BACKGROUND: Assessment of the success rates and complications of inside-out technique of Trans-Vaginal Tape (Obturator) (TVT-O) for treatment of stress urinary incontinence (SUI) in women with utero-vaginal prolapse.
MATERIALS AND METHODS: A total of 30 consenting subjects with SUI and utero-vaginal prolapse were subjected to TVT-O surgery. These subjects were closely monitored for complications and success rate of surgery up to 1 year of surgery.
RESULTS: Urinary tract infection (16.67%) was the most common early post-operative complication. Groin pain (23%) was the most common late post-operative complication while denovo urgency developed in 3 (11.54%) subjects. Majority (88.46%) of subjects had total improvement at 3month follow-up while 100% subjects had total improvement at 12 month follow-up with a "definitely improved quality-of-life."
CONCLUSION: The TVT-O (inside-out) appears to have performed favorably as a safe and effective surgery for SUI associated with utero-vaginal prolapse.
Written by:
Verma R, Acharya R, Bhatia S, Dumaswala A, Vekhariya N. Are you the author?
Department of Obstetrics and Gynaecology, Government Medical College and New Civil Hospital, Majura Gate, Surat, Gujarat, India.
Reference: J Midlife Health. 2013 Oct;4(4):221-4.
doi: 10.4103/0976-7800.122246
PubMed Abstract
PMID: 24381463
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