Prospective comparison of the 'inside - Out' and 'outside - In' transobturator-tape procedures for the treatment of female stress urinary incontinence

Kyu Sung Lee; Myung Soo Choo; Young Sook Lee; Ji Yeon Han; Ji Yoon Kim; Byung Joo Jung; Deok Hyun Han

doi:10.1007/s00192-007-0487-5

Prospective comparison of the 'inside - Out' and 'outside - In' transobturator-tape procedures for the treatment of female stress urinary incontinence

Kyu Sung Lee, Myung Soo Choo, Young Sook Lee, Ji Yeon Han, Ji Yoon Kim, Byung Joo Jung, Deok Hyun Han

Department of Urology

Research output: Contribution to journal › Article › peer-review

65 Scopus citations

Abstract

The aim of this study was to prospectively compare the efficacy and safety of 'inside - out' (TVT-O) and 'outside-in' (TOT) transobturator tape procedures for treatment of female stress urinary incontinence (SUI). One hundred women with SUI were alternately assigned to TVT-O (n = 50) or TOT (n = 50). About 1 year after surgery, we compared surgical outcomes in the two groups. TVT-O and TOT showed similar rates of cure (86 vs 92%). Approximately 1 year after surgery, Incontinence Quality of Life questionnaire parameters improved significantly in both groups (p<0.05), but the two groups did not differ (p >0.05). The rates of patient satisfaction with TVT-O and TOT (96 vs 98%) were similar. These preliminary results suggest that TVT-O and TOT are equally effective and safe procedures for women with SUI. However, this study was unable to identify a difference between the two procedures due to the underpowered nature of the study.

Original language	English
Pages (from-to)	577-582
Number of pages	6
Journal	International Urogynecology Journal
Volume	19
Issue number	4
DOIs	https://doi.org/10.1007/s00192-007-0487-5
State	Published - Apr 2008

Keywords

Prostheses and implants
Quality of life
Stress urinary incontinence
Tension-free vaginal tape

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title = "Prospective comparison of the 'inside - Out' and 'outside - In' transobturator-tape procedures for the treatment of female stress urinary incontinence",

abstract = "The aim of this study was to prospectively compare the efficacy and safety of 'inside - out' (TVT-O) and 'outside-in' (TOT) transobturator tape procedures for treatment of female stress urinary incontinence (SUI). One hundred women with SUI were alternately assigned to TVT-O (n = 50) or TOT (n = 50). About 1 year after surgery, we compared surgical outcomes in the two groups. TVT-O and TOT showed similar rates of cure (86 vs 92\%). Approximately 1 year after surgery, Incontinence Quality of Life questionnaire parameters improved significantly in both groups (p<0.05), but the two groups did not differ (p >0.05). The rates of patient satisfaction with TVT-O and TOT (96 vs 98\%) were similar. These preliminary results suggest that TVT-O and TOT are equally effective and safe procedures for women with SUI. However, this study was unable to identify a difference between the two procedures due to the underpowered nature of the study.",

keywords = "Prostheses and implants, Quality of life, Stress urinary incontinence, Tension-free vaginal tape",

author = "Lee, \{Kyu Sung\} and Choo, \{Myung Soo\} and Lee, \{Young Sook\} and Han, \{Ji Yeon\} and Kim, \{Ji Yoon\} and Jung, \{Byung Joo\} and Han, \{Deok Hyun\}",

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doi = "10.1007/s00192-007-0487-5",

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AU - Lee, Kyu Sung

AU - Choo, Myung Soo

AU - Lee, Young Sook

AU - Han, Ji Yeon

AU - Kim, Ji Yoon

AU - Jung, Byung Joo

AU - Han, Deok Hyun

PY - 2008/4

Y1 - 2008/4

N2 - The aim of this study was to prospectively compare the efficacy and safety of 'inside - out' (TVT-O) and 'outside-in' (TOT) transobturator tape procedures for treatment of female stress urinary incontinence (SUI). One hundred women with SUI were alternately assigned to TVT-O (n = 50) or TOT (n = 50). About 1 year after surgery, we compared surgical outcomes in the two groups. TVT-O and TOT showed similar rates of cure (86 vs 92%). Approximately 1 year after surgery, Incontinence Quality of Life questionnaire parameters improved significantly in both groups (p<0.05), but the two groups did not differ (p >0.05). The rates of patient satisfaction with TVT-O and TOT (96 vs 98%) were similar. These preliminary results suggest that TVT-O and TOT are equally effective and safe procedures for women with SUI. However, this study was unable to identify a difference between the two procedures due to the underpowered nature of the study.

AB - The aim of this study was to prospectively compare the efficacy and safety of 'inside - out' (TVT-O) and 'outside-in' (TOT) transobturator tape procedures for treatment of female stress urinary incontinence (SUI). One hundred women with SUI were alternately assigned to TVT-O (n = 50) or TOT (n = 50). About 1 year after surgery, we compared surgical outcomes in the two groups. TVT-O and TOT showed similar rates of cure (86 vs 92%). Approximately 1 year after surgery, Incontinence Quality of Life questionnaire parameters improved significantly in both groups (p<0.05), but the two groups did not differ (p >0.05). The rates of patient satisfaction with TVT-O and TOT (96 vs 98%) were similar. These preliminary results suggest that TVT-O and TOT are equally effective and safe procedures for women with SUI. However, this study was unable to identify a difference between the two procedures due to the underpowered nature of the study.

KW - Prostheses and implants

KW - Quality of life

KW - Stress urinary incontinence

KW - Tension-free vaginal tape

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SN - 0937-3462

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JO - International Urogynecology Journal

JF - International Urogynecology Journal

IS - 4

ER -

Prospective comparison of the 'inside - Out' and 'outside - In' transobturator-tape procedures for the treatment of female stress urinary incontinence

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Keywords

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