Duckett Jonathan R A, Basu Maya
Medway Maritime Hospital, Windmill Road, Gillingham, Kent, ME7 5NY, UK.
Int Urogynecol J. 2010 Jul;21(7):763-6. doi: 10.1007/s00192-010-1115-3. Epub 2010 Feb 24.
Although transobturator tapes (TOT) have been suggested to be equivalent to retropubic tension-free vaginal tapes (TVT) in the management of urodynamic stress incontinence, there is very little evidence for their use in women with mixed incontinence. The aim of this study was to evaluate the efficacy of the TOT against the retropubic TVT in women with mixed incontinence.
A case controlled study was used with 34 women matched for age and type of procedure.
Ten out of 34 (29.4%) patients in the TOT group required a repeat continence procedure versus 0/34 (0%) in the retropubic group. Patients who had undergone a TOT were significantly more likely to require repeat surgery (odds ratio 10.1, 95% confidence interval 2.6-38.2).
This study suggests a higher failure rate in women undergoing a TOT for USI and DO compared to a retropubic TVT when assessed with a case controlled study.
尽管经闭孔尿道中段吊带术（TOT）在治疗尿动力学压力性尿失禁方面被认为等同于耻骨后无张力阴道吊带术（TVT），但几乎没有证据表明其可用于混合性尿失禁女性。本研究的目的是评估TOT与耻骨后TVT治疗混合性尿失禁女性的疗效。
采用病例对照研究，34名年龄和手术类型匹配的女性参与。
TOT组34名患者中有10名（29.4%）需要再次进行控尿手术，而耻骨后组为0/34（0%）。接受TOT手术的患者更有可能需要再次手术（优势比10.1，95%置信区间2.6 - 38.2）。
该病例对照研究评估显示，与耻骨后TVT相比，接受TOT治疗混合性尿失禁和真性压力性尿失禁的女性失败率更高。
