Efficacy of tension-free vaginal tape compared with transobturator tape in the treatment of stress urinary incontinence in women

Analysis of learning curve, perioperative changes of voiding function

Hiroki Ito, Hiroyuki Yamanaka, Masayuki Hagiwara, Toru Furuuchi, Kazuhiro Matsumoto, Kunimitsu Kanai, Kiichiro Kodaira, Akiharu Ninomiya, So Nakamura

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: In this study, by comparing TVT surgery and TOT surgery for stress urinary incontinence in women, the characteristics and learning curves of both operative methods were studied. Methods. A total of 83 women with stress urinary incontinence treated with tension-free vaginal tape (TVT) (n = 38) or transobturator tape (TOT) (n = 45) at Saiseikai Central Hospital between April 2004 and September 2009 were included. We compare the outcomes and learning curves between TVT surgery and TOT surgery. In statistical analysis, Student's t test, Fisher's exact test, and Mann-Whitney's U test were used. Results: The surgical durations were 37.4 15.7 minutes with TVT surgery and 31.0 8.3 minutes with TOT surgery. A longer period of time was required for TVT surgery (p = 0.025). The residual urine at post-operative day 1 was higher in TVT surgery (25.9 44.2 ml) than in TOT surgery (10.6 19.2 ml) (p = 0.0452). The surgical duration of TVT surgery was shortened after the operator had performed 15 operations (p = 0.019). Conclusions: In comparison of TVT surgery and TOT surgery, the surgical duration of TVT surgery was longer and the residual urine of TVT surgery was higher at post-operative day 1. Surgical experience could shorten the duration of TVT surgery.

Original languageEnglish
Article number13
JournalBMC Urology
Volume11
DOIs
Publication statusPublished - 2011
Externally publishedYes

Fingerprint

Suburethral Slings
Stress Urinary Incontinence
Learning Curve
Therapeutics
Urine

Keywords

  • Stress urinary incontinence
  • TOT surgery
  • TVT surgery

ASJC Scopus subject areas

  • Urology
  • Reproductive Medicine

Cite this

Efficacy of tension-free vaginal tape compared with transobturator tape in the treatment of stress urinary incontinence in women : Analysis of learning curve, perioperative changes of voiding function. / Ito, Hiroki; Yamanaka, Hiroyuki; Hagiwara, Masayuki; Furuuchi, Toru; Matsumoto, Kazuhiro; Kanai, Kunimitsu; Kodaira, Kiichiro; Ninomiya, Akiharu; Nakamura, So.

In: BMC Urology, Vol. 11, 13, 2011.

Research output: Contribution to journalArticle

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