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Randomized Comparative Study of the U- and H-Type Approaches of the TVT-Secur Procedure for the Treatment of Female Stress Urinary Incontinence: One-Year Follow-Up
Korean Journal of Urology ; : 250-256, 2010.
Article in English | WPRIM | ID: wpr-98146
ABSTRACT

PURPOSE:

We compared outcomes of the U- and H-type approaches of the tension-free vaginal tape (TVT)-Secur procedure for the treatment of female stress urinary incontinence (SUI). MATERIALS AND

METHODS:

From March 2007 to July 2008, 115 women with SUI underwent TVT-Secur by a single surgeon. Patients were randomly assigned to either the U- or the H-type approach. After 12 months, postoperative changes in the Sandvik questionnaire, incontinence quality of life questionnaire (I-QoL), Bristol female lower urinary tract symptoms-scored form (BFLUTS-SF), and postoperative patient satisfaction were evaluated. Cure was regarded as no leakage on the Sandvik questionnaire. Complications were also evaluated.

RESULTS:

Of 115 women, 53 were treated with the U approach, and 62 women were treated with the H approach. At 12 months, 88.7% of those treated with the U approach and 87.1% of those treated with the H approach were cured (p=0.796). The I-QoL and filling, incontinence, sexual function, and QoL sum (BFLUTS-SF) scores were improved with both approaches, and there were no significant differences in the degree of improvement between approaches. Approximately 83.7% and 82.9% of the women treated with the U and H approaches, respectively, were satisfied with the outcome (p=0.858). There were 3 cases of intra-operative vaginal wall perforation in the H-type group. Immediate postoperative retention was observed in 2 women in the U-type group and 1 woman in the H-type group. One woman in the U-type group underwent tape releasing and cutting procedures for persistent large post-void residuals.

CONCLUSIONS:

The U- and the H-type approaches of the TVT-Secur procedure provided comparable effectiveness for the treatment of female SUI.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Quality of Life / Retention, Psychology / Urinary Incontinence / Urinary Tract / Follow-Up Studies / Patient Satisfaction / Suburethral Slings Type of study: Controlled clinical trial / Observational study / Prognostic study Limits: Female / Humans Language: English Journal: Korean Journal of Urology Year: 2010 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Quality of Life / Retention, Psychology / Urinary Incontinence / Urinary Tract / Follow-Up Studies / Patient Satisfaction / Suburethral Slings Type of study: Controlled clinical trial / Observational study / Prognostic study Limits: Female / Humans Language: English Journal: Korean Journal of Urology Year: 2010 Type: Article