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Comparative Efficacy of TVT-A and TVT-O in the Treatment of Stress Urinary Incontinence in Elderly Women: Single-Centre Retrospective Study.
Zheng, Duo; Tian, Yan; Chen, Lixun; Yu, Meng; Chen, Ximeng; Yang, He.
Afiliación
  • Zheng D; Urology Department, Songyuan Central Hospital (Songyuan Children's Hospital), 138001 Songyuan, Jilin, China.
  • Tian Y; Surgery Department, Songyuan Central Hospital (Songyuan Children's Hospital), 138001 Songyuan, Jilin, China.
  • Chen L; Urology Department, Songyuan Central Hospital (Songyuan Children's Hospital), 138001 Songyuan, Jilin, China.
  • Yu M; Urology Department, Songyuan Central Hospital (Songyuan Children's Hospital), 138001 Songyuan, Jilin, China.
  • Chen X; Surgery Department, Songyuan Central Hospital (Songyuan Children's Hospital), 138001 Songyuan, Jilin, China.
  • Yang H; Surgery Department, Songyuan Central Hospital (Songyuan Children's Hospital), 138001 Songyuan, Jilin, China.
Arch Esp Urol ; 77(7): 760-765, 2024 Aug.
Article en En | MEDLINE | ID: mdl-39238300
ABSTRACT

BACKGROUND:

Tension-free vaginal tape-Abbrevo (TVT-A) and tension-free vaginal tape-Obturator (TVT-O) are the main procedures for the treatment of stress urinary incontinence (SUI) in females. This study investigated the clinical efficacy of TVT-A versus TVT-O for the treatment of SUI in elderly women.

METHODS:

A retrospective analysis was conducted on 126 cases of SUI in elderly female patients admitted to our hospital from January 2022 to January 2023. The patients were divided into TVT-A group (65 cases) and TVT-O group (61 cases) according to the surgical methods. Follow-up was conducted via outpatient examination and telephone. Perioperative conditions, surgical outcomes, postoperative complications and quality of life were analysed and compared between the two groups.

RESULTS:

No statistically significant difference in surgical time, intraoperative blood loss, indwelling catheter duration, average hospital days, bladder injury, urethral injury, incision infection, dysuria, cured rate and quality of life was found between the two groups (p > 0.05). The incidence of postoperative groin pain in the TVT-A group was significantly lower than that in the TVT-O group (p < 0.05).

CONCLUSIONS:

The efficacy of TVT-A and TVT-O in treating SUI in older women is about the same. However, TVT-A is more minimally invasive, safer and has fewer complications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Urológicos / Incontinencia Urinaria de Esfuerzo / Cabestrillo Suburetral Límite: Aged / Aged80 / Female / Humans Idioma: En Revista: Arch Esp Urol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: España
Texto completo
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Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Urológicos / Incontinencia Urinaria de Esfuerzo / Cabestrillo Suburetral Límite: Aged / Aged80 / Female / Humans Idioma: En Revista: Arch Esp Urol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: España