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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Tension-free vaginal tape versus tension-free vaginal tape obturator (inside-outside) in the surgical treatment of female stress urinary incontinence

Department of Obstetrics and Gynecology, Kaunas University of Medicine, Lithuania
Medicina 2009, 45(8), 639; https://doi.org/10.3390/medicina45080083
Received: 12 December 2008 / Accepted: 4 August 2009 / Published: 9 August 2009
The objective of this study was to compare TVT (tension-free vaginal tape) and TVT-O (tension-free vaginal tape obturator from inside to outside) procedures for the female surgical treatment of stress urinary incontinence: results, complications, and effectiveness after 1 year.
Material and methods
. A prospective randomized study was carried out. The patients were followed up for 12 months. A total of 114 patients were operated on using TVT procedure and 150 patients – TVT-O procedure. There was no significant difference in age, body mass index, parity, menopausal status, and prolapse (no patients had cystocele greater than stage II) comparing both groups.
Results
. The mean time in surgery was significantly shorter in the TVT-O group (19±5.6 min) as compared with the TVT group (27±7.1 min). No differences in the effectiveness of both procedures were found: TVT – 94.6% and TVT-O – 94.6% after one year, respectively. Hospital stay was significantly shorter in the TVT-O group (1.5±0.5 days) than in the TVT group (4.0±1.6 days). Significantly fewer complications were observed in the TVT-O group.
Conclusion. TVT and TVT-O operations are equally effective for the surgical treatment of female stress urinary incontinence. TVT-O group had shorter time in surgery and showed a lower rate of complications.
Keywords: tension-free vaginal tape, tension-free vaginal tape obturator from inside to outside; stress incontinence; female urinary incontinence; surgical treatment of female urinary incontinence tension-free vaginal tape, tension-free vaginal tape obturator from inside to outside; stress incontinence; female urinary incontinence; surgical treatment of female urinary incontinence
MDPI and ACS Style

Aniulienė, R. Tension-free vaginal tape versus tension-free vaginal tape obturator (inside-outside) in the surgical treatment of female stress urinary incontinence. Medicina 2009, 45, 639.

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