| Stress urinary incontinence (SUI) is overflow of urine spontaneous usually, andurine is over flow from the urethra without self-control when abdominal pressure(such as sneezing, coughing, etc.) is increased,SUI is a one kind disease of femalepelvic floor dysfunction. The rate of this disease is high, the domestic statistics showthe prevalence rate of urinary incontinence in postmenopausal women reaches50%,which accounted for59.6%SUI. SUI although is not threaten the patient’s life, but theclinical manifestation of this disease is irregular and the smell seriously affected thequality of life to survive. The disease is essentially anatomical structures, drugtreatment alone can not solve the problem. Petro and Ulsten put forward the integraltheory of pelvic floor disorders.According to this view of the principle of theinternational community in recent years, many applications polypropylene syntheticchemical materials were used to reconstructive pelvic surgery. With the using ofimplantable patch treatment of uterine prolapse, vaginal wall prolapse surgeryprogressed smoothly, the same material sling for treatment of stress urinaryincontinence also rised and was developing.The goal of surgery is to reduce thefrequency incontinent episodes per day, or reduce the extent of leakage of urine, inorder to achieve the purpose of fully controllable. In recent years, as Obstetrics and Gynecology academic emphasis on the treatment of pelvic floor disorders in China,the use of sling surgical treatment of stress urinary incontinence and graduallydeveloped to be recognized, TVT-O is the most common surgical procedure to treatSUI. surgical research and clinical studies on the mechanism of surgical treatment ismuch, but the quality of life of patients after the case studies is little. This study is toinvestigate cure rate of TVT-O in patients after surgery and quality of life and qualityof life improved or not, the analysis concluded that with the current clinical situation,to find a better therapeutic method for the treat of SUI; so that can discover surgerycomplications timely and make clinical precaution after surgery.ObjectiveIt is to investigate the TVT-O surgery clinical efficacy and quality of life andsexual life quality improved or not.Materials and MethodsJanuary2010to April2012at the Third Affiliated Hospital of ZhengzhouUniversity, TVT-O line treatment of SUI patients,50patients were randomly selectedas the TVT-O surgery group. While another50patients with SUI who was treatedwith traditional anterior vaginal repair surgery in our hospital were randomly selectedas conventional surgery group. This study statistics of the date of the two groups,such as the date of patients age, the date weight, the amount of bleeding in the surgery,et al, as the general situation; postoperative follow-up to cure the situation; twogroups of patients get scores of PFDI-20, IIQ-7, PFIQ-7, PISQ-12questionnaire forbefore surgery and3months after surgery,6months after surgery,1year after aftersurgery; of all relevant data is used for statistical analysis.A P-value <0.05wasconsidered statistically significant.Results1.The statistical analysis result of the cure rate of the two groups in patients is2=6.32, P=0.013difference was statistically significant. TVT-O surgical curerate is higher than the conventional surgery group, there is significant difference (P<0.05)2. Two groups of patients before surgery quality of life score PFDI-20, PFIQ-7,PISQ-12statistical analysis results are as follows t=1.43, P=0.687; t=1.27, P=0.886; t=1.34, P=0.743; difference not statistically significant (see Table3.5).Preoperative quality of life and sexual life quality of patients affected by two groupsof diseases affecting the degree of consistency.3. Two groups of patients PFDI-20, PFIQ-7at different stages are compared withpreoperative, postoperative scores for each stage is lower, in another word after onemonth, three months, six months, one year that patients get score decreased, therelative quality of life is improved, the differences are statistically significant (P <0.05).TVT-O surgery group after a month, after three months PFDI-20, PFIQ-7ratingscore is lower than the preoperative value, the relative quality of life improved, thedifference is statistically significant (P <0.05); postoperative6months and3monthspostoperatively PFDI-20, PFIQ-7scores, scoring no significant changes in quality oflife after3to6months of stability, the difference is not statistically significant (P>0.05).4.TVT-O operation group get PISQ-12rating, after6months the group get60.1619.23points compared to60.1817.25points which is the score of sexuallife of TVT-O operation group preoperative, the sexual life is no significant changeafter6months, the difference is not statistically significant (P>0.05),quality of thesexual life after3to6months to reach the preoperative level; after1year the score is89.9613.12points and6months after surgery the score is60.1619.23points,after1year the score is higher,The quality of sexual life improved, the difference isstatistically significance (P <0.05).5. Two groups of patients after1year PFDI-20, PFIQ-7, PISQ-12score ofstatistical analysis as t=2.35, P=0.041; t=3.61, P=0.038; t=2.74, P=0.029;their differences were statistically significant (P <0.05), indicating that1year aftersurgery TVT-O group is relatively higher degree of improvement over traditionalsurgery group quality of life and sexual life quality. Conclusion1. The cure rate TVT-O is higher than the traditional surgery;There are fewcomplications which are low rate in the patient postoperative, but long-term effectremains to be seen.2. This study suggests the TVT-O surgery in patients achieve stable effect3months to6months after surgery. Sexual quality of life is improved1yearpostoperative. |
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