A randomized trial of tension free vaginal tape and tension free transobturator tape for female stress urinary incontinence
Journal Title: International Journal of Clinical Obstetrics and Gynaecology - Year 2017, Vol 1, Issue 1
Abstract
Objective: We compared success rates of tension free vaginal tape outside in method (TVT) and tension free transobturator tape outside in method (TOT) in case of female urodynamic stress urinary incontinence at 6 months. Material and method: 80 patients with urodynamically proven stress urinary incontinence were randomized into TVT (40) and TOT (40) group after excluding urge incontinence and patients with a previous history of incontinence surgery. The outcome of surgical treatment was observed as objective and subjective cure rate and satisfaction score at 6 months. Results: There was no significant difference between the groups for baseline characteristics. Mean operative time was significantly longer in the TVT group (35.9 min) as compared to TOT group (26.8 min) (p value<0.0001). The mean post void residual urine on the next day of surgery and at 6 months were insignificant (p value>0.05) A case of mesh erosion was diagnosed at 6 months in TOT group. There was no major perioperative complications in either group. Time to return to normal activity were similar in both groups (p value>0.05) of patients. De novo urinary urgency developed in two (5%) patients in TVT group and one (2.5%) patient in TOT group (p value>0.05). The objective and subjective cure rates of TVT and TOT were comparable (85% vs 87.5% and 80% vs 85% respectively). Conclusion: We concluded that both TVT (outside in) and TOT (outside in) procedures for surgical treatment of stress urinary incontinence were equally efficacious and safe.
Authors and Affiliations
Neelu Yadav, Rajendra Prasad Ganguly, Gargi Pal, Dr. Khushboo, Ananya Agarwal
Keywords
Related Articles
- EP ID EP501302
- DOI -
- Views 141
- Downloads 0
Serum ferritin changes on administration of intravenous iron in iron deficiency anemia in pregnancy
The objective of this study was to see the changes in the serum ferritin levels on administration of intravenous iron sucrose in iron deficiency anemia during 14 to 34 weeks of pregnancy. A clinical trial was performed i...
Ovarian dermoid cyst with malignant potential
The incidence of dermoid cyst accounts for approximately 20% of all ovarian tumours. They occur more commonly in reproductive age group of women and are usually unilateral. Oophorectomy is the operative procedure of choi...
Amniotic fluid index for prediction of fetal outcome
Introduction: Quantification of amniotic fluid is an important component in biophysical profile, especially in third trimester. Ultrasound being a noninvasive test is ideal for application on a large scale and can be use...
Use of loading dose of magnesium sulphate versus standard regime for prophylaxis of severe Pre-Eclampsia- A comparative study
Background: Preeclampsia is a pregnancy specific multi organ disease process characterized by de novo development of hypertension and proteinuria after 20 weeks of gestation. Preeclampsia complicates 2-8% of pregnancies....
Association of elevated serum ferritin levels in mid-pregnancy and the risk of gestational diabetes mellitus
Gestational Diabetes Mellitus is defined as carbohydrate intolerance of variable severity with onset or first recognition during pregnancy, according to WHO guidelines. serum ferritin, is a major storage protein of iron....