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Does the degree of experience for the tension-free vaginal tape procedure influence the results of the suprapubic arc sling procedure during the learning phase?

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Abstract

Aim

The object was to evaluate whether the degree of experience for the tension-free vaginal tape (TVT) procedures influenced the early results of the suprapubic arc (SPARC) sling procedure.

Materials and methods

We performed the TVT from March 1999 to May 2003 and SPARC from June to April 2004 by experienced surgeon (A) and inexperienced surgeon (B), respectively. Patients were divided as four subgroups: first 50 patients who underwent the TVT by surgeon A (TVT A); first 15 patients who underwent the TVT by surgeon B (TVT B); first 50 patients who underwent the SPARC by surgeon A (SPARC A); first 15 patients who underwent the SPARC by surgeon B (SPARC B).

Results

Bladder perforations were noted in 4 (8.5%) in the TVT A group and 2 (13.3%) in the TVT B group, respectively (P = 0.626). There was no bladder perforation occurred in the SPARC A and B groups. The rates of transient postoperative urinary retention were 6.4% in the TVT A group and 0.0% in the TVT B group, respectively (P = 1.000). No retention occurred in the SPARC A and B groups. Stress urinary incontinence was cured by 89.4% in the TVT A group and 80.0% in the TVT B group, respectively (P = 0.388). Similar success rates were found in the SPARC A (85.4%) and SPARC B (92.3%) group (P = 1.000).

Conclusion

Our findings suggest that the degree of experience for the TVT procedure does not influence the results of the SPARC procedure during the learning phase.

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Authors and Affiliations

  1. Department of Urology, Seoul National University College of Medicine, Seoul, Korea

    Jae-Seung Paick, ** Gyu Oh, Jae Wook Shin & Soo Woong Kim

  2. Department of Urology, Seoul Veterans Hospital, 6-2, Doonchon Dong, Kangdong Ku, Seoul, 134-791, Korea

    Ja Hyeon Ku

Authors
  1. Jae-Seung Paick
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  2. ** Gyu Oh
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  3. Jae Wook Shin
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  4. Soo Woong Kim
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  5. Ja Hyeon Ku
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Correspondence to Ja Hyeon Ku.

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Paick, JS., Oh, J.G., Shin, J.W. et al. Does the degree of experience for the tension-free vaginal tape procedure influence the results of the suprapubic arc sling procedure during the learning phase?. Int Urol Nephrol 39, 1079–1084 (2007). https://doi.org/10.1007/s11255-006-9156-8

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  • DOI: https://doi.org/10.1007/s11255-006-9156-8

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