Tension free vaginal tape Transe obturator tape

Transcription

1 Tension free vaginal tape Transe obturator tape * Tension free"#! 7*-R7#k>$&>C.? /& #n [m -4>i. C l,m MTOTL 7 FoNC&sling$,2?7 >6$8,.$F" 7/#.Tension Free (TVT) c.pla6<= 13?$7 \ 7/*-Q q/? M&,6$2?$!WqG2(+ />lga6.$2?&3?>$1tvt&gtot1)(n7j /.r?tvt8#,k$rg( <= 1\]- W9 )(N _^02<= FJ.ST9\] Y `F P. 2? C 7 a6 G( / + #..Ob6c. sarahberooz@yahoo.com Id /#3? PQ ZBB0"7MTOTL! 2 $ $ G6 $. A R# e TVT-LfPTOT /.CK $&Pf$ FSTMO $&.&+X&S$\7 2TOTg :;($/Q"#9 ">2 TVT - Q h`f"278(&>7? j 1)(N /.>%@25[i6c TOT 3.. ST 9(F /&.+$JTVT OTVT %#$ &'()*$&+ 0 1'2## /.,-*$ '89*:';($-'$&,,#<= # '7</@- 6>? 'D2?C0BB$A/&2? 0H0I"'KellyE' FC7(G(? 0 JKsling /.*) Tension Free Vaginal Tape F'>6'. /#MTOTL! (TVT).Tension Free Vaginal Tape (TVT) 7/.,- TVTF25NO&4?3 PQ2 &)D "# K Q $ & 1G6 & R# P; $ MtensionL +* ZY 7 /.ST.U)V " WX( ZY /& *- Q? F [ J &6 *

2 , %"*%+#"#Transe obturator tapetension free vaginal tape")'(!"#$#%& &'; "P'>6Jm6 d />Q<= `F p>"#$tot&gtvt /&''#)'F:;($%57n- q'w8w'!#'?&6tot(g( 'D2"'2'?''&G+$ 0I +')(NK /TMqWL 'G TOT'-"'#$9. 0d '*W \97&6. /& '$`G'''.TOT"# &P.$EG P6/."# /#.&,6qAq &',6de-novo1'OMUILND456 '.+'+']-4567 ''sling'"'g'ui&56xq / /'p&78> * +'*4'56'.'.' ' *&(2n &',-&)NQ >G(/#T>8; MOABLOveractive bladderc*tot TOT&? `(?/& `# 5'G'>$>OAB456G3T#TVT '.'&;?mixed 0e0j '28?&.+ /& /. 5,aG T# ">W A'!5,792?"G&+S6 / (+2 (+'2RX> $A'M'#)rNK9L$2*- >A.XW$!WTOT&GTVT- 't''d67a9*r /& 'MP'hf'LTOTMfhPLTVT-O '&G'&TVT-O$fP;F&6/. ''V'6Phf$P; ' '7'/&''89 [i6b6 $$"'K'$Al.*]*]K 1)(N 3. 7 <= <= 9 /&.subjectiveobjective1oum TP>69-$&,s 91)(N ftottvt-oltot /&R &GTOT-MobjectiveLJTVTMP #)2K9%57L/& TVT ; t J %5 7&6./M& CUm1)(N>[m ; A 8#, K## "5L %OL 456u ## 6 ( 7 Mmix /. TVTTOTa6 *W $A''#)1'OD67TVT $,'''1'''D''' /&'''TOT '$'?'R%5TOTSTW8 K'/#P>;v#). c`f '`'F'> ''.+'X.@-)(N 0Y /'ppf; 4 TOTS'TW8&34$#7# '''.'5G'Q*wi /##O? PQP qg2 q'g2'#t1\5 'QTVT'2?P>6&; *P>6$!W$ &'6. /.TVT> *\>).TOT-Q&(27 A'W$TOT7#/.`G> 'c/&''3*a*2?$ ''R*;3P>6$!WqG2 '9 ' 5Pc $'f''$3-#g3[# ' OG(/.9(" \7\2 h'l\'>)'.st"p>6$$0i$!wf

3 , S'Tl'9(FKzG]/ TVT ZI 'X'K)NQ&;?#G.. '>9c.pTOT-/? /&''+'(+2p +>TVT-qG2"5 up8.sling&)g]&6\>2& 1')(N'$''#?'8>61's /& '>'&VP8.slingCKTOT/4+ '?''>.T`G 'c`f>9/&g#&*a '2?l *7TOT 's '8''? L!W\W4 5'6/$`#M*7c F ['#?9'b6`FN$! c'2' '.'+*$G(/. K'W '&G'7&8.">2& ZI /&+ '$1'?! ] '&G'a6 7WG92?> ''*&')"2/&;?TVT ''wi'''-qtot2?&; "'#9'1$8#,K# /&.# /S2? K# TVT"'G&.+1)(N ' '.'+**A?c29 0B000e0^ TVT'#+*7 /A9* /.`G+TOT&G #?8>6 7''#)1', '.+)(NK P'>6$!W#?8>69TVT-OTVT3.,'MPISQ-12L#+'W$)(N7/? 0H '"'G#?8>618.X)(N /. P'hf'TOT/&'. 4 '&G'+'9#?8>6"5T# '&6"2.TVT-O '>'#?'8>6''Gc<= ZB 2?3.&,- /#. /,#<= 4&Gc<= 4#?8>6 -Ty; P'QJTVT-O#+1)(N -W"K '$!'WP'hfTOTQ Z0hZY 'Q-KTOT 7# /

4 ,- %"*%+#"#Transe obturator tapetension free vaginal tape")'(!"#$#%& Abstract: Comparison of transe obturator tape and tension free vaginal tape in stress urinary incontinence Behrooz S. MD * Introduction & Objective: Stress urinary incontinence is a common and prominent problem in women. Although various therapeutic measures has been recommended for treatment, decision making for patients with this complaint, is not easy. One of the major kinds of operative procedures are slings; the two well- known types are tension free vaginal tape and trasobturator tape. Both these procedures has been taught and used in Iran, during recent years. In this review articles comparing the two methods in terms of cure rate and complications (including bladder perforation, groin pain, postoperative urinary retention, vaginal erosion and urinary tract infections) were considered. According to the results TOT has advantages over TVT regarding shorter time needed for operation and relatively less complications. However in some patients including the ones with intrinsic sphincter deficiency TVT turns to be a better option. Key Words: Strees urinary incontinence, TVT, TOT. * Obstetrician and Gynecologist

5 ,. References: 1. Kelly HA, Dumm WM. Urinary incontinence in women, without manifest injury to the bladder Int Urogynecol J Pelvic Floor Dysfunct 1998; 9: Petros PE, Ulmsten Ul. An integral theory and its method for the diagnosis and management of female urinary incontinence. Stand J Urol Nephrol Suppl : Nilsson CG, Palva K, Rezapour M, Falconer C. Eleven years prospective follow- up of the tensionfree vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: Meschia M, Pifarotti P, Bernasconi F, et al. Tensionfree vaginal tape: analysis of outcome and complications in 404 stress incontinent women. Int Urogynecol J Pelvic Floor Dysfunct 2001; 12 (Suppl 2): S24- S Long CY, Lo TS, Liu CM, et al. Lateral excision of tension- free vaginal tape for the treatment of iatrogenic urethral obstruction. Obstet Gynecol 2004; 104: Delorme E. Transobturator urethral suspension: miniinvasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 2001; 11: de level J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside- out. Eur Urol 2003; 44: Araco F, Gravante G, Sorg R, et al. TVT-O vs. TVT: a ransomized trial in patients with different degrees of urinary stress incontinence. Int Urogynecol J Pelvic floor Dysfucnt 2008; 19: Rinne K, Laurikainen E, Kivela A, et al. A ransomized trial comparing TVT with TVT-O: 12- month results. Int Urogynecol J Pelvic Floor dysfunct 2008; 19: Barry C, Lim YN, Muller R, et al. A multicentre, randomized clinical control trial comparing the retropubic (RP) approach versus the transobturator approach (TO) for tension- free, suburethral sling treatment of urodynamic stress incontinence: the TORP study. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: Schierlitz L, Dwyer PL, Rosamilia A, et al. Effectiveness of tension- free vaginal tape compared with transobturator tape in women with stress urinary incontinence and intrinsic sphincter deficiency: a randomized controlled trial. Obstet Gynecol 2008; 112: Barber MD, Kleeman S, Karram MM, et al. Transobturator tape compared with tenstion- free vaginal tape for the treatment of stress urinary incontinence: a randomized controlled trial. Obstet Gynecol 2008; 111: Abdel- Fattah M, Ramsay I, Pringle S. Lower urinary tract injuries after transobturator tape insertion by different routes: a large retrospective study. BJOG 2006; 113: Chen HY, Ho M, Hung YC, et al Analysis of risk factors associated with vaginal erosion after synthetic sling procedures for stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: Latthe PM. Review of transobturator and retropubic tape procedures for 0. stress urinary incontinence. Curr Opin Obstet Gynecol 2008; 20: This systemic review assesses the effectiveness and complications of TVT and TOT procedure and includes the meta-analysis of the RCT data. 16. Long CY, Hsu CS, Liu CM, et al. clinical and ultrasonographic comparison of tension- free vaginal tape and transobturator tape procedure for the treatment of stress urinary incontinence. J Minim Invasive Gynecol 2008, 15: Segal JL, Vassallo B, Kleeman S, et al. Prevalence of persistent and de novooveractive bladder symptoms after the tension- free vaginal tape. Obstet Gynecol 2004; 104: Hsiao SM, Chang TC, Chen CH, Lin HH. Sequential comparisons of postoperative urodynamic changes between retropubic and transobturator midurethral tape procedures. World J Urol 2008; 26: Murphy M, Van Raalte H, Mercurio E, et al. Incontinence- related quality of life and sexual function following the tension- free vaginal tape versus the inside- out tension- free vaginal tape obturator. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: Elzevier HW, Putter H, Delaere KP, et al. Female sexual function after surgery for stress urinary incontinence: transobturator suburethral tape vs. tension- free vaginal tape obturator. J Sex Med 2008; 5: But I, Faganelj M. Complications an short-term results of two different transobturator techniques for surgical treatment of women with urinary incontinence: a randomized study. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: Liapis A, Bakas P, Creatsas G. Monarc vs. TVT-0 for the treatment of primary stress incontinence: a randomized study. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: Lee KS, Choo MS, Lee YS, et al. Prospective comparison of the 'inside-out' and 'outside-in' transobturator-tape procedures for the treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunc 2008; 19: Cheng Yu Long, Chun- Shuo HSU, Ming- Ping W, Cheng Min Liu, Tsu- Nai Wang and Eing- Mei Tsai comparison of tension- free vaginal tape and transobturator tape procedure for the treatment of stress urinary incontinence. Curr Opin Obstet Gynecol 2009; 21: