KẾT QUẢ ĐIỀU TRỊ SÓN TIỂU GẮNG SỨC Ở PHỤ NỮ BẰNG PHẪU THUẬT TOT (TRANS OBTURATOR TAPE) TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

Objectives: To describe characteristics of female stress urinary incontinence  and results of surgical treatment by TOT method at the National Hospital of Obstetrics and Gynecology in two year 2021-2023. Methods: This is a descriptive study among 69 patients was performed at the hospital from January 2021 to December 2023 Results: Mean age was 53,89 ± 8,32 years. The average number of births was 2.63 ± 0.96. The average stress urinary incontinence time was 5.72 ± 5.88 years. Female menopause were 39 patients(56,52%), mean menopause time was 7.82 ± 0.96 years. Mean BMI was 23.18 ± 28.97. There were 8 patients prolapsus level I and II (11,59%). 4 patients hysterectomies. The average of SUI level I was 14,49%, level II 21,74% and level III 63,77%. Spinal anesthesia was 100 %. Mean surgery time was about 38,82 ± 14,67 minuts. Hospital stay duration were 4,64 ± 1,14 days. Result 72,46% of women were cured, 24,64% showed an improvement, 2,90% who had TOT procedures did not show any change. The average of intraoperative and early post-operative complications was 8,69%: Urinary bladder perforation occurred in 1 patients, 2 case groin pain, 1 case urinal retention, 1 case haematomas. The later complication were 2 cases vaginal extrusion of mesh, 11cases had painful intercourses, 2 cases urgency de novo. Conclusion: Surgical treatment by TOT is an effective method among female stress urinary incontinence, the surgical-related complications were rare.