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KMID : 0948320060060020076
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Konyang Medical Journal
2006 Volume.6 No. 2 p.76 ~ p.82
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Initatial Experience of Iris-Transobturator Tape Procedure for Female Stress Urinary Incontinence
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Cho Kun-Hyun
Chang Young-Seop
Han Dong-Seok
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Abstract
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Purpose: Intrapelvic route of retropubic tension-free vaginal tape (TVT) procedures exposes the patient to a number of complications. Transobturator tape (TOT) procedure is the newly developed method to decrease these complications. We assesed the initial short-term efficacy and safety of the Iris-TOT mid-urethral sling.
Materials and method: From September 2005 to September 2006, 40 patients with stress urinary incontinence were operated using Iris-TOT. Then, they were evaluated in terms of postoperative success rate, change of voiding symptoms, improvement of urgency and urge incontinence retrospectively.
Results: Mean follow-up was 257 days. Mean operating time was 36 minutes. Average incontinence period was 6.2 years. Success rate was 95% and percentage of satisfied and tolerable patients was 87.5%. Postoperative maximal flow rate and voided volume, flow time were decreased and postvoid residual urine volume was unchanged. (p=＜0.05, 0.01, 0.46, 0.04, respectively) Postoperative daytime frequency, nocturia were decreased but interval of voiding was increased. (p=＜0.05, ＜0.05, ＜0.05, respectively) Complications were 2 vaginal wall perforations and 1 vaginal erosion, 1 vaginitis, 1 de novo urgency.
Conclusion: Iris-TOT procedure has fewer complications and similar success rate than retropubic TVT procedure.
This procedure will need long-term follow-up and become standard method for stress urinary incontinence to reduce
complications of retropubic TVT procedure.
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KEYWORD
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Stress Urinary Incontinence, Transobturator Tape
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