Comparison of the effectiveness and complications of transobturator tape and transvaginal tape methods in the treatment of stress urinary incontinence

Authors : Ali BUHUR, Ömer ÜNAL, Dilek ERDEM

Pages : 10-16

Doi:10.30565/medalanya.1120024

View : 52 | Download : 60

Publication Date : 2023-06-21

Article Type : Research Paper

Abstract :Aim: Comparison of the effectiveness and complications of transobturator tape and transvaginal tape methods in the treatment of stress urinary incontinence. Method: Clinical records of 106 patients who underwent surgery in Istanbul Kanuni Sultan Suleyman Training and Research Hospital due to stress urinary incontinence between January 2015 and December 2016 were retrospectively analyzed. The patients were divided into two groups. Trans obturator tape insert ignore into journalissuearticles values(TOT); was classified as Group 1, and transvaginal tape insert ignore into journalissuearticles values(TVT); was classified as Group 2. The urogenital distress inventory-6 insert ignore into journalissuearticles values(UDI-6); and the incontinence impact questionnaire-7 insert ignore into journalissuearticles values(IIQ-7); were used to determine the severity of preoperative and postoperative incontinence and objectively compare the quality of life in all patients. The ethics committee approval was obtained from the ethics committee of Kanuni Training and Research Hospital. Statistical analysis of data was performed using SPSS version 24 insert ignore into journalissuearticles values(SPSS Inc, Chicago, Illinois);. Results: There was a significant difference between the two groups in terms of mean age, menopausal status, complications, and duration of surgery insert ignore into journalissuearticles values(p<0.05);. In both groups, there was a significant improvement in postoperative UDI-6 and IIQ-7 tests evaluating the negative effects of urinary incontinence on daily life insert ignore into journalissuearticles values(p=0.01* and p=0.028*, respectively);. Conclusion: A significant improvement was observed in UDI-6 and IIQ-7 scores after TOT and TVT operations. There is no significant difference between TOT and TVT methods in terms of efficacy and success in the treatment of stress urinary incontinence.
Keywords : transobturator teyp, transvaginal teyp, stres inkontinans, UDI 6, IIQ 7