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Prospective comparison of the ‘inside–out’ and ‘outside–in’ transobturator-tape procedures for the treatment of female stress urinary incontinence

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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.

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Authors and Affiliations

  1. Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea

    Kyu-Sung Lee, Young Sook Lee, Byung Joo Jung & Deok Hyun Han

  2. Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap-dong, Songpa-gu, Seoul, 138-736, South Korea

    Myung-Soo Choo, Ji-Yeon Han & Ji-Yoon Kim

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  1. Kyu-Sung Lee
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  2. Myung-Soo Choo
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  3. Young Sook Lee
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  4. Ji-Yeon Han
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  5. Ji-Yoon Kim
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  6. Byung Joo Jung
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  7. Deok Hyun Han
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Correspondence to Myung-Soo Choo.

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Lee, KS., Choo, MS., Lee, Y.S. et al. Prospective comparison of the ‘inside–out’ and ‘outside–in’ transobturator-tape procedures for the treatment of female stress urinary incontinence. Int Urogynecol J 19, 577–582 (2008). https://doi.org/10.1007/s00192-007-0487-5

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  • DOI: https://doi.org/10.1007/s00192-007-0487-5

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