Email this article Different types of tension free vaginal tapes (TVT, TVT-ovt) in treatment of stress incontinence
- Authors: Popov A.A.1, Shaginyan G.G.1, Machanskite О.V.1, Ramazanov М.R.1, Kirushkina О.G.1
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Affiliations:
- Moscow Regional Research Institute of Obstetrics and Gynecology of the Ministry of Health and Social Development of the Russian Federation
- Issue: Vol 54, No 5S (2005)
- Pages: 72-72
- Section: Reviews
- URL: https://journals.eco-vector.com/jowd/article/view/87484
- DOI: https://doi.org/10.17816/JOWD87484
- ID: 87484
Cite item
Abstract
Purpose of the study: to compare the effectiveness of surgical treatment of LMWN in women using two variants of loop urethropexy - retropubic (TVT) and transobturator (TVT-obt) approaches.
Full Text
Design & Methods: 265 patients were operated using TVT (198 patients) and TVT obt (67 cases) from 2000 to 2005 year. Age of patients is 14 to 79 year (average 49,7). There was 43,9% postmenopausal women. In most cases TVT/TOT and surgical treatment of genital prolapses have done in one time. There were TVT/ TOT and colporraphy, VH, Manchester or colpocliesis. There were been 24 complications, when TVT was done: bladder perforations - 5 (2,3%), hematoma - 2 (0,8%), disorders of bladder emptying - 17 (9%). There wasn’t complication when TVT obt was performed.
Results. Long-term results (4 years) of surgical treatment of SUI by TVT/TVT-obt technology have shown 95,7% excellent and good results and 4,3% of patients have minor symptoms of incontinence (de novo incl.). The negative results were not noted after TVT-obt. All patients are “dry”, without any disorders.
Conclusions. Now TVT is considered “gold” standard of surgical treatment of SUI. But transobturatorium way (TVT-obt) has some advantages: no risk of bladder perforation, no postoperative disorders of bladder emptying.
About the authors
A. A. Popov
Moscow Regional Research Institute of Obstetrics and Gynecology of the Ministry of Health and Social Development of the Russian Federation
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow
G. G. Shaginyan
Moscow Regional Research Institute of Obstetrics and Gynecology of the Ministry of Health and Social Development of the Russian Federation
Email: info@eco-vector.com
Russian Federation, Moscow
О. V. Machanskite
Moscow Regional Research Institute of Obstetrics and Gynecology of the Ministry of Health and Social Development of the Russian Federation
Email: info@eco-vector.com
Russian Federation, Moscow
М. R. Ramazanov
Moscow Regional Research Institute of Obstetrics and Gynecology of the Ministry of Health and Social Development of the Russian Federation
Email: info@eco-vector.com
Russian Federation, Moscow
О. G. Kirushkina
Moscow Regional Research Institute of Obstetrics and Gynecology of the Ministry of Health and Social Development of the Russian Federation
Email: info@eco-vector.com
Russian Federation, Moscow
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