Ruan Yingqing, Liu Ping, Qiu Minjie
Department of Gynaecology, Maternal and Child Health Hospital of PanYu District, Guangzhou, China.
Department of Urology, Maternal and Child Health Hospital of PanYu District, Guangzhou, China.
Technol Health Care. 2025;33(1):545-554. doi: 10.3233/THC-241247.
Stress urinary incontinence (SUI), a prevalent condition among middle-aged and elderly women in China, is characterized by the involuntary leakage of urine during instances of increased abdominal pressure [1]. Although SUI is not life-threatening, it substantially impacts patients' physical and psychological well-being, impairs their social interactions, and diminishes their overall quality of life.
The aim of this study was to evaluate and compare the clinical efficacy of tension-free vaginal tape-ischiopubic ramus (TVT-IR) and transobturator tension-free vaginal tape (TVT-O) in the treatment of female stress urinary incontinence (SUI).
A retrospective analysis of clinical data from 83 female SUI patients was conducted, dividing them into a TVT-IR group (n= 41) and a TVT-O group (n= 42) based on the surgical procedures employed. Perioperative indices, surgical efficacy, complications, symptom improvement pre- and post-operation (3 months), urodynamic measurements, and indices related to pelvic floor function and quality of life were compared between the two groups.
The TVT-IR group had significantly shorter operative time than the TVT-O group (P< 0.05). Three months after surgery, both groups had significantly lower frequency of incontinence, incontinence score, and number of nocturnal urination, significantly higher Pdet, ALPP, Qmax, and MUCP, significantly higher class I and class II fiber muscle strength and muscle potential, and significantly higher I-QOL scores (P< 0.05). The aforementioned indicators were superior in the TVT-IR group compared to the TVT-O group three months after surgery (P< 0.05).
Both TVT-IR and TVT-O are effective in treating SUI, with comparable complication rates.
压力性尿失禁（SUI）是中国中老年女性中的一种常见病症，其特征是在腹压增加时尿液不自主漏出[1]。虽然SUI不会危及生命，但它会严重影响患者的身心健康，损害其社交互动，并降低其整体生活质量。
本研究旨在评估和比较无张力阴道吊带-坐骨支（TVT-IR）和经闭孔无张力阴道吊带（TVT-O）治疗女性压力性尿失禁（SUI）的临床疗效。
对83例女性SUI患者的临床资料进行回顾性分析，根据所采用的手术方法将她们分为TVT-IR组（n = 41）和TVT-O组（n = 42）。比较两组患者的围手术期指标、手术疗效、并发症、术前和术后3个月的症状改善情况、尿动力学测量结果以及与盆底功能和生活质量相关的指标。
TVT-IR组的手术时间明显短于TVT-O组（P < 0.05）。术后3个月，两组患者的尿失禁频率、尿失禁评分和夜间排尿次数均显著降低，膀胱逼尿肌压力（Pdet）、腹压漏尿点压力（ALPP）、最大尿流率（Qmax）和尿道黏膜闭合压（MUCP）均显著升高，Ⅰ类和Ⅱ类纤维肌力和肌电位均显著升高，生活质量问卷（I-QOL）评分也显著升高（P < 0.05）。术后3个月，上述指标在TVT-IR组中优于TVT-O组（P < 0.05）。
TVT-IR和TVT-O在治疗SUI方面均有效，并发症发生率相当。
