Efficiency of tvt and tvt-o in patients with stress urine incontinence

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Introduction. Stress urine incontinence (SUI) is one of the basic problems of modem gynecology.

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Introduction. Stress urine incontinence (SUI) is one of the basic problems of modem gynecology. Getting high prevalence among the women of reproductive and senior age, SUI gets the medical-social importance, resulting in a number of pathological processes, and also significant decreases quality of life. The using of suburethral prolen imlants is one of the most effective methods of treatment SUI in modem gynecology.

Objective of our research was an estimation of efficiency of prolen suburethral implants TVT, TVT-O at surgical treatment of SUI.

Material and methods. We carried out the treatment of 11 patients, using TVT-O and 8 patients using TVT. The diagnosis at all women was observed clinically and confirmed by means of urodinamic and 3D US investigations. There were estimated both subjective, and objective parameters of efficiency of SUI treatment. All patients were undergone the urodinamic investigation and US exam of urethra before and after operation.

Results of research. The average age of patients was 46± 5 years. The complete recovery was observed at women of both groups. We did not observe any complications both in time of urethropexy realization, and in postoperative period. The average duration of operations was 25 mines. Free voiding was observed for the first day after operation. US-control after operation did not reveal any attributes of SUI. All patients have noted improvement of quality of life. At dynamic supervision within 1 year the relapses of disease was not marked.

Conclusions. Analyzing the received preliminary results it is necessary to note high efficiency and safety of prolen implants TVT-O, TVT at treatment of SUI and also the simplicity of operations realization.