복압성 요실금 환자에서의 Tension-free Vaginal Tape (TVT)와 Transobturator Vaginal tape Inside-Out (TVT-O) 수술법의 전향적 연구

Abstract

Purpose : To compare the methode between Tension-Free Vaginal Tape (TVT) and Transobturator Vaginal Tape Inside-Out (TVT-O) for the Surgical Trearment of Female Stress Urinary Incontinence, we investigates the preoperative and postoperative Outcomes Materials and Methodes : Between January 2003 to December 2005, 72 women with stress urinary incontinence 1-year after operation following were assigned to either the TVT group (n=52) or TVT-O group (n=20). The preoperative and postoperative evaluation and analysis included urodynamic study and Korean version of I-QoL, surgical outcomes, complicaions and uroflowmetry. Result : All outcomes included patient characteristics, I-QoL(p=0.013), the rate of cure(p=0.291), the rate of the patient satisfaction(p=0.174) were compairable in the two group and there are no differences and no long-term complications such as bladder perforation or prolonged voiding difficulty. Preoperative and postoperative uroflowmetry was similar for the two group. Mean operation time (TVT:15.6min, TVT-O:13.2min) was significantly shorter in the TVT-O than TVT. Conclusion : These two group (TVT and TVT-O) appear to be equally effective for the surgical treatment of stress urinary incontinence in women at 1-year follow-up.