Abdülmüttalip ŞİMŞEK, Faruk ÖZGÖR, Mesut ÇİLLİ, Burak ARSLAN, Baran ANTAR, Bahar YÜKSEL, Osman KÖSE, Şaban MİMAROĞLU, Şinasi Yavuz ÖNAL

Kadın stres üriner inkontinansında TVT ve TOT yöntemlerinin etkinliğinin ve güvenilirliğinin karşılaştırılması

Amaç: Kadın stres üriner inkontinans olgularının tedavisinde kullanılan transobturator tape TOT ve tension free vajinal tape TVT operasyonlarının başarısını, komplikasyonlarını ve yaşam kalitesi üzerine etkilerini karşılaştırmak. Gereç ve Yöntem: Nisan 2007-Temmuz 2010 tarihleri arasında stres üriner inkontinans saptanan 162 hasta çalışmaya dahil edildi. Tüm hastalardan detaylı anamnez alındı ve fizik muayene, stres testi, Q tip test ve üriner ultrasonografi yapıldı. İnkontinans ve hayat kalitesi anketleri [Incontinence impact questionnaire IIQ-7 ve Urinary distres inventory UDI-6 ] dolduruldu. Çalışmaya alınan hastaların 75 tanesine TVT yöntemi ve 87 tanesine TOT yöntemi uygulandı. Ameliyatlardan ortalama 12 ay sonra stres testi, Q tip test, üriner ultrasonografi, inkontinans ve hayat kalitesi anketleri yapılarak operasyon öncesi değerlerler karşılaştırıldı. Bulgular: Tüm hastalar genel anestezi ve/ veya spinal anestezi altında opere edildi. İki grubun demografik veriler arasında fark yoktu. TOT grubunda operasyon süresi 15,3±4,2 dakika ve TVT grubunda ise 24,3±8,6 dakika tespit edildi ve istatistiksel olarak TOT grubunda operasyon süresi daha kısaydı p

Comparison of effectiveness and safety of TVT and TOT procedures in the treatment of female stress urinary incontinence

Objective: To compare the success, complications and effects on life quality of transobturator tape TOT and tension free vaginal tape TVT procedures for female stress urinary incontinence. Materials and Methods: Between April 2007 and July 2010, 162 patients who diagnosed stress urinary incontinence were enrolled into study. All patients’ preoperative urological histories were taken, physical examination, stress test, Q tip test, urinary ultrasonography, incontinence and quality of life questionnairies [Incontinence impact questionnaire IIQ-7 and Urinary distres inventory UDI-6 ] were performed. Transobturator route was used in 87 patients and retropubic procedures were performed in 75 patients. Stress test, Q tip test, urinary ultrasonography, incontinence and quality of life questionnairies IIQ-7 and UDI-6 were repeated at 12 months after surgery and were compared with preoperative parameters. Results: All patients were operated under general and spinal anesthesia. There was no difference between the two groups in demographic data. The mean operation time of TOT group 15.3±4.2 minutes was significantly shorter than TVT group 24.3±8.6 minutes p

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