Abstract
Introduction and hypothesis
The objective of this study is to compare the efficacy and safety of tension-free vaginal tape (TVT) with Marshall–Marchetti–Krantz (MMK) procedure in stress urinary incontinence (SUI) treatment.
Methods
Two hundred twenty-eight patients were enrolled in this study. TVT procedure was performed in 105 cases, MMK procedure was performed in 81 cases, Chi-square test was used, and P < 0.01 was considered statistically significant.
Results
The short-term success rate was about 89% in MMK group. However, the success rate fell to 68.2% at 5 years and 32% at 10 years. The short-term cure rate of TVT procedure was about 90.0%, and the 5-year cure rate was 84.3%.
Conclusions
The short-term cure rate in both groups was similar, but the long-term success rate of the MMK procedure decreased sharply with time. The TVT technique provides long-term cure rates of over 84% with minimal complications. Patients who underwent TVT experienced shorter operation time, less blood loss, and less hospital stay.
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Abbreviations
- FUL:
-
Functional urethral length
- MMK procedure:
-
Marshall–Marchetti–Krantz procedure
- Qmax:
-
Maximal urinary flow rate
- MUCP:
-
Maximal urethral closure pressure
- SUI:
-
Stress urinary incontinence
- TVT:
-
Tension-free vaginal tape
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Acknowledgement
The authors thank Professor Zhou-jun Shen for providing technical assistance.
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**-Yan Wu and Hong-Chao He are co-first authors.
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Wu, JY., He, HC., Chen, SW. et al. Surgical therapies of female stress urinary incontinence: experience in 228 cases. Int Urogynecol J 21, 645–649 (2010). https://doi.org/10.1007/s00192-009-1093-5
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DOI: https://doi.org/10.1007/s00192-009-1093-5