Obstet Gynecol Sci.  2021 Nov;64(6):540-546. 10.5468/ogs.21178.

Surgical outcomes of tension-free vaginal tape (TVT)- abbrevo^® and TVT-obturator^® for the treatment of stress urinary incontinence: a retrospective study

• Kim MK
• Kim JH
• Chae HD
• Chung JH
• Kim HJ
• Lee SR
• Kim SH

• KMID: 2522478
• DOI: http://doi.org/10.5468/ogs.21178

Abstract

Objective
We compared the efficacy and postoperative complications of tension-free vaginal tape (TVT)-abbrevo® (TVT-A) and TVT-obturator^® (TVT-O) surgeries for the treatment of stress urinary incontinence (SUI).
Methods
We retrospectively analyzed the medical records of 143 female patients with SUI who underwent TVT-A or TVT-O surgery between January 2010 and December 2019 at the Asan Medical Center in Seoul. We evaluated intra- and postoperative complications such as bladder injury, groin pain, urinary retention, and mesh exposure. We also checked the success rate at 6 months after surgery.
Results
There were no complications, including fever, hematuria, hematoma of the vulva, or bladder injury, immediately after surgery in either group. Postoperative complications 2 weeks post-surgery were groin pain (11.3%), urinary retention (4.9%), and mesh exposure (0.7%). Groin pain was not significantly different between the two groups at 2 weeks, 3 months, and 6 months after surgery (TVT-O vs. TVT-A after 2 weeks: 12.5% vs. 10.3%, P=0.791; 3 months: 0.0% vs. 1.4%, P=0.999; and 6 months: 0.0% vs. 0.0%, P=0.999). Over 90% of the patients reported cure or improved symptoms in both groups. In the univariate logistic analysis, the type of TVT (TVT-O or TVT-A) was not associated with the success rate (odds ratio, 3.21; 95% confidence interval, 0.59-17.40; P=0.175).
Conclusion
TVT-A surgery is comparable with TVT-O in terms of high success rate and low frequency of complications, including bladder injury and groin pain.

Keyword

Stress urinary incontinence; Midurethral sling; Tension-free vaginal Tape; Transobturator tape

Reference

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