Department and Clinic of Urology, Medical University of Silesia, Katowice, Poland.
Department and Clinic of General and Vascular Surgery, Medical University of Silesia, Katowice, Poland.
Biomed Res Int. 2014;2014:347856. doi: 10.1155/2014/347856. Epub 2014 Mar 16.
This study is a comparative evaluation of the TVT, TOT, and our own modification of TOT (mTOT) in the treatment of female stress urinary incontinence from a single center experience.
The study was conducted on 527 patients with SUI diagnosed on the basis of urodynamic studies. They were divided into three groups--TVT: n=142, (TOT): n=129, and mTOT: n=256. All of the patients underwent evaluation at 1, 3, and 6 months after surgery. Results were statistically analysed and compared.
Objective and subjective effectiveness after the surgery were not significantly different in the study groups and ranged from 90.1% to 96.4%. Mean surgery time was 32.3, 28.2, and 26.4 in the TVT, TOT, and mTOT, respectively. Mean hospitalization time was 2.51 days. Mean catheter maintenance time was significantly higher in the TVT than in other groups. In the TVT group total incidence of complications was 13.4%, and it was significantly higher than that in TOT and mTOT (9.3% and 8.6%, resp.).
TVT, TOT, and mTOT are highly effective and safe methods in the treatment of SUI. There are no differences in the efficacy between the methods with a little higher percentage of complications in the TVT group.
本研究是对 TVT、TOT 和我们自己改良的 TOT（mTOT）在治疗女性压力性尿失禁方面的单中心经验进行比较评估。
该研究纳入了 527 例基于尿动力学研究诊断为 SUI 的患者。他们被分为三组——TVT：n=142，（TOT）：n=129，和 mTOT：n=256。所有患者均在术后 1、3 和 6 个月进行评估。对结果进行了统计学分析和比较。
术后客观和主观疗效在研究组之间无显著差异，范围为 90.1%至 96.4%。手术时间分别为 TVT：32.3 分钟、TOT：28.2 分钟和 mTOT：26.4 分钟。平均住院时间为 2.51 天。导尿管留置时间在 TVT 组显著高于其他组。在 TVT 组，总并发症发生率为 13.4%，显著高于 TOT 和 mTOT 组（分别为 9.3%和 8.6%）。
TVT、TOT 和 mTOT 是治疗 SUI 的有效且安全的方法。这些方法的疗效没有差异，但 TVT 组的并发症发生率略高。
