Study of the long term efficacy of tension free vaginal tape obturator for the treatment of stress urinary incontinence

LIN Jiajing; ZENG Dingyuan; WU Weiying; ZHONG Huimin; LU Yuhua

doi:10.3969/j.issn.1671-6450.2014.12.018

Abstract：Objective To analyze the long term clinical curative effect of transobturator tension-free vaginal tape sur-gery ( TVT-O) in the treatment of female stress urinary incontinence ( SUI). Methods Female patients diagnosed as severe stress urinary incontinence of 50 cases ( including 2 cases of mixed urinary incontinence ) were received TVT-O treatment;Which were followed up for at least 3 years after surgery to evaluate the long-term efficacy of TVT-O.The contents of the follow up including subjective symptoms improvement , the bladder capacity after standardization pad test score , and using modified Bristol questionnaire ( ICIQ /FLUTS) score to judge the situation of improvement of sexual life after surgery;safety indicators include tape erosion and rejection , the operative site pain , urinary tract infection and other complications. Results The fol-low-up was completed in 45 patients, the subjective cure rate was 75.6%(34/45), improvement rate was 20.0%(9/45), no effect in 4.4%(2/45);the objective cure rate was 75.6%(34/45), improvement rate was 22.2%(10/45), no effect in 2.2%(1/45).45 cases of patients after surgical treatment of TVT-O, the S scores were significant decreased with statisti-cal significance ( P <0.05), suggesting that the improvement of the postoperative quality of sexual life. In the follow-up, dysuria was found in 1 case, 2 cases occurred with vaginal tape erosion; the complication rate was 6.67%.Conclusion It demonstrated that the TVT-O could ensure the long term lower incident of complications and reach the long -term satisfied effect;it is an ideal surgical method for the treatment of severe female stress urinary incontinence.