| The Quality of Life after Tension-Free Vaginal Tape and Transobturator Vaginal Tape Inside-Out for the Surgical Treatment of Female Stress Urinary Incontinence. |
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| Sun Ouck Kim, Hyang Sik Choi, Jun Seok Kim, Jae Sang Joo, Chul Woong Youn, Seug Il Jung, Teck Won Kang, Dong Deuk Kwon, Kwang Sung Park, Soo Bang Ryu |
| Department of Urology, Chonnam National University Medical School, Gwangju, Korea. urokwon@gmail.com |
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| ABSTRACT |
PURPOSE
The change of quality of life following a tension-free vaginal tape (TVT) and transobturator vaginal tape (TVT-O) procedure was investigated in patients with stress urinary incontinence.
MATERIALS AND METHODS
We included 86 women with stress urinary incontinence who underwent the TVT or TVT-O procedure and followed up for at least 1 year.
Preoperatively, the patients were evaluated with history taking, physical examination, urodynamics to determine abdominal leak point pressure (ALPP) and pre- and postoperative quality of life was evaluated by incontinence quality of life questionnaire (I-QoL). The success after operation was defined as the absence of any subjective complaint of leakage.
RESULTS
The rate of cure of TVT and TVT-O procedure were 84%, 92% and the rate of improvement of them were 16%, 8%, respectively. Preoperative patient characteristics including uroflowmetric parameters and ALPP were comparable in the two groups. The I-QoL parameters one year after surgery were statistically significant increase in I-QoL scores in each groups. There were no serious or long-term complications related to both procedures.
CONCLUSIONS
These data suggest that the TVT and TVT-O procedure are effective for treating female stress incontinence and also in the aspect of improving quality. |
| Keywords:
Urinary stress incontinence; Surgical mesh; Quality of life |
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