Surgical treatment of urinary stress incontinence nowadays

Barilienė, Sonata; Aniulienė, Rosita

doi:10.3390/medicina43080086

Cited by 1 publication

(1 citation statement)

References 8 publications

(14 reference statements)

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“…Therefore, TVT-Exact is a safe and effective surgical treatment for female stress urinary incontinence with a good effectiveness [27–30, 37], but the TVT-Exact operation- is also associated with various perioperative complications [31–34]. …”

Section: Discussionmentioning

confidence: 99%

TVT-Exact and midurethral sling (SLING-IUFT) operative procedures: a randomized study

2015

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ObjectivesThe aim of the study is to compare results, effectiveness and complications of TVT exact and midurethral sling (SLING-IUFT) operations in the treatment of female stress urinary incontinence (SUI).MethodsA single center nonblind, randomized study of women with SUI who were randomized to TVT-Exact and SLING-IUFT was performed by one surgeon from April 2009 to April 2011. SUI was diagnosed on coughing and Valsalva test and urodynamics (cystometry and uroflowmetry) were assessed before operation and 1 year after surgery. This was a prospective randomized study. The follow up period was 12 months. 76 patients were operated using the TVT-Exact operation and 78 patients – using the SLING-IUFT operation. There was no statistically significant differences between groups for BMI, parity, menopausal status and prolapsed stage (no patients had cystocele greater than stage II).ResultsMean operative time was significantly shorter in the SLING-IUFT group (19 ± 5.6 min.) compared with the TVT-Exact group (27 ± 7.1 min.). There were statistically significant differences in the effectiveness of both procedures: TVT-Exact – at 94.5% and SLING-IUFT – at 61.2% after one year. Hospital stay was statistically significantly shorter in the SLING-IUFT group (1. 2 ± 0.5 days) compared with the TVT-Exact group (3.5 ± 1.5 days). Statistically significantly fewer complications occurred in the SLING-IUFT group.Conclusionthe TVT-Exact and SLING-IUFT operations are both effective for surgical treatment of female stress urinary incontinence. The SLING-IUFT involved a shorter operation time and lower complications rate., the TVT-Exact procedure had statistically significantly more complications than the SLING-IUFT operation, but a higher effectiveness.

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