Lim Jeanette L, Quinlan David J
Victoria General Hospital, Victoria, BC.
J Obstet Gynaecol Can. 2006 Mar;28(3):214-217. doi: 10.1016/S1701-2163(16)32111-9.
The TVT-O (Ethicon, Somerville, NJ) is a new transobturator suburethral synthetic sling used in the treatment of female stress urinary incontinence (SUI). This study aimed to evaluate the complication rates and procedural times associated with performing this procedure during a period of transition from the retropubic tension-free vaginal tape (TVT) procedure to the transobturator TVT-O procedure.
We performed a retrospective analysis of the first 50 patients to undergo the TVT-O procedure in one gynaecologist's practice. All patients had SUI or mixed urinary incontinence. Operative times and intraoperative and perioperative complications were recorded. At the two-week and six- to eight-week postoperative reviews, a urogenital history and examination were performed.
The only complications encountered were two cases (4%) of urinary tract infection and one case (2%) of superficial wound infection. There were no cases of postoperative voiding difficulty, hemorrhage, hematoma, persistent groin pain, or vascular or visceral injuries. The mean procedural time was 21 minutes.
These preliminary results indicate that the TVT-O procedure is a safe treatment for female SUI even during the training phase. In light of the safety and the ease of transition to this technique, this finding is encouraging for surgeons who are making the transition from other surgical procedures for female SUI to the transobturator TVT-O.
经闭孔尿道中段无张力吊带术（TVT - O，美国新泽西州萨默维尔市爱惜康公司生产）是一种用于治疗女性压力性尿失禁（SUI）的新型经闭孔尿道下合成吊带术。本研究旨在评估在从耻骨后无张力阴道吊带术（TVT）向经闭孔TVT - O手术过渡期间，实施该手术的并发症发生率及手术时间。
我们对一位妇科医生所做的前50例接受TVT - O手术的患者进行了回顾性分析。所有患者均患有SUI或混合性尿失禁。记录手术时间以及术中与围手术期并发症。在术后两周以及六周至八周复查时，进行泌尿生殖系统病史询问及检查。
仅出现2例（4%）尿路感染和1例（2%）表浅伤口感染。无术后排尿困难、出血、血肿、持续性腹股沟疼痛或血管及内脏损伤病例。平均手术时间为21分钟。
这些初步结果表明，即使在培训阶段，TVT - O手术对于女性SUI也是一种安全的治疗方法。鉴于该技术的安全性以及向此技术过渡的便捷性，这一发现对于正从其他女性SUI手术向经闭孔TVT - O手术过渡的外科医生来说是令人鼓舞的。
