Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy
Aim: To evaluate and compare the results and complications of tension-free vaginal tape (TVT) when performed alone or with vaginal hysterectomy (VH) and to evaluate the mid-term success rates of TVT for both groups. Methods: A retrospective study was performed on 179 patients who had TVT alone for...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2017-09-01
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| Series: | Haseki Tıp Bülteni |
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| Online Access: | http://www.hasekidergisi.com/article_15426/Comparison-Of-Midterm-Efficiency-And-Complications-Of-Tension-free-Vaginal-Tape-Alone-And-Tension-free-Vaginal-Tape-Performed-With-Vaginal-Hysterectomy |
| _version_ | 1797918024379924480 |
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| author | Emre Sinan Güngör Ağahan Han Hüseyin Kıyak |
| author_facet | Emre Sinan Güngör Ağahan Han Hüseyin Kıyak |
| author_sort | Emre Sinan Güngör |
| collection | DOAJ |
| description | Aim: To evaluate and compare the results and complications of tension-free vaginal tape (TVT) when performed alone or with vaginal hysterectomy (VH) and to evaluate the mid-term success rates of TVT for both groups.
Methods: A retrospective study was performed on 179 patients who had TVT alone for stress urinary incontinance (SUI) or TVT with VH for SUI and vaginal prolapse. Demographic, outcome and complication data were obtained from medical records. The main outcome measures were postoperative SUI and voiding dysfunction.
Results: The mean age of the patients who underwent TVT and TVT+VH were 50.2±6.8 and 52.2±8.1, respectively (p>0.05) and the mean parity was 4±2.07 and 4.15±2.02, respectively (p>0.05). The success rate was significantly higher in TVT alone group than in TVT+VH group (93.6% vs. 84.5%, p<0.05). The postoperative follow-up period was 15.1±4.3 months for TVT group and 14.4±3.3 months for TVT+VH group (p>0.05). Overall complication rate was higher in TVT+VH group (4.2% vs. 9.5%, p<0.05). Postoperative residuel urine volumes were significantly higher than preoperative residuel urine volumes in both groups (p=0.001). Due to mesh rejection, second surgery was performed in one patient from both groups to reomove the mesh.
Conclusion: Midterm success rates were significantly higher in TVT group than in TVT+VH group, but success rates in TVT+VH were acceptable. Overall complication rates were higher in TVT+VH group; requirement for a second surgery was similar for both groups. |
| first_indexed | 2024-04-10T13:23:48Z |
| format | Article |
| id | doaj.art-af1a27a3198745aa9296148f4cc2405c |
| institution | Directory Open Access Journal |
| issn | 1302-0072 2147-2688 |
| language | English |
| last_indexed | 2024-04-10T13:23:48Z |
| publishDate | 2017-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj.art-af1a27a3198745aa9296148f4cc2405c2023-02-15T16:11:57ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882017-09-0155318118610.4274/haseki.58077Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal HysterectomyEmre Sinan Güngör0Ağahan Han1Hüseyin Kıyak2Süleymaniye Obstetrics and Gynecology Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkeyİstanbul University of Health Sciences Kanuni Sultan Süleyman Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkeyİstanbul University of Health Sciences Kanuni Sultan Süleyman Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, TurkeyAim: To evaluate and compare the results and complications of tension-free vaginal tape (TVT) when performed alone or with vaginal hysterectomy (VH) and to evaluate the mid-term success rates of TVT for both groups. Methods: A retrospective study was performed on 179 patients who had TVT alone for stress urinary incontinance (SUI) or TVT with VH for SUI and vaginal prolapse. Demographic, outcome and complication data were obtained from medical records. The main outcome measures were postoperative SUI and voiding dysfunction. Results: The mean age of the patients who underwent TVT and TVT+VH were 50.2±6.8 and 52.2±8.1, respectively (p>0.05) and the mean parity was 4±2.07 and 4.15±2.02, respectively (p>0.05). The success rate was significantly higher in TVT alone group than in TVT+VH group (93.6% vs. 84.5%, p<0.05). The postoperative follow-up period was 15.1±4.3 months for TVT group and 14.4±3.3 months for TVT+VH group (p>0.05). Overall complication rate was higher in TVT+VH group (4.2% vs. 9.5%, p<0.05). Postoperative residuel urine volumes were significantly higher than preoperative residuel urine volumes in both groups (p=0.001). Due to mesh rejection, second surgery was performed in one patient from both groups to reomove the mesh. Conclusion: Midterm success rates were significantly higher in TVT group than in TVT+VH group, but success rates in TVT+VH were acceptable. Overall complication rates were higher in TVT+VH group; requirement for a second surgery was similar for both groups.http://www.hasekidergisi.com/article_15426/Comparison-Of-Midterm-Efficiency-And-Complications-Of-Tension-free-Vaginal-Tape-Alone-And-Tension-free-Vaginal-Tape-Performed-With-Vaginal-HysterectomyStress urinary incontinencetension-free vaginal tapepelvic surgeryprolapse repair |
| spellingShingle | Emre Sinan Güngör Ağahan Han Hüseyin Kıyak Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy Haseki Tıp Bülteni Stress urinary incontinence tension-free vaginal tape pelvic surgery prolapse repair |
| title | Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy |
| title_full | Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy |
| title_fullStr | Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy |
| title_full_unstemmed | Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy |
| title_short | Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy |
| title_sort | comparison of midterm efficiency and complications of tension free vaginal tape alone and tension free vaginal tape performed with vaginal hysterectomy |
| topic | Stress urinary incontinence tension-free vaginal tape pelvic surgery prolapse repair |
| url | http://www.hasekidergisi.com/article_15426/Comparison-Of-Midterm-Efficiency-And-Complications-Of-Tension-free-Vaginal-Tape-Alone-And-Tension-free-Vaginal-Tape-Performed-With-Vaginal-Hysterectomy |
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