ABSTRACT
The study evaluated the validity of office hysteroscopy (OH) in 51 infertile women and whether congenital or acquired thrombophilia is more prevalent in women with recurrent IVF failures.
Subject(s)
Fertilization in Vitro , Hysteroscopy , Infertility, Female/therapy , Thrombophilia/complications , Ambulatory Surgical Procedures , Female , Humans , Infertility, Female/etiology , Polyps/surgery , Pregnancy , Treatment Failure , Uterine Diseases/complications , Uterine Diseases/diagnosis , Uterine Diseases/surgeryABSTRACT
AIM: To evaluate the effects of tension-free vaginal tape (TVT) and tension-free vaginal tape-obturator (TVT-O) operations on urodynamics and subjective and objective outcomes. MATERIALS AND METHODS: Thirty-six patients with stress or mixed urinary incontinence underwent TVT or TVT-O. Bristol Female Lower Urinary Tract Symptoms (BFLUTS) Questionnaire-Scored Form, one-hour pad test, Q-tip test, perineometer, and urodynamics were performed before and after the operations. Blaivas-nomogram was used for assessment of postoperative voiding difficulty. RESULTS: Nineteen patients underwent TVT-O and 17 patients underwent TVT. Mean follow-up was 18.4 +/- 6.8 months. There was no difference between two groups regarding demographic variables, degree of prolapse, type of incontinence, perineometer, Q-tip test, pad test, and urodynamics. There was a significant increase in the maximum urethral closure pressure (MUCP) and residual volume in TVT-O group. According to Blaivas-nomogram, five patients had mild, one had medium obstruction in the TVT-O group, whereas one had mild and three had medium obstruction in TVT group. Two bladder perforations occurred during TVT. One patient developed groin pain after TVT-O. CONCLUSIONS: TVT-O may lead to an increase in MUCP and residual urine volume. TVT-O is as efficient as TVT and leads to milder obstruction when compared to TVT.
