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Journals / Haseki Tıp Bülteni / 2017 / Cilt: 55 - Sayı: 3

Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy

Tek Başına Transvajinal Bant ve Transvajinal Bant ile Birlikte Yapılan Vajinal Histerektominin Orta Dönem Etkinlik ve Komplikasyonlar Açısından Karşılaştırılması

Emre Sinan GÜNGÖR
Ağahan HAN
Hüseyin KIYAK
Pages
181–186
DOI
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Overall complication rate was higher in TVT+VH group (4.2% vs. 9.5%, p<0.05).

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: To evaluate and compare the results and complications of tension-free vaginal tape (TVT) when performed alone or with vaginal hysterectomy (VH) and to evaluate the mid-term success rates of TVT for both groups.
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Key Findings & Data:Methods: A retrospective study was performed on 179 patients who had TVT alone for stress urinary incontinance (SUI) or TVT with VH for SUI and vaginal prolapse.
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Conclusion & Impact:Overall complication rate was higher in TVT+VH group (4.2% vs. 9.5%, p<0.05).
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: To evaluate and compare the results and complications of tension-free vaginal tape (TVT) when performed alone or with vaginal hysterectomy (VH) and to evaluate the mid-term success rates of TVT for both groups. Methods: A retrospective study was performed on 179 patients who had TVT alone for stress urinary incontinance (SUI) or TVT with VH for SUI and vaginal prolapse. Demographic, outcome and complication data were obtained from medical records. The main outcome measures were postoperative SUI and voiding dysfunction. Results: The mean age of the patients who underwent TVT and TVT+VH were 50.2±6.8 and 52.2±8.1, respectively (p>0.05) and the mean parity was 4±2.07 and 4.15±2.02, respectively (p>0.05). The success rate was significantly higher in TVT alone group than in TVT+VH group (93.6% vs. 84.5%, p<0.05). The postoperative followup period was 15.1±4.3 months for TVT group and 14.4±3.3 months for TVT+VH group (p>0.05). Overall complication rate was higher in TVT+VH group (4.2% vs. 9.5%, p<0.05). Postoperative residuel urine volumes were significantly higher than preoperative residuel urine volumes in both groups (p=0.001). Due to mesh rejection, second surgery was performed in one patient from both groups to reomove the mesh. Conclusion: Midterm success rates were significantly higher in TVT group than in TVT+VH group, but success rates in TVT+VH were acceptable. Overall complication rates were higher in TVT+VH group; requirement for a second surgery was similar for both groups.

Özet

Amaç: Tek başına veya vajinal histerektomi (VH) ile beraber uygulandığında gerilimsiz vajinal bant (TVT) prosedürünün sonuçlarını ve komplikasyonlarını değerlendirmek ve karşılaştırmak; her iki grup için TVT'nin orta vadede sonuçlarını değerlendirmektir. Yöntemler: Stres üriner inkontinans (SUI) nedeniyle sadece TVT uygulanan ve SUI'ya vajinal prolapsusun da eşlik ettiği durumlarda TVT ile beraber VH uygulanan 179 hasta retrospektif olarak değerlendirildi. Demografik, sonuç ve komplikasyon dataları medikal kayıtlardan elde edildi. Postoperatif SUI ve işeme disfonksiyonları ana değerlendirmelerdi. Bulgular: Hastaların ortalama yaşları TVT ve TVT+VH için sırasıyla 50,2±6,8 ve 52,2±8,1 (p>0,05); pariteleri sırasıyla 4±2,07 ve 4,15±2,02 (p>0,05) idi. Sadece TVT uygulanan grupta başarı oranı TVT+VH uygulanan gruba göre anlamlı olarak daha yüksek idi (sırası ile %93,6 vs. %84,5, p 0,05). Genel komplikasyon oranı TVT+VH grubunda daha yüksekti (sırasıyla %4,2 vs. %9,5, p<0,05). Postoperatif rezidüel idrar hacmi her iki grupta da preoperatif rezidüel hacimlere kıyasla anlamlı derecede yüksekti (p=0,001). Mesh rejeksiyonu nedeni ile her iki gruptan birer hastaya mesh çıkarılması için ikincil cerrahi uygulandı. Sonuç: Sadece TVT yapılan grupta orta dönem başarı oranı TVT+VH'den daha yüksekti ancak TVT+VH'nin de başarı oranı kabul edilebilir seviyelerde idi. Genel komplikasyon oranları TVT+VH grubunda daha yüksek; ikinci cerrahi ihtiyacı her iki grupta benzerdi.

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Cite This Article

GÜNGÖR, E. S., HAN, A., KIYAK, H. (2017). Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy. Haseki Tıp Bülteni, Cilt: 55 - Sayı: 3, 181–186. https://ajindex.com/articles/204848

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