University & Department of Obstetrics and Gynecology, Cantonal Hospital, 1708, Fribourg, Fribourg, Switzerland.
Department of Gynecology, University Hospital Zurich, University Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland.
Int Urogynecol J. 2022 Apr;33(4):911-918. doi: 10.1007/s00192-021-04976-8. Epub 2021 Oct 2.
To assess the long-term satisfaction, cure rate and safety of a new titanium-covered transobturator tape compared to polypropylene tape for the treatment of stress urinary incontinence (SUI).
A prospective study was conducted with 151 patients. Seventy patients underwent transobturator sling surgery with titanium tape from 2011 to 2019, and a historical control group (CG) of 81 patients was treated with a noncoated tape and underwent incontinence surgery from 1999 to 2009. We compared patient-reported outcome measures (PROMs) with the incontinence outcome questionnaire (IOQ).
The median follow-up was 2½ years in both groups. Based on responses to the IOQ, a statistically significantly shorter time of recovery (IOQ 15: 21.3 ± 26.4 [TG], 40.2 ± 38.5 [CG], p = 0.02), improvement of sex life (IOQ 13: 34.1 ± 29.4 [TG] vs. 65.3 ± 35.6 [CG], p = 0.01) and less voiding dysfunction (IOQ 19: 30.9 ± 28.1 [CG], 9.3 ± 18.6 [TG], p = 0.01) were observed in the TG. Objectively, no postoperative urinary retention was observed in the TG, but four cases were described in the CG. Ten patients needed a reoperation for SUI in the CG compared to three in the TG (p = 0.03).
The titanium-covered transobturator sling had superior recovery time, improved sexual function and reduced reoperation rate compared to a historical polypropylene group.
评估一种新型钛覆盖经闭孔尿道吊带与聚丙烯吊带治疗压力性尿失禁（SUI）的长期满意度、治愈率和安全性。
对 151 例患者进行前瞻性研究。70 例患者于 2011 年至 2019 年接受钛带经闭孔吊带手术，81 例历史对照组（CG）于 1999 年至 2009 年接受非涂层带和失禁手术治疗。我们比较了患者报告的结果测量（PROM）与尿失禁结果问卷（IOQ）。
两组的中位随访时间均为 2.5 年。根据 IOQ 的回答，恢复时间明显缩短（IOQ15：21.3±26.4[TG]，40.2±38.5[CG]，p=0.02），性生活改善（IOQ13：34.1±29.4[TG]与 65.3±35.6[CG]，p=0.01），排尿功能障碍减少（IOQ19：30.9±28.1[CG]，9.3±18.6[TG]，p=0.01）在 TG 中观察到。客观上，TG 无术后尿潴留，但 CG 中有 4 例。CG 中有 10 例患者因 SUI 需要再次手术，而 TG 中有 3 例（p=0.03）。
与历史聚丙烯组相比，钛覆盖经闭孔尿道吊带具有恢复时间短、性功能改善和再手术率低的优点。
