A Comparative Study of Outside-In and Inside-Out Transobturator Tape Procedures for Stress Urinary Incontinence

作者：Chae Hee Dong^*; Kim So Ra; Jeon Gun Ho; Kim Dae Yeon; Kim Sung Hoon; Kim Jong Hyeok; Kim Chung Hoon; Kim Yong Man; Kim Young Tak; Kang Byung Moon; Nam Joo Hyun

来源：Gynecologic and Obstetric Investigation, 2010, 70(3): 200-205.

DOI：10.1159/000318866

• Stress urinary incontinence
• Surgical treatment
• Transobturator tape procedures

Aims: This study compared the clinical outcome of patients undergoing outside-in transobturator tape (TOT) or inside-out transobturator tape (TVT-O) procedures for female stress urinary incontinence (SUI). Methods: The study examined the medical records of 615 patients who underwent TOT (376 patients) or TVT-O (239 patients) for SUI, and compared patient characteristics, operation time, duration of hospital stay, cure rates, and complication rates, by conducting a 1-year follow-up survey. Results: The TOT and TVT-O groups were found to be similar in terms of operation time, duration of hospital stay, surgical outcome (both before and after adjustment for age, parity, menopause, and previous pelvic surgery, cure rate (87.8% for TOT and 85.3% for TVT-O) and complication rate (14.4% for TOT, 15.5% for TVT-O). The complication rates after operations did not differ significantly between the two groups. Complications over the 1-year follow-up included urinary retention, de novo urgency, leg pain, vaginal mesh erosion, and hematoma, and all resolved following appropriate treatment. Conclusions: The TOT and TVT-O procedures appeared to be equally clinically effective and safe when used to treat female SUI.

• 出版日期2010