Effectiveness of Retropubic Tension-Free Vaginal Tape and Transobturator Inside-Out Tape Procedures in Women With Overactive Bladder and Stress Urinary Incontinence
- Authors
- Han, Ji-Yeon; Choo, Myung-Soo; Lee, Young-Suk; Seo, Ju Tae; Kim, Jang Hwan; Kim, Young Ho; Lee, Kyu-Sung
- Issue Date
- Sep-2013
- Publisher
- Korean Association of Medical Journal Edirors
- Keywords
- Overactive urinary bladder; Stress urinary incontinence
- Citation
- International Neurourology Journal, v.17, no.3, pp 145 - 151
- Pages
- 7
- Journal Title
- International Neurourology Journal
- Volume
- 17
- Number
- 3
- Start Page
- 145
- End Page
- 151
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/13383
- DOI
- 10.5213/inj.2013.17.3.145
- ISSN
- 2093-4777
2093-6931
- Abstract
- Purpose: We compared the effectiveness of the retropubic tension-free vaginal tape (TVT) and the transobturator inside-out tape (TVT-O) in treating symptoms of overactive bladder (OAB) in women with stress urinary incontinence (SUI). Methods: Women with urodynamic SUI and OAB (mean urgency episodes >= 1 and frequency >= 8/24 hours on a 3-day voiding diary) were assigned to the TVT or TVT-O group. Preoperative measures were based on a urodynamic study, 3-day voiding diary, the Bristol Female Lower Urinary Tract Symptoms questionnaire (BFLUTSSF), and the urgency perception scale (UPS). At 12 postoperative months, the 3-day voiding diary, symptoms questionnaire, patient satisfaction, and standing stress test were assessed. The primary endpoint was change in the number of urgency episodes/24 hours from baseline to 12 months. Results: In this group of 132 women, 42 received TVT and 90 received TVT-O. The mean urgency episodes/24 hours decreased from 6.3 +/- 5.5 to 1.6 +/- 3.2 in the TVT group and from 5.1 +/- 4.4 to 1.8 +/- 3.0 in the TVT-O group. The mean percent change was significantly greater after TVT than after TVT-O (73% vs. 60%, P = 0.049). All subscales of BFLUTSSF and UPS were significantly improved using either method, with significantly greater improvement seen in the quality of life (QoL) domain after TVT (P = 0.002). There were no significant differences in the cure and satisfaction rates between the two groups. Conclusions: Intervention with the TVT or the TVT-O significantly improved symptoms of OAB in women with SUI and OAB. Urgency and QoL significantly improved after TVT compared with that after TVT-O.
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