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A modified inexpensive transobturator vaginal tape inside-out procedure versus tension-free vaginal tape for the treatment of SUI: a prospective comparative study

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

To prospectively compare, in terms of efficacy and safety, the tension-free vaginal tape (TVT) and our modified transobturator vaginal tape inside-out (TVT-O) procedure with self-tailored monofilament macroporous polypropylene mesh for stress urinary incontinence (SUI).

Methods

A total of 150 women with SUI were assigned to modified TVT-O (n = 95) and TVT (n = 55), respectively, the surgical outcomes compared 1 year later. A cough stress test was applied to the objective outcomes, while urinary incontinence specific quality of life (IQoL) questionnaire, to the subjective outcomes.

Results

The objective success rates defined as a negative stress test were found to be 95% in the TVT group and 96% in the modified TVT-O group, respectively. No significant difference was found between these two groups in the cure, improvement and failure rates (all P > 0.05), with significant improvement in quality of life (QoL) and no significant difference in patient satisfaction rates in two groups. In the TVT group were found three cases of bladder injuries. In the modified TVT-O group, operative duration, blood loss and medical cost were significantly reduced compared with those in the TVT one (P < 0.01).

Conclusions

In the study, the modified TVT-O procedure could be defined to be quicker, more economic with fewer bladder complications than the TVT approach while both were found to be manually simple and clinically mini-invasive with similar efficacy.

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Acknowledgments

This study was supported by the National Natural Science Foundation of China (No. 30471815). The authors wish to express appreciation to Yongfeng Zhao, Junhua Liang, Xia Jin, and Lei Chu for their efforts in data collection and statistical help; to Bozhen Fan, Li Li, and Jianjun Wang for their constant technical support.

Conflict of interest

We here state that we have no conflicts of interest.

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Authors and Affiliations

  1. International Peace Maternity and Child Health Hospital, Shanghai Jiaotong University, Shanghai, 200030, China

    Xinliang Chen

  2. Department of Obstetrics and Gynecology, Tongji Hospital of Tongji University, 389 Xincun Rd, Shanghai, 200065, China

    Xiaowen Tong, Huaifang Li & Xiang Yang

  3. Shanghai Center for Clinical Laboratory, 528 Hongshan Rd, Shanghai, China

    Min Jiang

  4. 10th people hospital of Tongji University, 301 Yanchang Rd, Shanghai, China

    Jin Qiu

  5. Shanghai East Hospital, 150 Jimo Rd, Shanghai, China

    Lingyun Shao

Authors
  1. Xinliang Chen
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  2. Xiaowen Tong
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  3. Min Jiang
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  4. Huaifang Li
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  5. Jin Qiu
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  6. Lingyun Shao
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  7. Xiang Yang
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Corresponding author

Correspondence to Xiang Yang.

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Chen, X., Tong, X., Jiang, M. et al. A modified inexpensive transobturator vaginal tape inside-out procedure versus tension-free vaginal tape for the treatment of SUI: a prospective comparative study. Arch Gynecol Obstet 284, 1461–1466 (2011). https://doi.org/10.1007/s00404-011-1871-4

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  • DOI: https://doi.org/10.1007/s00404-011-1871-4

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