Tot and TVT-O operations, comparison and long-term results

D. Y. Pushkar; Пушкарь Д. Ю.; V. Y. Dyakov; Дьяков В. Ю.; B. N. Godunov; Годунов Б. Н.; L. M. Gumin; Гумин Л. М.

doi:10.17816/JOWD87488

Tot and TVT-O operations, comparison and long-term results

Authors: Pushkar D.Y.¹, Dyakov V.Y.¹, Godunov B.N.¹, Gumin L.M.¹
Affiliations:
1. Moscow State University of Medicine and Dentistry
Issue: Vol 54, No 5S (2005)
Pages: 75-75
Section: Reviews
URL: https://journals.eco-vector.com/jowd/article/view/87488
DOI: https://doi.org/10.17816/JOWD87488
ID: 87488

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Abstract

Implantation of prolen tapes for the correction of stress incontinence is the most perspective surgical method today. Our research includes the observation over patients operated according the TOT and TVT-0 method in 2002-2005 for the purpose of evaluation of operative methods and long term results of surgical treatment.

Keywords

implantation of prolene loops, correction of urinary incontinence, methods of surgical treatment, TOT and TVT-0 techniques

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Introduction and Objectives. Implantation of prolen tapes for the correction of stress incontinence is the most perspective surgical method today. Our research includes the observation over patients operated according the TOT and TVT-0 method in 2002-2005 for the purpose of evaluation of operative methods and long term results of surgical treatment.

Material and Methods. The research included 73 patients in the age of 47-71 years, the average age 59 years, with the stress incontinence of type 2, without complicated obstetrical-gynecological anamnesis. The 26 patients of group 1 underwent TOT procedure and 47 patients of group 2 - TVT-O. It should be noted that the patients were not specially selected for each type of the operation. All operations were carried out under the spinal anesthesia. No intraoperative complications were observed, the average operation duration in TOT group was 16 min, in TVT-0 group 12 min. Within the first 24 hours the urination was revealed by all patients, no residual urine was found. Patients stayed in the hospital during 3 days.

Results. Follow-up period was 14-32 months. It was noted that all 73 patients were happy with the results of the surgical treatment. During the follow-up of the TOT patients 3 cases of protrusion of prolen tape occurred which required its elimination. The transobturatoral access for the prolen tape is easy to do and shows good treatment results. TVT-0 operation takes less time because requires less dissection of the tissues, risk of urethra trauma is minimal due to retrograde method of perforation. Possible tape protrusion after the TOT procedure probably deals with atrophic vaginitis.