1FICOG, Professor President of OBG Department, AL-Elwiya Maternity Teaching Hospital, Baghdad, Iraq
2M.B. Ch. B, Ministry of Health, Baghdad, Iraq
3MBChB, CABCM Physician specialist in Community Medicine, Iraqi Minister of Health Office, Baghdad, Iraq
Online published on 23 December, 2019.
Stress urinary incontinence is the prevalent type of urinary incontinence among women. The Tension Free Vaginal Tape-transobturator (TVT-O) and anterior colporrhaphy with Kelly's plication procedures are the public surgical options by Gynecologists for treatment of stress urinary incontinence.
To evaluate the outcome of Tension Free Vaginal Tape-transobturator (TVT-O) surgical procedure in comparison to anterior colporrhaphy with Kelley's plication surgical procedure in treatment of stress urinary incontinence among adult women.
A comparative prospective interventional study conducted in a period of 11 months; Feb, 2016-Jan, 2017 on convenient sample of 20 women with stress urinary incontinence which categorized into two groups (Kelly's group: 10 women surgically operated with anterior colporrhaphy with Kelly's placation) and (TVT-O group: 10 women surgically operated with a Tension Free Vaginal Tape trans-obturator approach). The patients in both groups compared regarding to age, parity, severity of stress incontinence, presence of cystocele and its grade according to certain classifications and complications. The patients were followed up for six months.
There was a significantly higher cure rate for women underwent Tension Free Vaginal Tape-transobturator surgical operation than the cure rate of women underwent anterior colporrhraphy with kelly's plication after one month (P= 0.009) and after six months (P=0.005).
The outcome of trans-obturator tape procedure in treatment of stress urinary incontinence among women was better than outcome of anterior colporrhaphy with Kelly's plication after one and six months of follow up.
Stress urinary incontinence, Kelly's, TVT-O, anterior colporrhaphy, Iraq
