Sola Vicente, Pardo Jack, Ricci Paolo, Guiloff Enrique, Chiang Humberto
Urogynecology Unit, Department of Obstetrics and Gynecology, Las Condes Clinic, Santiago, Chile.
Int Braz J Urol. 2007 Mar-Apr;33(2):246-52; discussion 253. doi: 10.1590/s1677-55382007000200017.
The present work describes our experience in surgical correction of stress urinary incontinence, comparing both the TVT and the TVT-O techniques.
Between October 2001 and March 2004, 76 patients underwent the TVT procedure. Between January 2004 and January 2005, 98 surgical corrections of urinary incontinence were carried out using the TVT-O technique.
Median operative time was 28 minutes for TVT and 7 minutes for TVT-O. Intraoperative complications for TVT occurred in 4 patients (6.6%): urinary bladder perforation in 3 patients (5%, p=0.0228) and parietal peritoneum perforation in 1 case (1.6%). No intraoperative complications took place during TVT-O. Immediate postoperative complications: transient urinary retention in TVT, 2 cases (2.6%) and overcorrection in TVT-O (1%) which was readjusted within 24 hours. There were no late complications after TVT. There were 2 cases (2.04%) with late complications in TVT-O. TVT and TVT-O resulted in correction of incontinence in 100% of the patients.
TVT and TVT-O are two effective techniques for the correction of stress urinary incontinence. TVT-O would seem to be a technique much easier to perform resulting in less intraoperative complications.
本研究描述了我们在压力性尿失禁手术矫正方面的经验，比较了经阴道无张力尿道中段悬吊带术（TVT）和经闭孔无张力尿道中段悬吊带术（TVT - O）两种技术。
2001年10月至2004年3月期间，76例患者接受了TVT手术。2004年1月至2005年1月期间，98例尿失禁患者采用TVT - O技术进行了手术矫正。
TVT的中位手术时间为28分钟，TVT - O为7分钟。TVT术中并发症发生在4例患者（6.6%）：3例患者发生膀胱穿孔（5%，p = 0.0228），1例发生腹膜穿孔（1.6%）。TVT - O术中未发生并发症。术后即刻并发症：TVT术后2例（2.6%）出现短暂性尿潴留，TVT - O术后1%出现矫正过度，在24小时内进行了调整。TVT术后无晚期并发症。TVT - O术后有2例（2.04%）出现晚期并发症。TVT和TVT - O使100%的患者尿失禁得到矫正。
TVT和TVT - O是矫正压力性尿失禁的两种有效技术。TVT - O似乎是一种更容易实施的技术，术中并发症更少。
