Clinical Outcome of Tension-free Transobturator Suburethral Tape (inside-out TVT-O) Procedure for the Treatment of Stress Urinary Incontinence: The Two Years Follow-up

ABSTRACT

PURPOSE: To evaluate the clinical outcome, patient's satisfaction and complications of inside-out tension-free transobturator suburethral tape (inside-out TVT-O) procedure for the surgical treatment of female stress urinary incontinence during the follow-up 2 years. MATERIALS AND METHODS: From August 2004 to August 2006, 86 women with stress urinary incontinence underwent inside-out TVT-O procedures. We analyzed parameters incuding history taking, physical examination and urodynamic study. Postoperative clinical outcome, patient's satisfaction, complications and success rates for Stamey grade were evaluated after 12 months and 24 months. RESULTS: The success rates were 97.6% (cured 90.7%, improved 6.9%) and 97.6% (cured 88%, improved 9.6%) at 1 and 2 years follow-up. The satisfaction rates were 95.2% at 1 year and 91.6% at 2 years. There was no significant difference of success rate between pure stress urinary incontinence and mixed urinary incontinence (p>0.05). There were no serious or long-term complications related to the procedure. CONCLUSIONS: We considered that inside-out TVT-O procedure was a safe and effective procedure for female stress urinary incontinence for 2 years, although longer follow-up is necessary to determine long-term effect.