caa a22 4500 445309636 CHVBK 20180317142625.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00404-011-1871-4 doi (NATIONALLICENCE)springer-10.1007/s00404-011-1871-4 A modified inexpensive transobturator vaginal tape inside-out procedure versus tension-free vaginal tape for the treatment of SUI: a prospective comparative study [Elektronische Daten] [Xinliang Chen, Xiaowen Tong, Min Jiang, Huaifang Li, Jin Qiu, Lingyun Shao, Xiang Yang] Purpose: To prospectively compare, in terms of efficacy and safety, the tension-free vaginal tape (TVT) and our modified transobturator vaginal tape inside-out (TVT-O) procedure with self-tailored monofilament macroporous polypropylene mesh for stress urinary incontinence (SUI). Methods: A total of 150 women with SUI were assigned to modified TVT-O (n=95) and TVT (n=55), respectively, the surgical outcomes compared 1year later. A cough stress test was applied to the objective outcomes, while urinary incontinence specific quality of life (IQoL) questionnaire, to the subjective outcomes. Results: The objective success rates defined as a negative stress test were found to be 95% in the TVT group and 96% in the modified TVT-O group, respectively. No significant difference was found between these two groups in the cure, improvement and failure rates (all P>0.05), with significant improvement in quality of life (QoL) and no significant difference in patient satisfaction rates in two groups. In the TVT group were found three cases of bladder injuries. In the modified TVT-O group, operative duration, blood loss and medical cost were significantly reduced compared with those in the TVT one (P<0.01). Conclusions: In the study, the modified TVT-O procedure could be defined to be quicker, more economic with fewer bladder complications than the TVT approach while both were found to be manually simple and clinically mini-invasive with similar efficacy. Springer-Verlag, 2011 Mesh nationallicence Stress urinary incontinence nationallicence Surgical procedures nationallicence Suburethral slings nationallicence Women nationallicence Chen Xinliang International Peace Maternity and Child Health Hospital, Shanghai Jiaotong University, 200030, Shanghai, China aut Tong Xiaowen Department of Obstetrics and Gynecology, Tongji Hospital of Tongji University, 389 Xincun Rd, 200065, Shanghai, China aut Jiang Min Shanghai Center for Clinical Laboratory, 528 Hongshan Rd, Shanghai, China aut Li Huaifang Department of Obstetrics and Gynecology, Tongji Hospital of Tongji University, 389 Xincun Rd, 200065, Shanghai, China aut Qiu Jin 10th people hospital of Tongji University, 301 Yanchang Rd, Shanghai, China aut Shao Lingyun Shanghai East Hospital, 150 Jimo Rd, Shanghai, China aut Yang Xiang Department of Obstetrics and Gynecology, Tongji Hospital of Tongji University, 389 Xincun Rd, 200065, Shanghai, China aut Archives of Gynecology and Obstetrics Springer-Verlag 284/6(2011-12-01), 1461-1466 0932-0067 284:6<1461 2011 284 404 https://doi.org/10.1007/s00404-011-1871-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-011-1871-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chen Xinliang International Peace Maternity and Child Health Hospital, Shanghai Jiaotong University, 200030, Shanghai, China aut NATIONALLICENCE 700 1- Tong Xiaowen Department of Obstetrics and Gynecology, Tongji Hospital of Tongji University, 389 Xincun Rd, 200065, Shanghai, China aut NATIONALLICENCE 700 1- Jiang Min Shanghai Center for Clinical Laboratory, 528 Hongshan Rd, Shanghai, China aut NATIONALLICENCE 700 1- Li Huaifang Department of Obstetrics and Gynecology, Tongji Hospital of Tongji University, 389 Xincun Rd, 200065, Shanghai, China aut NATIONALLICENCE 700 1- Qiu Jin 10th people hospital of Tongji University, 301 Yanchang Rd, Shanghai, China aut NATIONALLICENCE 700 1- Shao Lingyun Shanghai East Hospital, 150 Jimo Rd, Shanghai, China aut NATIONALLICENCE 700 1- Yang Xiang Department of Obstetrics and Gynecology, Tongji Hospital of Tongji University, 389 Xincun Rd, 200065, Shanghai, China aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/6(2011-12-01), 1461-1466 0932-0067 284:6<1461 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer