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Erschienen in:
01.06.2010 | Original Article
Surgical therapies of female stress urinary incontinence: experience in 228 cases
Erschienen in: International Urogynecology Journal | Ausgabe 6/2010
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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.