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A Comparative Study of Transvaginal Tape, Transobturator Tape Outside-in, and Transvaginal Tape-obturator Inside-out Surgical Procedures in the Treatment of Stress Urinary Incontinence

Meyer, Sylvain PhD; Achtari, Chahin MD

Journal of Pelvic Medicine and Surgery: May-June 2008 - Volume 14 - Issue 3 - p 173-177
doi: 10.1097/SPV.0b013e318176b8f3
Original Articles
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The aim of this work was to use the Urinary Distress Inventory (UDI-6) and Incontinence Impact Quality of Life (IIQ-7) questionnaires to compare 3 surgical techniques for stress urinary incontinence: the transvaginal tape (TVT) (105 women), the transobturator tape outside-in (TOT) (43 women), and the transvaginal tape-obturator inside-out (TVT-O) (54 women). There were no significant differences in frequent urination, urine leakage related to the feeling of urgency, urine leakage related to physical activity, or small amounts of urine leakage. TVT-operated women had a lower percentage of micturition difficulties compared with TOT women. TVT-O–operated women described slight discomfort in the genital area compared with the TVT technique, but this difference was not significant when compared with the TOT technique. When utilizing the UDI-6 and IIQ-7 scoring modifications before and after surgery, no difference among these 3 techniques is apparent.

The Urinary Distress Inventory and Incontinence Impact Quality of Life Questionnaires were used to compare 3 surgical techniques for stress urinary incontinence.

From the Urogynecology Unit, Gynecology & Obstetrics Dept, CHUV, Lausanne, Switzerland.

Reprints: Professor Sylvain Meyer, PhD, Urogynecology Unit, Gynecology & Obstetrics Department, CHUV, Route du Bugnon 46, 1011 Lausanne, Switzerland. E-mail: sylvain.meyer@chuv.ch.

© 2008 Lippincott Williams & Wilkins, Inc.