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Published in: International Urogynecology Journal 3/2012

01-03-2012 | Original Article

Retrospective study on tension-free vaginal tape obturator (TVT-O)

Authors: Malathi Rajendra, How Chuan Han, Lih Charn Lee, Leng Aun Arthur Tseng, Heng Fok Wong

Published in: International Urogynecology Journal | Issue 3/2012

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Abstract

Introduction and hypothesis

We aim to report the 3-year outcome and complications of the tension-free vaginal tape obturator (TVT-O) in treating female stress urinary incontinence (SUI).

Methods

Retrospective analysis for complications and outcome of surgery was performed in 419 women undergoing the TVT-O from 2004 to 2006.

Results

Three patients (0.8%) with an isolated TVT-O had a blood loss of more than 200 ml. Two patients (0.5%) had bladder perforation. Out of 11 readmitted patients (2.6%), 10 were due to voiding difficulty. Six patients (1.4%) required tape loosening or division. Persistent pain occurred in 3.6% and erosion in 2.4% of patients. One hundred eighty-five patients (44.2%) came for follow-up at 3 years. The actual subjective and objective success rates were 89.7% and 99.9% at 3 years follow-up, respectively. With imputation, the 3-year subjective and objective success rates were 86.9% and 97.4%, respectively.

Conclusions

The TVT-O is effective in treating female SUI with minimal complications.
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Metadata
Title
Retrospective study on tension-free vaginal tape obturator (TVT-O)
Authors
Malathi Rajendra
How Chuan Han
Lih Charn Lee
Leng Aun Arthur Tseng
Heng Fok Wong
Publication date
01-03-2012
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 3/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1552-7

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