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    Comparison of TVT and TVT-O in patients with stress urinary incontinence: short-term cure rates and factors influencing the outcome. A prospective randomised study
    (Wiley, 2009) Karateke, Ateş; Haliloğlu, Berna; Cam, Çetin; Sakallı, Mustafa
    Background: Recently, mid?urethral slings have been commonly used in treatment of patients with stress urinary incontinence (SUI). Aims: To investigate tension?free vaginal tape (TVT) and tension?free obturator tape (TVT?O) for surgical treatment of SUI for cure rates (primary endpoint), complications and factors influencing cure rate (secondary endpoints). Methods: One?hundred and sixty?four patients were included in the study (n = 81 for TVT, n = 83 for TVT?O). The cure rates, complications, preoperative and postoperative urodynamic evaluation, Q?tip test, the Turkish version of Incontinence Impact Questionnaire (IIQ?7) and Urogenital Distress Inventory (UDI?6) scores were recorded. At three and 12 months, the patients were evaluated regarding outcome measures. Results: The cure rates were similar in TVT and TVT?O groups, 88.9% versus 86.7% respectively. Mean operative time was significantly shorter in TVT?O group (P = 0.001). The cure rate was significantly higher in both groups in patients with urethral hypermobility when compared with those with no hypermobility (P = 0.001). Conclusions: The TVT and TVT?O procedures appear to be equally effective for the treatment of SUI. Also, urethral hypermobility seems to be a factor influencing cure rate of mid?urethral slings.
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    The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up
    (Springer Nature, 2009) Haliloğlu, Berna; Karateke, Ateş; Çoksuer, Hakan; Peker, Hakan; Cam, Çetin
    Introduction and hypothesis The aim of this study is to investigate the effect of intrinsic sphincter deficiency (ISD) and urethral hypermobility on the outcome of the transobturator tape (TOT). Methods Sixty-five women were divided into three groups: group I, ISD with hypermobile urethra (n=18); group II, ISD with fixed urethra (n=16); and group III, hypermobile urethra without ISD (n=31). Cure of stress urinary incontinence was defined if the patient had negative cough stress test. Cure and improvement rates were compared at 6, 12, and 24 months. Results The cure and improvement rates of groups I and III were similar at 6, 12, and 24 months (96.1% vs 96.6%, 96.1% vs 96.6%, and 87.5 vs %96.4%, respectively). Group II had the lowest cure and improvement rates (68.7%, 66.7%, and 66.7%, respectively). Conclusion A lack of urethral hypermobility may be a risk factor for TOT failure.