TVT vs TOT: a case controlled study in patients with mixed urodynamic stress incontinence and detrusor overactivity

被引：6

作者：

Duckett, Jonathan R. A. ^{[1
]}

Basu, Maya ^{[1
]}

机构：

[1] Medway Maritime Hosp, Gillingham ME7 5NY, Kent, England

来源：

INTERNATIONAL UROGYNECOLOGY JOURNAL | 2010年 / 21卷 / 07期

关键词：

TVT; TOT; Mixed incontinence; FREE VAGINAL TAPE; MULTICENTER RANDOMIZED-TRIAL; URINARY-INCONTINENCE; TRANSOBTURATOR TAPE; FOLLOW-UP; WOMEN; BLADDER; SURGERY;

D O I：

10.1007/s00192-010-1115-3

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Although transobturator tapes (TOT) have been suggested to be equivalent to retropubic tension-free vaginal tapes (TVT) in the management of urodynamic stress incontinence, there is very little evidence for their use in women with mixed incontinence. The aim of this study was to evaluate the efficacy of the TOT against the retropubic TVT in women with mixed incontinence. A case controlled study was used with 34 women matched for age and type of procedure. Ten out of 34 (29.4%) patients in the TOT group required a repeat continence procedure versus 0/34 (0%) in the retropubic group. Patients who had undergone a TOT were significantly more likely to require repeat surgery (odds ratio 10.1, 95% confidence interval 2.6-38.2). This study suggests a higher failure rate in women undergoing a TOT for USI and DO compared to a retropubic TVT when assessed with a case controlled study.

引用

页码：763 / 766

页数：4

共 23 条

[1]

Abrams P, 2002, NEUROUROL URODYNAM, V21, P167, DOI 10.1002/nau.10052

[2]

Athanasiou S, 2009, INT UROGYNECOL J, V20, pS218

[3] Mixed Incontinence: Comparing Definitions in Women Having Stress Incontinence Surgery [J].

Brubaker, Linda ;

Stoddard, Anne ;

Richter, Holly ;

Zimmern, Philippe ;

Moalli, Pamela ;

Kaus, Stephen R. ;

Norton, Peggy ;

Lukacz, Emily ;

Sirls, Larry ;

Johnson, Harry .

NEUROUROLOGY AND URODYNAMICS, 2009, 28 (04) :268-273

[4] Changes in urethral resistance in the presence of detrusor activity [J].

Chaliha, C ;

Digesu, GA ;

Salvatore, DS ;

Khullar, V .

INTERNATIONAL UROGYNECOLOGY JOURNAL, 2006, 17 (03) :215-218

[5] Changes in urethral function with bladder filling in the presence of urodynamic stress incontinence and detrusor overactivity [J].

Chaliha, C ;

Digesu, GA ;

Hutchings, A ;

Khullar, V .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2005, 192 (01) :60-65

[6] Novel surgical technique for the gtreatment of female stress urinary incontinence: Transobturator vaginal tape inside-out [J].

de Leval, J .

EUROPEAN UROLOGY, 2003, 44 (06) :724-730

[7] TVT vs Monarc: a comparative study [J].

Dietz, Hans Peter ;

Barry, Christopher ;

Lim, Yik ;

Rane, Ajay .

INTERNATIONAL UROGYNECOLOGY JOURNAL, 2006, 17 (06) :566-569

[8] Do overactive bladder symptoms improve after repair of anterior vaginal wall prolapse? [J].

Digesu, G. Alessandro ;

Salvatore, Stefano ;

Chaliha, Charlotte ;

Athanasiou, Stavros ;

Milani, Rodolfo ;

Khullar, Vik .

INTERNATIONAL UROGYNECOLOGY JOURNAL, 2007, 18 (12) :1439-1443

[9] The predictive value of preoperative pressure-flow studies in the resolution of detrusor overactivity and overactive bladder after tension-free vaginal tape insertion [J].

Duckett, Jonathan R. A. ;

Basu, Maya .

BJU INTERNATIONAL, 2007, 99 (06) :1439-1442

[10] Effect of tension-free vaginal tape in women with a urodynamic diagnosis of idiopathic detrusor overactivity and stress incontinence [J].

Duckett, JRA ;

Tamilselvi, A .

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2006, 113 (01) :30-33

← 1 2 3 →