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01-03-2008 | Original Article

Transvaginal vs transobturator approach for synthetic sling placement in patients with stress urinary incontinence

Authors: S. Charalambous, S. Touloupidis, G. Fatles, A.G. Papatsoris, Ch. Kalaitzis, S. Giannakopoulos, V. Rombis

Published in: International Urogynecology Journal | Issue 3/2008

Abstract

We present comparative short-term experience with the transvaginal (TVT) and the transobturator (TVT-O) approaches for the treatment of stress urinary incontinence (SUI). We studied 315 women with SUI, treated with a tension-free tape placement. The TVT approach was applied in 265 women, while 50 women were treated by the TVT-O approach. The mean operation time was 25 and 17 min in the TVT and TVT-O group, respectively (p < 0.001). In the TVT group, continence rates were 87% after 1 year, while in the TVT-O group, the continence rate was 94%. Postoperative pain was reported in 14.4 and 28% of the TVT and TVT-O patients, respectively (p = 0.02). Complications such as bladder perforation, retropubic hematoma, and urinary retention took place only in the TVT group. Urinary tract infections were recorded in 20 and 8% of the TVT and TVT-O patients, respectively (p = 0.04), while vaginal erosion took place in 1.5 and 2% and de novo urgency in 14 and 8%. Both approaches show high rates of cure at the first postoperative year, while complications are less with the TVT-O procedure.

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Title: Transvaginal vs transobturator approach for synthetic sling placement in patients with stress urinary incontinence
Authors: S. Charalambous
S. Touloupidis
G. Fatles
A.G. Papatsoris
Ch. Kalaitzis
S. Giannakopoulos
V. Rombis
Publication date: 01-03-2008
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 3/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-007-0440-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transvaginal vs transobturator approach for synthetic sling placement in patients with stress urinary incontinence

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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