Urology Department, Songyuan Central Hospital (Songyuan Children's Hospital), 138001 Songyuan, Jilin, China.
Surgery Department, Songyuan Central Hospital (Songyuan Children's Hospital), 138001 Songyuan, Jilin, China.
Arch Esp Urol. 2024 Aug;77(7):760-765. doi: 10.56434/j.arch.esp.urol.20247707.106.
Tension-free vaginal tape-Abbrevo (TVT-A) and tension-free vaginal tape-Obturator (TVT-O) are the main procedures for the treatment of stress urinary incontinence (SUI) in females. This study investigated the clinical efficacy of TVT-A versus TVT-O for the treatment of SUI in elderly women.
A retrospective analysis was conducted on 126 cases of SUI in elderly female patients admitted to our hospital from January 2022 to January 2023. The patients were divided into TVT-A group (65 cases) and TVT-O group (61 cases) according to the surgical methods. Follow-up was conducted via outpatient examination and telephone. Perioperative conditions, surgical outcomes, postoperative complications and quality of life were analysed and compared between the two groups.
No statistically significant difference in surgical time, intraoperative blood loss, indwelling catheter duration, average hospital days, bladder injury, urethral injury, incision infection, dysuria, cured rate and quality of life was found between the two groups ( > 0.05). The incidence of postoperative groin pain in the TVT-A group was significantly lower than that in the TVT-O group ( < 0.05).
The efficacy of TVT-A and TVT-O in treating SUI in older women is about the same. However, TVT-A is more minimally invasive, safer and has fewer complications.
无张力阴道吊带-Abbrevo（TVT-A）和无张力阴道吊带-闭孔器（TVT-O）是女性治疗压力性尿失禁（SUI）的主要手术方法。本研究探讨了 TVT-A 与 TVT-O 治疗老年女性 SUI 的临床疗效。
回顾性分析 2022 年 1 月至 2023 年 1 月我院收治的 126 例老年女性 SUI 患者，根据手术方法分为 TVT-A 组（65 例）和 TVT-O 组（61 例）。通过门诊检查和电话进行随访。分析比较两组患者的围手术期情况、手术效果、术后并发症和生活质量。
两组患者的手术时间、术中出血量、留置导尿管时间、平均住院天数、膀胱损伤、尿道损伤、切口感染、排尿困难、治愈率和生活质量差异均无统计学意义（>0.05）。TVT-A 组术后腹股沟疼痛发生率明显低于 TVT-O 组（<0.05）。
TVT-A 和 TVT-O 治疗老年女性 SUI 的疗效相当，但 TVT-A 具有创伤更小、安全性更高、并发症更少的优点。
