Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy
Journal Title: HASEKİ TIP BÜLTENİ - Year 2017, Vol 55, Issue 3
Abstract
Aim: To evaluate and compare the results and complications of tension-free vaginal tape (TVT) when performed alone or with vaginal hysterectomy (VH) and to evaluate the mid-term success rates of TVT for both groups. Methods: A retrospective study was performed on 179 patients who had TVT alone for stress urinary incontinance (SUI) or TVT with VH for SUI and vaginal prolapse. Demographic, outcome and complication data were obtained from medical records. The main outcome measures were postoperative SUI and voiding dysfunction. Results: The mean age of the patients who underwent TVT and TVT+VH were 50.2±6.8 and 52.2±8.1, respectively (p>0.05) and the mean parity was 4±2.07 and 4.15±2.02, respectively (p>0.05). The success rate was significantly higher in TVT alone group than in TVT+VH group (93.6% vs. 84.5%, p<0.05). The postoperative followup period was 15.1±4.3 months for TVT group and 14.4±3.3 months for TVT+VH group (p>0.05). Overall complication rate was higher in TVT+VH group (4.2% vs. 9.5%, p<0.05). Postoperative residuel urine volumes were significantly higher than preoperative residuel urine volumes in both groups (p=0.001). Due to mesh rejection, second surgery was performed in one patient from both groups to reomove the mesh. Conclusion: Midterm success rates were significantly higher in TVT group than in TVT+VH group, but success rates in TVT+VH were acceptable. Overall complication rates were higher in TVT+VH group; requirement for a second surgery was similar for both groups.
Authors and Affiliations
Emre Sinan Güngör, Ağahan Han, Hüseyin Kıyak
Isolated Unilateral Temporalis Muscle Hypertrophy: A Case Report and Review of the Literature
Isolated unilateral temporalis muscle hypertrophy is a very rare pathology that nine cases have been reported to date. We report the 10th case of this rare condition and a review of the literature. Swelling of the mastic...
Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy
Aim: To evaluate and compare the results and complications of tension-free vaginal tape (TVT) when performed alone or with vaginal hysterectomy (VH) and to evaluate the mid-term success rates of TVT for both groups. Meth...
Current Approach to the Chronic Ischemic Heart Disease in the Light of the Current Diagnosis and Assessment Guidelines
Initial presentation in almost half of the patients with chronic ischemic heart disease (IHD) is chronic stable angina. Despite recent improvements in diagnosis and treatment, IHD still appears to be the most important c...
Clinicopathologic and Prognostic Features in Gallbladder Malignancies: Retrospective Analysis of 5206 Cases
Aim: Gallbladder cancer is the sixth most common cancer of the gastrointestinal system. Clinical presentation may not be distinguished from cholelithiasis or cholecystitis and most patients are diagnosed intraoperatively...
Pancreatic Lymphangioma: A Rare Case Report
Intraabdomınal lymphangioma is a rare disease. Pancreatic counterpart occurs as cystic mass and should be kept in mind in patients with cystic pancreatic lesions. It is important to diagnose preoperatively to choose ther...