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Archives of Gynecology and Obstetrics

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01-02-2010 | Original Article

Prospective randomized trial of TVT and TOT as primary treatment for female stress urinary incontinence with or without pelvic organ prolapse in Southeast China

Authors: Fengmei Wang, Yanfeng Song, Huijuan Huang

Published in: Archives of Gynecology and Obstetrics | Issue 2/2010

Abstract

Objective

To compare the outcomes of tension- free vaginal tape (TVT) and transobturator tape (TOT) in the treatment of female stress urinary incontinence with or without concomitant pelvic organ prolapse (POP).

Methods

One hundred and forty patients with SUI were randomly allocated to TVT (n = 70) or TOT (n = 70). The objective outcomes were assessed with a stress test, 1-h pad test. Subjective outcomes were assessed with UDI-6/(IIQ-7) questionnaires.

Results

The surgical outcomes revealed no significant difference between TVT and TOT surgical route. Both the subjective and objective cure rates were 91.4% in the TOT group, while 90 and 92.8% in the TVT group, respectively. The results showed the association to pelvic floor surgical techniques did not diminish a year later. TOT procedure has a shorter operative time for patients without concomitant surgery.

Conclusion

The efficacy and safety of TVT procedure were similar to that of TOT procedure for female stress urinary incontinence with or without concomitant POP.

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Title: Prospective randomized trial of TVT and TOT as primary treatment for female stress urinary incontinence with or without pelvic organ prolapse in Southeast China
Authors: Fengmei Wang
Yanfeng Song
Huijuan Huang
Publication date: 01-02-2010
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 2/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-009-1098-9

At a glance: The STEP trials

Springer Medicine

Prospective randomized trial of TVT and TOT as primary treatment for female stress urinary incontinence with or without pelvic organ prolapse in Southeast China

Abstract

Objective

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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