Clinical Outcome of TVT-O and A-JUST Surgery in Treatment of SUI
FENG Qing-xing,LI Qian,CAO Quan-fu
Department of Urology, the Third Af?liated Hospital of Third Medical University, Chongqing 400042, China
Abstract:
Objective To investigate the clinical ef?cacy of TVT-O and A-JUST in the treatment of female stress urinary incontinence (SUI), and to provide reference for the choice of clinical surgical procedures for female SUI. Methods A total of 157 female patients diagnosed with SUI in our hospital from May 2014 to December 2016 were randomly divided into two groups: TVT-O group (80 cases) and A-JUST group (77 cases). Statistical analysis of general data, surgical outcomes, postoperative quality of life, and complications were performed for both groups of patients. Results There was no signi?cant difference in the operation time and intraoperative blood loss between the two groups (P>0.05). Compared with the TVT-O group, the hospital stays and indwelling catheter time were shorter, and the incidence of postoperative pain in the inner thighs in the A-JUST group was significantly lower (P<0.05). The postoperative I-QOL scores of both groups were gradually increased, but there was no statistically significant difference (P>0.05). There was no significant difference in the cure rate and improvement rate after surgery between the two groups (P>0.05). The long-term complications in the two groups were dysuria, leakage of urine, and urinary retention, but the incidence was not statistically different (P>0.05). Conclusion Both A-JUST and TVT-O have significant clinical effects on female SUI. A-JUST surgery has the advantages of shorter hospital stay, shorter indwelling catheter time, and less postoperative pain in the inner thighs, which is worthy of clinical promotion.
