Kadın stres üriner inkontinansında TVT ve TOT yöntemlerinin etkinliğinin ve güvenilirliğinin karşılaştırılması

Year 2014, Volume: 9 Issue: 3, 64 - 71, 01.08.2014

Osman Köse Şaban Mimaroğlu Şinasi Yavuz Önal Abdulmuttalip Şimşek Faruk Özgör Mesut Çilli Burak Arslan Bahar Yüksel

Abstract

Amaç: Kadın stres üriner inkontinans olgularının tedavisinde kullanılan transobturator tape TOT ve tension free vajinal tape TVT operasyonlarının başarısını, komplikasyonlarını ve yaşam kalitesi üzerine etkilerini karşılaştırmak. Gereç ve Yöntem: Nisan 2007-Temmuz 2010 tarihleri arasında stres üriner inkontinans saptanan 162 hasta çalışmaya dahil edildi. Tüm hastalardan detaylı anamnez alındı ve fizik muayene, stres testi, Q tip test ve üriner ultrasonografi yapıldı. İnkontinans ve hayat kalitesi anketleri [Incontinence impact questionnaire IIQ-7 ve Urinary distres inventory UDI-6 ] dolduruldu. Çalışmaya alınan hastaların 75 tanesine TVT yöntemi ve 87 tanesine TOT yöntemi uygulandı. Ameliyatlardan ortalama 12 ay sonra stres testi, Q tip test, üriner ultrasonografi, inkontinans ve hayat kalitesi anketleri yapılarak operasyon öncesi değerlerler karşılaştırıldı. Bulgular: Tüm hastalar genel anestezi ve/ veya spinal anestezi altında opere edildi. İki grubun demografik veriler arasında fark yoktu. TOT grubunda operasyon süresi 15,3±4,2 dakika ve TVT grubunda ise 24,3±8,6 dakika tespit edildi ve istatistiksel olarak TOT grubunda operasyon süresi daha kısaydı p

Comparison of effectiveness and safety of TVT and TOT procedures in the treatment of female stress urinary incontinence

Abstract

Objective: To compare the success, complications and effects on life quality of transobturator tape TOT and tension free vaginal tape TVT procedures for female stress urinary incontinence. Materials and Methods: Between April 2007 and July 2010, 162 patients who diagnosed stress urinary incontinence were enrolled into study. All patients’ preoperative urological histories were taken, physical examination, stress test, Q tip test, urinary ultrasonography, incontinence and quality of life questionnairies [Incontinence impact questionnaire IIQ-7 and Urinary distres inventory UDI-6 ] were performed. Transobturator route was used in 87 patients and retropubic procedures were performed in 75 patients. Stress test, Q tip test, urinary ultrasonography, incontinence and quality of life questionnairies IIQ-7 and UDI-6 were repeated at 12 months after surgery and were compared with preoperative parameters. Results: All patients were operated under general and spinal anesthesia. There was no difference between the two groups in demographic data. The mean operation time of TOT group 15.3±4.2 minutes was significantly shorter than TVT group 24.3±8.6 minutes p

References

• Kim S, Son JH, Kim HS, Ko JS, Kim JC. Tape shortening for recurrent stres urinary incontinence after transob- turator sling: 3 years follow up results. Int Neurourol J 2010;14:164-9
• Abrams P, Cardozo L, Fail M et al. The standardisation of terminology of lower urinary tract function:Report from the standardisation sub-committe of the internatio- nal Continence Society. Neurourology and Urodynamics 2002; 21: 167- 78.
• Biri A, Durukan E, Maral I et al. Incidence of stress urinary incontinence among women in Turkey. Int Urogynecol J 2006; 17: 604–10
• Minassian VA, Devore E, Hagan K, Grodstein F. Severity of urinary incontinence and effect on quality of life in women by incontinence type. Obstet Gynecol 2013;121:1083-90
• Raz S, Stothers T, Chopra A : Vaginal Surgery for Female İncontinence and Vaginal Wall Prolapse. Textbook of Ope- rative Urology (Marshall FF). First, edition. Philadelphia, Saunders Company 1996; 759-78.
• Novara G, Artibani W, Barber MD et al. Updated syste- matic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary in- continence. Eur Urol 2010; 58:218–38
• Latthe PM, Foon R, Toozs-Hobson P. Transobturator and retropubic tape procedures in stres urinary incontinence: asystemic review and meta-analysis of effectiveness ond complications. BJOG 2007;114:522-31
• Mischinger J, Amend B, Reisenauer C et al. Different sur- gical approaches for stress urinary incontinence in women. Minerva Ginecol 2013 ;65:21-8
• Cam C, Karateke A, Sakallı M. Validation of the short forms of Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory (UDI-6) in a Turkish Popu- lation. Neurourology Urodynamics 2006; 26: 129–33
• Ward KL, Hilton P. UK and Ireland TVT Trial Group Ten- sion-free vaginal tape versus colposuspension for primary urodynamic stress incontinence: 5-year follow up. BJOG 2008 ;115:226-33.
• Ward KL, Hilton P. UK and Ireland TVT Trial Group. A prospective multicenter randomized trial of tension-free vaginal tape and colposuspansion for primary urodynamic stres incontinance:two-year follow-up. Am J Obstet Gyne- col 2004; 190: 324- 31.
• Delorme E. Transobturator urethal suspension: mini-inva- sive procedure in the treatment of stress urinary inconti- nence in women. Prog Urol 2001;11:1306-13.
• Palva K, Nilson CG. Effectiveness of the TVT procedure as a repeat mid-urethra operation for treatment of stress incontinence. Int Urogynecol J 2009; 20:769–74
• Meyer F, Hermieu JF, Boyd A et al. Repeat mid-urethral sling for recurrent female stress urinary incontinence. Int Urogynecol J 2013;24:817-22
• Krauth JS, Rasoamiaramanana H, Bartela H et al. Subu- rethral tape treatment of female urinary incontinence— morbidity assessement of the trans-obturator route and a new tape (I-STOP): a multi-centre experiment involving 604 cases. Eur Urol 2005;47:102–7.
• Tamussino KF, Hanzal E, Kölle D, Ralph G, Riss PA. Ten- sion-Free Vaginal Tape Operation: Results of the Austrian Registry. Obstet Gynecol 2001;98: 732-6.
• Peschers UM, Tunn R, Buczkowski M, Perucchini D. Ten- sionfree vaginal tape for the treatment of stress urinary in- continence. Clin Obstet Gynecol 2000;43:670–5
• Tzortzis V, Mitsogiannis IC, Moutzouris G et al. Bladder stone formation after a tension-free vaginal tape procedu- re: report on two cases. Urol Int 2007;79:181-2
• Zilbert AW, Farrell SA. External iliac artery laceration du- ring tension-free vaginal tape procedure. Int Urogynecol J 2001;12:141–3.
• Cindolo L, Salzano L, Rota G, Bellini S, D’Afiero A. Tensi- on-free transobturator approach for female stress urinary incontinence. Minerva Urol Nefrol 2004; 56: 89–98
• Caquant F, Collinet P, Deruelle P, Lucot JP, Cosson M. Pe- rineal cellulitis following transobturator sub-urethral tape Uratape. Eur Urol 2005; 47: 108–10
• Petri E, Niemeyer R, Martan A. Reasons for and treatment of surgical complications with alloplastic slings. Int Urogy- necol J 2005; 17: 3–13
• Robbins AW, Rutkow IM. Mesh plug repair and groin her- nia surgery. Surg Clin North Am. 1998 ;78:1007-23.
• Staskin DR, Plzak L. Synthetic slings: pros and cons. Curr Urol Rep 2002;3: 414–7.
• Zaragoza MR: Expanded indications for the pubovagi- nal sling: treatment of type 2 or 3 incontinence. J Urol 1996;156:1620–22.
• Delorme E, Droupy S, de-Tayrac R, Delmas V. Transobtu- rator tape (Uratape): a new minimally-invasive procedure to treat female urinary incontinence. Eur Urol 2004; 45: 203-7.
• Costa P, Grise P, Droupy S et al. Surgical treatment of fema- le stress urinary incontinence with a trans1 obturator-tape (T.O.T.) Uratape: short term results of a prospective multi- centric study. Eur Urol 2004;46:102-6.
• Laurikainen E., Valpas A. Kivela A. Retropubic compare with transobturator tape placement in treatment of uri- nary incontinence: a randomized controlled trial. Obstet Gynecol 2007; 109: 4- 11.
• Falkert A, Seelbach-Gobel B: TVT versus TOT for surgical treatment of female stres urinary incontinence. Int J Gyna- ecol Obstet 2007; 96: 40- 1.
• Castillo-Pino E, Sasson A, Pons JE. Comparison of retro- pubic and transobturator tension-free vaginal implants for the treatment of stress urinary incontinence. Int J Gynae- col Obstet 2010;110:23-6
• Novara G, Artibani W, Barber MD et al. Updated syste- matic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary in- continence. Eur Urol 2010;58:218-38.
• Zugor V, Labanaris AP, Rezaei-Jafari M et al. TVT vs. TOT: a comparison in terms of continence results, complications and quality of life after a median follow-up of 48 months. Int Urol Nephrol 2010;42:915-20