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Korean Journal of Obstetrics & Gynecology 2005;48(5):1324-1328.
Published online May 1, 2005.
Preliminary report on Comparison of Tension-free Vaginal Tape and Transobturator Tape in the Surgical Management of Stress Urinary Incontinence.
Yong Tark Jeon, Tae Gi Hwang, Kyung Joon Min, Byung Chul Jee, Yong Beom Kim, Kyo Hoon Park, Chang Suk Suh
1Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, College of Medicine, Seoul National University, Seoul, Korea. ybkimlh@snubh.org
2Department of Obstetrics and Gynecology, Chungbuk National University Hospital, Cheongju, Korea.
Abstract
OBJECTIVE
The aim of this study is to compare the efficacy of the TVT and TOT which have been widely used in the surgical management of stress urinary incontinence. METHODS: The study was carried on 22 patients with stress urinary incontinence who had operation at Seoul National University Bundang Hospital from April to December 2004. Review of medical records was done and clinical characteristics were compared according to the operation procedure. RESULTS: The TVT was done on 11 patients and TOT on 11 patients. There were no significant differences in patients' age, parity, body mass index, menopausal status, and severity of incontinence. The operation time was significantly shorter in TOT than in TVT. Complication rate and hospital stay were not significantly different between TVT and TOT. The cure rate (patients' satisfaction) was 90.9% in TVT, 100% in TOT. CONCLUSION: The TVT and TOT are both effective surgical treatment for stress urinary incontinence. The TOT is simple and time saving procedure because it can be done without cystoscope.
Key Words: Tension-free vaginal tape, Transobturator tape, Stress urinary incontinence


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