TOT and TVT as surgical methods of treatment of stress urinary incontinence in women - meta-analysis
Introduction: Urinary incontinence can affect up to 50% of women in the world. The most common is stress incontinence, which consists in involuntary, uncontrolled urination when the pressure in the abdominal cavity increases. Among the most commonly used methods of treating stress urinary incontine...
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2023-08-01
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| Series: | Journal of Education, Health and Sport |
| Subjects: | |
| Online Access: | https://apcz.umk.pl/JEHS/article/view/45339 |
| _version_ | 1797692471986094080 |
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| author | Kinga Augustynowicz Monika Truchta Marta Marcinkowska Michał Stoliński Kinga Świąder Agata Lis |
| author_facet | Kinga Augustynowicz Monika Truchta Marta Marcinkowska Michał Stoliński Kinga Świąder Agata Lis |
| author_sort | Kinga Augustynowicz |
| collection | DOAJ |
| description |
Introduction: Urinary incontinence can affect up to 50% of women in the world. The most common is stress incontinence, which consists in involuntary, uncontrolled urination when the pressure in the abdominal cavity increases. Among the most commonly used methods of treating stress urinary incontinence there are treatments using a synthetic tape - TOT and TVT. In this work, both methods were compared in terms of e.g. their effectiveness, the presence of complications, the safety of both procedures and the method of performing both procedures.
Material and methods: The work was based on the articles published in PubMed, medical books and websites.
Results: Both TOT and TVT in the treatment of stress urinary incontinence are highly effective. Both short-term and long-term treatment results of both methods are very good and very similar. In the case of TOT, the subjective cure <1 year is 62-98%, where with TVT - 71-97%. Subjective long-term cure (>5 years) was 43-92% with TOT and 51-88% with TVT. The incidence of complications after TOT is significantly lower, but there is a higher probability of having to perform a repeat procedure to treat stress urinary incontinence. TVT has a lower risk of reoperation in >5 years (1.1%) but has a higher risk of chronic perineal pain.
Conclusions: The placement of a tension-free TVT or TOT tape should be the surgery of choice for women with simple stress urinary incontinence. However, there is a higher risk of chronic perineal pain 12 months after having a tape placed behind the symphysis. The technique of passing the tapes through the obturator holes is associated with a lower risk of bladder injury and less discomfort during bladder emptying compared to the TVT technique. After TOT surgery both pain in the inner thighs and inguinal area and vaginal damage are more common than after TVT.
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| first_indexed | 2024-03-12T02:29:06Z |
| format | Article |
| id | doaj.art-83e78fad34fb4cd797768a4cb994f84a |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-03-12T02:29:06Z |
| publishDate | 2023-08-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-83e78fad34fb4cd797768a4cb994f84a2023-09-05T10:49:06ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-08-0145110.12775/JEHS.2023.45.01.021TOT and TVT as surgical methods of treatment of stress urinary incontinence in women - meta-analysisKinga Augustynowicz0Monika Truchta1Marta Marcinkowska2Michał Stoliński3Kinga Świąder4Agata Lis5Uniwersytecki Szpital Kliniczny im. Wojskowej Akademii Medycznej – Centralny Szpital Weteranów Stefana Żeromskiego 113, 90-549 ŁódźCentralny Szpital Kliniczny Uniwersytetu Medycznego w Łodzi ul. Pomorska 251, 92-213 ŁódźPowiatowe Centrum Zdrowia w Brzezinach sp. z o.o. Marii Curie–Skłodowskiej 6, 95-060 BrzezinySP ZOZ Szpital Powiatowy im. Edmunda Biernackiego w Opocznie ul. Partyzantów 30, 26 – 300 OpocznoFaculty of Medicine, Uniwersytet Medyczny w Łodzi, Plac Gen. Józefa Hallera 1, 90-647 ŁódźSPZOZ Uniwersytecki Szpital Kliniczny nr 1 im. Norberta Barlickiego W Łodzi, ul. dr Stefana Kopcińskiego 22, 90-153 Łódź Introduction: Urinary incontinence can affect up to 50% of women in the world. The most common is stress incontinence, which consists in involuntary, uncontrolled urination when the pressure in the abdominal cavity increases. Among the most commonly used methods of treating stress urinary incontinence there are treatments using a synthetic tape - TOT and TVT. In this work, both methods were compared in terms of e.g. their effectiveness, the presence of complications, the safety of both procedures and the method of performing both procedures. Material and methods: The work was based on the articles published in PubMed, medical books and websites. Results: Both TOT and TVT in the treatment of stress urinary incontinence are highly effective. Both short-term and long-term treatment results of both methods are very good and very similar. In the case of TOT, the subjective cure <1 year is 62-98%, where with TVT - 71-97%. Subjective long-term cure (>5 years) was 43-92% with TOT and 51-88% with TVT. The incidence of complications after TOT is significantly lower, but there is a higher probability of having to perform a repeat procedure to treat stress urinary incontinence. TVT has a lower risk of reoperation in >5 years (1.1%) but has a higher risk of chronic perineal pain. Conclusions: The placement of a tension-free TVT or TOT tape should be the surgery of choice for women with simple stress urinary incontinence. However, there is a higher risk of chronic perineal pain 12 months after having a tape placed behind the symphysis. The technique of passing the tapes through the obturator holes is associated with a lower risk of bladder injury and less discomfort during bladder emptying compared to the TVT technique. After TOT surgery both pain in the inner thighs and inguinal area and vaginal damage are more common than after TVT. https://apcz.umk.pl/JEHS/article/view/45339stress urinary incontinencesurgical treatmentTOTTVTMid-urethral sling operations |
| spellingShingle | Kinga Augustynowicz Monika Truchta Marta Marcinkowska Michał Stoliński Kinga Świąder Agata Lis TOT and TVT as surgical methods of treatment of stress urinary incontinence in women - meta-analysis Journal of Education, Health and Sport stress urinary incontinence surgical treatment TOT TVT Mid-urethral sling operations |
| title | TOT and TVT as surgical methods of treatment of stress urinary incontinence in women - meta-analysis |
| title_full | TOT and TVT as surgical methods of treatment of stress urinary incontinence in women - meta-analysis |
| title_fullStr | TOT and TVT as surgical methods of treatment of stress urinary incontinence in women - meta-analysis |
| title_full_unstemmed | TOT and TVT as surgical methods of treatment of stress urinary incontinence in women - meta-analysis |
| title_short | TOT and TVT as surgical methods of treatment of stress urinary incontinence in women - meta-analysis |
| title_sort | tot and tvt as surgical methods of treatment of stress urinary incontinence in women meta analysis |
| topic | stress urinary incontinence surgical treatment TOT TVT Mid-urethral sling operations |
| url | https://apcz.umk.pl/JEHS/article/view/45339 |
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