TVT or TVT-O? | 合法醫療器材資訊網

由JElers著作—TheauthorswouldrecommendTVTinsteadofTVT-OasfirstlineoperationinpatientswhoneedsurgeryforSUI.Keywords:Meta-Analysis;Mid-urethralslings;​ ...

Objectives: To compare the efficacy, complications and re-operations after bottom-up tension-free vaginal tape (TVT) and inside-out tension-free vaginal tape - obturator (TVT-O) in the treatment of stress urinary incontinence (SUI) in adult women.

Study design: A systematic literature search and review was performed limited to randomized controlled trials. We searched Medline, Embase, Cochrane Library, Cinahl, Guideline International network (GIN), Trip Database and NICE (UK). The certainty in the estimates of the included outcomes was rated using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) method.

Results and conclusions: We included 22 randomized controlled trials. The overall certainty in the evidence was moderate across all outcomes. TVT and TVT-O significantly improved the incontinence regarding number of incontinence episodes, subjective pat...