Outcomes of Free-Tension Transobturator Tape (TOT) Surgery under Local Anesthesia versus General Anesthesia for Female Stress Incontinent Treatment

다국어 초록 (Multilingual Abstract)

We evaluate our experience with Transobturator Tape (TOT) surgery under local and general anesthesia for treating female stress incontinence. Totally 31 women with genuine urinary incontinent were selected in this study. They were scheduled for TOT surgery under local anesthesia or general anesthesia. The study protocol involved recording of preoperative and perioperative details and postoperative evaluation. Fifteen patients were included in local group and sixteen remainders in the general group. 100% of stress urinary incontinent symptom was cured. The cure rate of urge symptom was 80% vs. 50% for local group vs. general group, respectively, at both short-term and long-term follow-up. There was no significant difference in mean operating room and surgical time. But a statistically significant difference in mean of recovery room time, hospital stays and hospital cost was recorded (p <0.005). We concluded that TOT insertion is a best indication for correcting urinary stress incontinence in women. It can be performed effectively under both local and general anesthesia. Local anesthesia with sedation has advantage only in regarding to recovery time and total hospital cost, but much disadvantage in term of early and late postoperative complications.

목차 (Table of Contents)

• ABSTRACT
• INTRODUCTION
• MATERIALS AND METHODS
• 1. Participants in the study
• 2. Pre-operative evaluation
• 3. Intra-operative evaluation
• 4. Post-operative evaluation
• RESULTS
• DISCUSSION
• CONCLUSION
• REFERENCES

참고문헌 (Reference)

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