Volume : I, Issue : V, February - 2012

A Novel Surgical Approach For Treatment Of SUI TVT Obturator Tape

Dr. Ketaki J, Dr. Durga K, Dr Neelesh Risbud

Abstract :

Objectives To objectively and subjectively assess the success rate at 6 months and 12 months after tension–free vaginal tape obturator (TVT–Ob) procedure. Design A prospective observational study of a cohort of 50 consecutive women who underwent the TVT–O procedure between 2007 and 2011. Setting A tertiary referral multispeciality rural general hospital and a medical college. Methods Standardised QOL questionnaires were completed preoperatively and at 6 months. At 6 months, a urogenital history, visual analogue scale score (VAS) for patient satisfaction, ultrasonography(USG), and urinary stress test were performed. Urogenital history and patient satisfaction verbal analogue score (VeAS) were obtained by telephone interview at 1 yr . Results Mean follow up was 18.45 months. Objective success rate was 94%. Subjective success rates were 92 and 84% at 6 and 12 months. Complications included recurrent urinary tract infection (two), voiding difficulty (two), persistent groin discomfort (three), wound infection (one), vaginal tape erosion (one), and urethral irritation (one). Prevalence of de novo urge incontinence was 4.1 and 4.8% at 6 and 12 months. Conclusion The TVTOb is a safe and effective treatment for female stress urinary incontinence.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Ketaki J, Dr. Durga K, Dr Neelesh Risbud A Novel Surgical Approach For Treatment Of SUI TVT Obturator Tape Indian Journal of Applied Research, Vol.I, Issue.V February 2012

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