Efficacy and safety analyses of tension-free vaginal tape in therapy of female stress urinary incontinence / 医学研究生学报

ABSTRACT

[Abstract ] Objective The tension-free vaginal tape is the main method for treatment of stress urinary incontinence (SUI). The aim of the present study was to analyze the effect and safety of tension-free vaginal tape ( TVT) and tension-free vaginal tape-obtu-rater ( TVT-O) for female stress urinary incontinence and to sum up the experiences . Methods Clinical data of 142 patients who re-ceived anti-incontinence surgery ( TVT/TVT-O ) between January 2011 and May 2014 were retrospectively analyzed , 111 cases re-ceived TVT and 31 cases received TVT-O.The effect and the complication were analyzed at least 6 months post surgery .Incontinence quality of life ( I-QOL) and organ prolapse/urinary incontinence sexual function questionnaire ( P-ISQ) were used to observe the sub-jective symptoms .One hour pad test value was used to assesse the objective response . Results The effective rate post-TVT/TVT-O was 88.03%, and the cure rate was 95.07%6 months post surgery.In the group of TVT, I-QOL and P-ISQ score were 52.1 ±16.8 and 60.1 ±36.5 at time of pre-operation, and they were 92.1 ±17.1 and 62.2 ±37.8 at time of post-operation, respectively.In the group of TVT-O, they were 61.2 ±15.8 and 57.1 ±36.8 at time of pre-operation, and they were 91.3 ±20.1 and 62.1 ±35.9 at time of post-operation, respectively.Compared with pre-operation, I-QOL and P-ISQ score were obviously rised at time of post-operation ( P<0.05 ). The total incidence rate of surgery complication was 21.83%.And,in proper was urinary tract infection (16.9%),OAB (14.08%), bladder injury(11.26%), retention of urine(7.74%), nerve pain(2.81%), retropubic hematoma(1.41%), urethral injury(1.41%).All patients′surgeries were successful except three cases.One patient was cured after reoperation .The other two was improved with dislodge sling urinary incontinence . Conclusion TVT/TVT-O was a highly effective and safe method in the treatment of SUI .But we should not ignore the complications;the timely and effective treatment measures could improve the operation rate of success .