Yip Chui-Shan, Cheon Willy Cecilia, Chan Yuen-Mei, Lau Ka-Wing, Fan Yuk-Sheung Joan
Department of Obstetrics and Gynecology, Tuen Mun Hospital, 23, Tsing Chung Koon Road, Tuen Mun, N.T, Hong Kong.
Department of Obstetrics and Gynecology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong.
Int Urogynecol J. 2025 Jan;36(1):157-161. doi: 10.1007/s00192-024-05998-8. Epub 2024 Nov 25.
The objective was to assess the sonographic tension-free vaginal tape-obturator (TVT-O) position and the outcome in Asian Chinese women.
A prospective cohort study of 254 patients who underwent TVT-O surgery between 2013 and 2022. The sonographic position of the TVT-O was recorded and correlated with the outcomes, including the subjective cure rates, Incontinence Impact Questionnaire 7 (IIQ-7), and retention of urine.
A total of 92.9% reported no stress urinary incontinence after the operation. The IIQ-7 score significantly improved after TVT-O surgery. 88.2% of patients had the TVT-O placed at 50-70% of the urethral length and half of the TVT-O were placed 3-5 mm from the urethra. The cure rate was higher when the tape was in the middle third of the urethra, but the tape position was not associated with postoperative retention of urine in our study.
Most TVT-Os can be placed in the target zone in a blind procedure in Asian Chinese women. The tape position was related to the outcomes. Early postoperative ultrasound of the tape position may predict the outcome of the surgery.
目的是评估亚洲华裔女性中超声引导下经闭孔无张力阴道吊带术（TVT-O）的位置及手术效果。
对2013年至2022年间接受TVT-O手术的254例患者进行前瞻性队列研究。记录TVT-O的超声位置，并将其与手术效果相关联，包括主观治愈率、尿失禁影响问卷7（IIQ-7）以及尿潴留情况。
共有92.9%的患者术后报告无压力性尿失禁。TVT-O手术后IIQ-7评分显著改善。88.2%的患者TVT-O放置于尿道长度的50%-70%处，且一半的TVT-O距离尿道3-5毫米。当吊带位于尿道中三分之一时治愈率更高，但在我们的研究中吊带位置与术后尿潴留无关。
在亚洲华裔女性中，大多数TVT-O可通过盲视操作放置于目标区域。吊带位置与手术效果相关。术后早期对吊带位置进行超声检查可能预测手术效果。
