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Surgical therapies of female stress urinary incontinence: experience in 228 cases

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Abstract

Introduction and hypothesis

The objective of this study is to compare the efficacy and safety of tension-free vaginal tape (TVT) with Marshall–Marchetti–Krantz (MMK) procedure in stress urinary incontinence (SUI) treatment.

Methods

Two hundred twenty-eight patients were enrolled in this study. TVT procedure was performed in 105 cases, MMK procedure was performed in 81 cases, Chi-square test was used, and P < 0.01 was considered statistically significant.

Results

The short-term success rate was about 89% in MMK group. However, the success rate fell to 68.2% at 5 years and 32% at 10 years. The short-term cure rate of TVT procedure was about 90.0%, and the 5-year cure rate was 84.3%.

Conclusions

The short-term cure rate in both groups was similar, but the long-term success rate of the MMK procedure decreased sharply with time. The TVT technique provides long-term cure rates of over 84% with minimal complications. Patients who underwent TVT experienced shorter operation time, less blood loss, and less hospital stay.

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Abbreviations

FUL:

Functional urethral length

MMK procedure:

Marshall–Marchetti–Krantz procedure

Qmax:

Maximal urinary flow rate

MUCP:

Maximal urethral closure pressure

SUI:

Stress urinary incontinence

TVT:

Tension-free vaginal tape

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Acknowledgement

The authors thank Professor Zhou-jun Shen for providing technical assistance.

Conflicts of interest

None.

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Authors and Affiliations

  1. Department of Urology, 1st Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310003, China

    Jin-Yan Wu, Shan-Wen Chen & Xiao-Dong Jin

  2. Department of Gynecology, 1st Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310003, China

    Yun-Xiao Zhou

  3. Department of Urology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200025, China

    Hong-Chao He

Authors
  1. Jin-Yan Wu
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  2. Hong-Chao He
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  3. Shan-Wen Chen
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  4. Xiao-Dong Jin
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  5. Yun-Xiao Zhou
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Corresponding author

Correspondence to Yun-Xiao Zhou.

Additional information

Jin-Yan Wu and Hong-Chao He are co-first authors.

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Wu, JY., He, HC., Chen, SW. et al. Surgical therapies of female stress urinary incontinence: experience in 228 cases. Int Urogynecol J 21, 645–649 (2010). https://doi.org/10.1007/s00192-009-1093-5

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  • DOI: https://doi.org/10.1007/s00192-009-1093-5

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