment included past history, physical examination, voiding diary, 1-hour pad test, urinalysis, voiding cystourethrography (VCUG), urodynamic study.
Post-operatively a 16 Fr urethral Foley catheter was left for 24 hours. The procedural outcome, subjective satisfaction and complications were assessed retrospectively.
RESULTS
The mean operative time was 15 minutes (range 12~20). Average hospital stay was 3.5 days (range 2~14). No intraoperative or postoperative complications were noted.
One patient had immediate voiding difficulty, which was resolved after 2 weeks of clean intermittent catheterization. Three out of 10 patients (30%) with urge incontinence improved after the operation. The mean followed-up period was 13 months. Of 30 patients, 29 patients (96.6%) were cured and 1 patient (3.3%) improved.
Subjective cure was present in 29 patients (96.6%).
CONCLUSION
TVT-O is a simple, safe and effective surgical treatment for female stress urinary incontinence. However, a longer follow-up will be necessary to determine its long-term effect. |
| Keywords:
Urinary stress incontinence; Surgery |
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