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Comparison of the treatment outcome of pubovaginal sling, tension-free vaginal tape, and transobturator tape for stress urinary incontinence with intrinsic sphincter deficiency

Authors
 Myung-Jae Jeon  ;  Hyun-Joo Jung  ;  Sue-Min Chung  ;  Sei-Kwang Kim  ;  Sang-Wook Bai 
Citation
 AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, Vol.199(1) : 76-4, 2008 
Journal Title
 AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY 
ISSN
 0002-9378 
Issue Date
2008
MeSH
Adult ; Aged ; Female ; Humans ; Middle Aged ; Retrospective Studies ; Suburethral Slings* ; Treatment Outcome ; Urinary Bladder Diseases/surgery* ; Urinary Incontinence, Stress/surgery* ; Urologic Surgical Procedures*
Keywords
intrinsic sphincter deficiency ; pubovaginal sling ; stress urinary incontinence ; tension-free vaginal tape ; transobturator tape
Abstract
OBJECTIVE: The aim of this study was to compare the treatment outcome of 3 sling procedures for stress urinary incontinence with intrinsic sphincter deficiency. STUDY DESIGN: This retrospective study included 253 patients who underwent incontinence surgery (pubovaginal sling [PVS] = 87, tension-free vaginal tape [TVT] = 94, and transobturator tape [TOT] = 72) for urodynamic stress incontinence with intrinsic sphincter deficiency. Analysis of variance, chi(2) test, Fisher's exact test, Kaplan-Meier survival analysis, and Cox proportional hazard regression were used for statistical analysis. RESULTS: Overall complication rates were not significantly different. At 2 years postoperatively, the cumulative cure rates of the PVS, TVT, and TOT groups were significantly different (87.25%, 86.94%, and 34.89%, respectively; P < .0001). The risk of treatment failure in women who received TOT was 4.6 times higher than in women who underwent PVS. The 7-year cumulative cure rates of PVS and TVT groups were 59.10% and 55.09%, respectively. CONCLUSION: PVS and TVT were more efficacious, but the long-term cure rates were low
Full Text
http://www.sciencedirect.com/science/article/pii/S0002937807022429
DOI
10.1016/j.ajog.2007.11.060
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sei Kwang(김세광)
Bai, Sang Wook(배상욱) ORCID logo https://orcid.org/0000-0001-7724-7552
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107353
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