Clinical efficacy study of autologous anterior vaginal wall mucosal flap urethral suspension for the treatment of female stress urinary incontinence
CHEN Yong-lian
ZHOU Can-kun
HUANG Xiao-bin
ZHENG Yu-hua
GUO Xin
ZHANG Zheng-lin
XIE Jia-bin
LIU Xiao-chun
Abstract：Objective To explore the clinical efficacy of autologous anterior vaginal wall mucosal flap urethral suspen-sion(AVMFUS)and tension-free vaginal tape-obturator(TVT-O)for the treatment of female stress urinary inconti-nence.Methods From January 2021 to September 2023 at Foshan Maternal and Child Health Care Hospital,the includ-ed patients were divided into AVMFUS group(34 cases)and TVT-O group(35 cases)according to the patients'choice of surgical procedures,and the surgical efficacy of the two groups was retrospectively analyzed.Results(1)The differ-ences in the operation time,catheter retention time and qualified rate of residual urine after operation between the two groups were not statistically significant(P＞0.05).(2)The AVMFUS group had a longer hospital stay[(8.53±3.88)d vs.(5.14±1.75)d]and higher total blood loss during surgery[50.00(30.00,70.00)mL vs.20.00(5.00,30.00)mL]than the TVT-O group,while the medical expenses were lower in the AVMFUS group than in the TVT-O group[(16711.20±6477.33)CNY vs.(22 436.87±3000.56)CNY,P＜0.05],there being statistically significant differences.(3)The differ-ences in ICIQ-SF scores and objective cure rates were not statistically significant between the two groups during the pre-operative period and the four time periods of follow-up;both groups showed a significant decrease in ICIQ-SF after sur-gery compared with the preoperative period(P＜0.05),and there were statistically significant differences.Conclusions AVMFUS and TVT-O are both effective procedures for SUI and can significantly improve the symptoms of urinary incon-tinence.AVMFUS has more economical advantages and reduces the risk of postoperative mesh invasion and exposure,and is worthy of clinical promotion.
Keywords：autologous anterior vaginal wall mucosal flap urethral suspensiontension-free vaginal tape-obturatorstress urinary incontinence
Publication Date：2024-11-02
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1130-1134 )