Journal of Hebei Medical University ›› 2021, Vol. 42 ›› Issue (1): 27-29,53.doi: 10.3969/j.issn.1007-3205.2021.01.006

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Comparison of the efficacy of TVT-E and TVT-O in the treatment of stress urinary incontinence

  

  1. 1.Department of Urology, Staff Hospital of Handan Iron and Steel Group Company, Hebei Province, 
    Handan 056001, China； 2.Department of Urinary Surgery, the Second Hospital of Hebei Medical 
    University, Shijiazhuang 050000， China； 3.Department of Urinary Surgery, the First Central 
    Hospital of Baoding, Hebei Province, Baoding 071000, China
  • Online:2021-01-25 Published:2021-02-04

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Abstract: Objective  To compare the clinical efficacy and complications of tension-free trans-obturator vaginal tape exact(TVT-E) and tension-free vaginal tape obturator(TVT-O) for female stress urinary incontinence(SUI). 
Methods  A retrospective analysis of 159 female SUI patients was performed. They were divided into TVT-E group(n=73) and TVT-O group(n=86) according to different treatment methods.Thesurgical indicators, clinical efficacy and complications were compared in the two groups. 
Results  The duration of operation was significantly longer in the TVT-E group than in the TVT-O group, and the difference was statistically significant(P＜0.05). There was no statistically significant difference in the amount of intraoperative blood loss, length of hospital stay, and postoperative residual urine volume between the two groups(P＞0.05). No significant difference was found in clinical efficacy and complication rate between the two groups(P＞0.05).  
Conclusion  The TVT-E group and the TVT-O group had similar surgical effects and complications, but the TVT-E group had a longer duration of operation and a higher risk of bladder perforation, as compared withTVT-O group. Patients who had recurrence after TVT-O can undergo further TVT-E. The TVT-E is simple and effective, and it is worthy of clinical promotion.


Key words: urinary incontinence, stress； TVT-E, TVT-O