J Korean Continence Soc.  2008 Jun;12(1):58-63.

The Quality of Life after Tension-Free Vaginal Tape and Transobturator Vaginal Tape Inside-Out for the Surgical Treatment of Female Stress Urinary Incontinence

• Kim SO
• Choi HS
• Kim JS
• Joo JS
• Youn CW
• Jung SI
• Kang TW
• Kwon DD
• Park KS
• Ryu SB

Abstract

PURPOSE
The change of quality of life following a tension-free vaginal tape (TVT) and transobturator vaginal tape (TVT-O) procedure was investigated in patients with stress urinary incontinence.
MATERIALS AND METHODS
We included 86 women with stress urinary incontinence who underwent the TVT or TVT-O procedure and followed up for at least 1 year. Preoperatively, the patients were evaluated with history taking, physical examination, urodynamics to determine abdominal leak point pressure (ALPP) and pre- and postoperative quality of life was evaluated by incontinence quality of life questionnaire (I-QoL). The success after operation was defined as the absence of any subjective complaint of leakage.
RESULTS
The rate of cure of TVT and TVT-O procedure were 84%, 92% and the rate of improvement of them were 16%, 8%, respectively. Preoperative patient characteristics including uroflowmetric parameters and ALPP were comparable in the two groups. The I-QoL parameters one year after surgery were statistically significant increase in I-QoL scores in each groups. There were no serious or long-term complications related to both procedures.
CONCLUSIONS
These data suggest that the TVT and TVT-O procedure are effective for treating female stress incontinence and also in the aspect of improving quality.

Keyword

Urinary stress incontinence; Surgical mesh; Quality of life

MeSH Terms

Female
Humans
Physical Examination
Quality of Life*
Surveys and Questionnaires
Suburethral Slings*
Surgical Mesh
Urinary Incontinence*
Urinary Incontinence, Stress
Urodynamics