Charalambous S, Touloupidis S, Fatles G, Papatsoris A G, Kalaitzis Ch, Giannakopoulos S, Rombis V
Department of Urology, Hippocratio General Hospital of Thessaloniki, Thessaloniki, Greece.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Mar;19(3):357-60. doi: 10.1007/s00192-007-0440-7. Epub 2007 Aug 29.
We present comparative short-term experience with the transvaginal (TVT) and the transobturator (TVT-O) approaches for the treatment of stress urinary incontinence (SUI). We studied 315 women with SUI, treated with a tension-free tape placement. The TVT approach was applied in 265 women, while 50 women were treated by the TVT-O approach. The mean operation time was 25 and 17 min in the TVT and TVT-O group, respectively (p<0.001). In the TVT group, continence rates were 87% after 1 year, while in the TVT-O group, the continence rate was 94%. Postoperative pain was reported in 14.4 and 28% of the TVT and TVT-O patients, respectively (p=0.02). Complications such as bladder perforation, retropubic hematoma, and urinary retention took place only in the TVT group. Urinary tract infections were recorded in 20 and 8% of the TVT and TVT-O patients, respectively (p=0.04), while vaginal erosion took place in 1.5 and 2% and de novo urgency in 14 and 8%. Both approaches show high rates of cure at the first postoperative year, while complications are less with the TVT-O procedure.
我们展示了经阴道（TVT）和经闭孔（TVT-O）两种治疗压力性尿失禁（SUI）方法的短期对比经验。我们研究了315例接受无张力吊带置入术治疗的SUI女性患者。其中265例采用TVT方法，50例采用TVT-O方法。TVT组和TVT-O组的平均手术时间分别为25分钟和17分钟（p<0.001）。TVT组1年后的控尿率为87%，而TVT-O组的控尿率为94%。TVT组和TVT-O组分别有14.4%和28%的患者报告术后疼痛（p=0.02）。膀胱穿孔、耻骨后血肿和尿潴留等并发症仅发生在TVT组。TVT组和TVT-O组分别有20%和8%的患者记录到尿路感染（p=0.04），而阴道侵蚀发生率分别为1.5%和2%，新发尿急发生率分别为14%和8%。两种方法在术后第一年均显示出较高的治愈率，而TVT-O手术的并发症较少。
