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Comparative Study
. 2010 Jun;21(6):645-9.
doi: 10.1007/s00192-009-1093-5. Epub 2010 Feb 6.

Surgical therapies of female stress urinary incontinence: experience in 228 cases

Jin-Yan Wu  1 , Hong-Chao He, Shan-Wen Chen, Xiao-Dong Jin, Yun-Xiao Zhou
Affiliations
Comparative Study

Surgical therapies of female stress urinary incontinence: experience in 228 cases

Jin-Yan Wu et al. Int Urogynecol J. 2010 Jun.

Abstract

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.

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