Krofta L, Feyereisl J, Otcenásek M, Kasíková E, Pán M
Ustav pro péci o matku a dítĕ, Praha-Podolí.
Ceska Gynekol. 2008 Jul;73(4):231-9.
The purpose of this study was to prospectively and randomly compare tension free vaginal tape (TVT) with transobturator suburethral tape (TVT O) for the surgical treatment of stress urinary incontinence (SUI) in women.
288 women with SUI were randomly assigned to either TVT (n-141) or TVT O (n-147). The preoperative evaluation included QoL questionare and a comprehensive urodynamic examination. The 1-year outcome included a urodynamic study.
Patients characteristics, preoperative QoL were similar in the 2 groups. Mean operative time was significant shorter in TOT group. The rates of cure were similar rot the TVT and TVT O groups, respectively (obj.: 90.1% vs. 88.4%, subj.: 84.7 vs. 80.9%).
TOT appears to be equally efficient as TVT for surgical treatment of stress urinary incontinence in women.
本研究旨在前瞻性、随机地比较无张力阴道吊带术（TVT）与经闭孔尿道下吊带术（TVT-O）治疗女性压力性尿失禁（SUI）的效果。
288例压力性尿失禁女性被随机分为TVT组（n = 141）和TVT-O组（n = 147）。术前评估包括生活质量问卷和全面的尿动力学检查。1年的随访结果包括尿动力学研究。
两组患者的特征和术前生活质量相似。TOT组的平均手术时间明显更短。TVT组和TVT-O组的治愈率相似（客观治愈率：90.1%对88.4%，主观治愈率：84.7%对80.9%）。
对于女性压力性尿失禁的手术治疗，TOT似乎与TVT同样有效。
