Waltregny David, de Leval Jean
Department of Urology, University Hospital of Liège, Liege, Belgium.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Mar;20(3):337-48. doi: 10.1007/s00192-008-0753-1. Epub 2008 Nov 4.
Six years ago, the inside-out transobturator tape TVT-O procedure was developed for the surgical treatment of female stress urinary incontinence (SUI) with the aim of minimizing the risk of urethra and bladder injuries and ensuring minimal tissue dissection. Initial feasibility and efficacy studies suggested that the TVT-O procedure is associated with high SUI cure rates and low morbidity at short term. A recent analysis of medium-term results indicated that the TVT-O procedure is efficient, with maintenance, after a 3-year minimum follow-up, of cure rates comparing favorably with those reported for TVT. No late complications were observed. As of July 2008, more than 35 clinical papers, including ten randomized trials and two national registries, have been published on the outcome of the TVT-O surgery. Results from these studies have confirmed that the TVT-O procedure is safe and as efficient as the TVT procedure, at least in the short/medium term.
六年前，为了将尿道和膀胱损伤风险降至最低并确保组织剥离最少，开发了经闭孔尿道中段吊带术（TVT-O）用于女性压力性尿失禁（SUI）的外科治疗。初步的可行性和疗效研究表明，TVT-O手术在短期内与高SUI治愈率和低发病率相关。最近的中期结果分析表明，TVT-O手术是有效的，在至少3年的随访后，治愈率与TVT报告的治愈率相比具有优势。未观察到晚期并发症。截至2008年7月，已发表了35多篇关于TVT-O手术结果的临床论文，包括10项随机试验和2项国家登记研究。这些研究结果证实，TVT-O手术至少在短期/中期是安全的，并且与TVT手术一样有效。
