The safety of the inside-out transobturator approach for transvaginal tape (TVT-O) treatment in stress urinary incontinence: French registry data on 984 women
The safety of the inside-out transobturator approach for transvaginal tape (TVT-O) treatment in stress urinary incontinence: French registry data on 984 women
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DOI：
10.1007/s00192-007-0514-6
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发表时间：
2008-05-01
影响因子：
1.8
通讯作者：
Haab, Francois
中科院分区：
文献类型：
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作者：
Collinet, Pierre;Ciofu, Calin;Haab, Francois
本研究基于法国患者登记研究，检查了经阴道吊带（TVT-O（TM），Gynaecare）治疗女性压力性尿失禁（SUI）的由内而外经闭孔尿道入路的安全性。共有来自86个中心的984名妇女参加了这项研究。主要膀胱过度活动症或明显盆腔器官脱垂的患者被排除在研究之外。报告了围手术期和术后并发症以及4周和12周时的泌尿功能。患者使用视觉模拟量表（VAS）评估疼痛。总体围手术期并发症发生率为2.2%。最常报告的发病率为阴道壁穿孔（1.3%），其次为血肿（0.7%）。术后并发症发生率为5.2%，最常见的并发症是残余疼痛（2.7%）。其他并发症如术后血肿、尿潴留、阴道糜烂、再次介入等发生率均低于1.0%。这项研究表明，经阴道吊带术治疗SUI是一种安全的手术方法。
This study examines the safety of the inside-out transobturator approach for transvaginal tape (TVT-O (TM), Gynaecare) treatment in stress urinary incontinence (SUI) in women based on a French registry of patients. A total of 984 women from 86 centres were enrolled in the study. Patients with predominant overactive bladder or significant pelvic organ prolapse were excluded from the study. Perioperative and post-operative complications were reported as well as urinary function at 4 and 12 weeks. Pain was assessed by the patients using a visual analog scale (VAS). The overall perioperative complication rate was 2.2%. The most commonly reported morbidities were vaginal wall perforation (1.3%) followed by haematoma (0.7%). Post-operative complication rate was 5.2%; the most common complication was residual pain (2.7%). The other complications of paravesical haematoma, urinary retention, vaginal erosion and re-intervention had an incidence of less than 1.0%. This study demonstrates that the transobturator transvaginal tape approach to the treatment of SUI is a safe procedure.