SciELO - Scientific Electronic Library Online

vol.60 issue9Urodinamic test with self reduction of the cystocele in the diagnosis of lower urinary tract obstructionMultifilament polypropylene mesh with exteriorization of the silicone anchorage to the vagina author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Archivos Españoles de Urología (Ed. impresa)

Print version ISSN 0004-0614


MORA HERVAS, Irene; AMAT TARDIU, Lluís; MARTINEZ FRANCO, Eva  and  LAILLA VICENS, Josep María. Analysis of the efficacy and complications of the surgical treatment of stress urinary incontinence: retropubic and transobturator TVTTM. Our experience. Arch. Esp. Urol. [online]. 2007, vol.60, n.9, pp.1091-1098. ISSN 0004-0614.

Objectives: To evaluate the differences in results and complications between retropubic and obturator TVT. Methods: Descriptive prospective study including 245 patients who underwent retropubic TVT and 90 obturator TVT, after the diagnosis of stress urinary incontinence by means of clinical history, physical examination and urodynamic tests. Continence outcomes and Intraoperative/post operative complications were recorded. Results: There were intraoperative complications in 12.65% of the retropubic TVT and 1.11% of the obturator TVT (p = 0.002). Immediate post operative complications appeared in 24.5% of the retropubic TVTs and 12 .2% of the obturator TVTs: severe anemia (0.4 vs. 1.1%), inguinal pain (1.2 vs. 4.4%), hematoma (1.6 vs. 0%), urinary tract infection (12.2 vs. 4.4%), and acute urinary retention (8.9 vs. 2.2%) (p = 0.018). Complications during follow-up: partial exteriorization of the mesh (0.81 vs. 1.11%) and de novo urgency incontinence (9.38 vs. 4.44%) (p = 0.031). Post operative results were similar for both groups: 90.2% vs. 91.1% cured (p = 0.046), improvement in 8.2% vs. 6.7% (p = 0.18) and failure in 1.6% vs. 2.2% (p = 0.57). Conclusions: The obturator TVT seems to be preferable to retropubic TVT because it offers a lower complications rate without differences in post operative results in the short-term.

Keywords : Stress urinary incontinence; Tensions free vaginal tapes; Retropubic approach; Transobturator approach; Complications; Results.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License