Feasibility and safety of tension-free vaginal tape-obturator for female stress urinary incontinence under the daytime surgical mode based on the concept of enhanced recovery after surgery_West China Medical Journal

Authors：

ZHENG Zhibin ¹ , JI Xiang ¹ , LUAN Xiao ¹ , ZHENG Xiaoyu ¹ , YAO Jiapei ¹ , SHEN Jihong ² , KE Kunbin ² , GAO Zhenhua ² ,  ZHU Zhu ¹

1. Day Surgery Center, the First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650032, P. R. China;
2. The First Department of Urology, the First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650032, P. R. China;

Corresponding?author：

ZHU Zhu, Email: zhu_zhu@ydyy.cn

Keywords：

Female stress urinary incontinence; tension-free vaginal tape-obturator; daytime surgery; enhanced recovery after surgery

DOI：

10.7507/1002-0179.202311294

Video：

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Objective To explore the feasibility and safety of tension-free vaginal tape-obturator for female stress urinary incontinence under the daytime surgical mode based on the concept of enhanced recovery after surgery. Methods The clinical data of female patients with stress urinary incontinence at the First Affiliated Hospital of Kunming Medical University between June 2019 and June 2023 were retrospectively analyzed. According to the perioperative management mode of patients, they were divided into daytime surgery group and routine surgery group. The basic, intraoperative, and postoperative conditions of two groups of patients were compared. Results Finally, 183 patients were included, including 91 in the routine surgery group and 92 in the daytime surgery group. All patients successfully completed the surgery. There was no statistically significant difference in age, preoperative comorbidities, surgeon in chief, or operation duration between the two groups of patients (P>0.05). The preoperative waiting time after hospitalization [(0.00±0.00) vs. (2.42±0.58) d], hospitalization expenses [(13815.10±2906.01) vs. (18095.21±3586.67) yuan], total surgical expenses [(3961.36±707.35) vs. (4440.19±1016.31) yuan], anesthesia expenses [(718.53±61.06) vs. (755.30±74.65) yuan], western medicine expenses [(818.07±259.30) vs. (1282.14±460.75) yuan], total hospitalization duration [(1.11±0.31) vs. (5.77±1.30) d], and postoperative hospitalization duration [(1.11±0.31) vs. (3.35±1.42) d] in the daytime surgery group were lower than those in the routine surgery group (P<0.05). There was no significant difference between the two groups in postoperative complications (respiratory complications, fever, nausea and vomiting, vaginal bleeding, urinary retention, peritonitis), satisfaction, postoperative pain or self perception of symptom improvement (P>0.05). Conclusion The daytime surgery for female stress urinary incontinence based on the concept of enhanced recovery after surgery is safe and feasible, which can shorten hospitalization duration and reduce hospitalization costs.

Citation： ZHENG Zhibin, JI Xiang, LUAN Xiao, ZHENG Xiaoyu, YAO Jiapei, SHEN Jihong, KE Kunbin, GAO Zhenhua, ZHU Zhu. Feasibility and safety of tension-free vaginal tape-obturator for female stress urinary incontinence under the daytime surgical mode based on the concept of enhanced recovery after surgery. West China Medical Journal, 2024, 39(2): 208-212. doi: 10.7507/1002-0179.202311294 Copy

1.	趙冀, 周超, 鄧小凡, 等. 快速康復外科在膽總管結石患者圍手術期中的應用. 中國醫藥指南, 2015(18): 7-9.
2.	喻潔, 劉利芬, 王俊, 等. 女性壓力性尿失禁臨床治療新進展. 手術電子雜志, 2023, 10(4): 64-68.
3.	周曉峰, 應文偉, 鄧益森. 全面了解盆底康復及尿失禁. 中老年保健, 2019(9): 16-20.
4.	陳永華, 劉世康. 輸尿管軟鏡鈥激光碎石術與經皮腎鏡取石術治療輸尿管上段大結石的效果對比觀察. 中外醫學研究, 2019, 17(20): 148-149.
5.	王堅紅, 洪鑫燊. 補中益氣湯配合盆底生物反饋治療產后Ⅰ級壓力性尿失禁 37 例. 湖南中醫雜志, 2019, 35(3): 53-54.
6.	黃婉婧. 子宮切除術對盆底功能影響的研究進展. 臨床與病理雜志, 2019, 39(2): 429-435.
7.	曹玲玲, 朱鐵梅, 高紅菊. 產后盆底肌力篩查及相關因素分析. 山西醫藥雜志, 2017, 46(13): 1587-1589.
8.	鄭長才. 改良陰道部分封閉術治療老年女性盆底功能障礙的臨床效果研究. 蘭州: 蘭州大學, 2017.
9.	梁濤, 李作為, 谷寶軍, 等. TVT-A 在女性壓力性尿失禁患者中的應用分析. 中國婦幼健康研究, 2016: 416-417.
10.	廖利民, 付光. 尿失禁診斷治療學. 人民軍醫, 2016, 59(5): 535.
11.	崔巖. 電針結合金匱腎氣丸治療女性壓力性尿失禁療效觀察. 廣西中醫藥, 2015, 38(1): 43-44.
12.	張本紅. TVT-O 和 TVT-S 治療女性壓力性尿失禁的中遠期療效的 Meta 分析. 蘇州: 蘇州大學, 2014.
13.	龔江南, 申吉泓, 趙暉. 女性壓力性尿失禁 TOT 及 TVT-O 術式的對比研究. 醫藥前沿, 2012(25): 63-64.
14.	嵇靜. 盆底肌生物反饋電刺激治療女性壓力性尿失禁 80 例臨床研究. 中國藥物與臨床, 2013, 13(4): 499-501.
15.	劉素芬, 施如霞, 謝曄玲. 兩種懸吊術治療女性壓力性尿失禁療效比較. 中國實用婦科與產科雜志, 2011, 27(9): 58-61.
16.	古力米熱, 李晨, 張正彪, 等. 恥骨后膀胱頸懸吊術(Raz 術)和 TVT-O 術治療女性壓力性尿失禁的對比. 新疆醫學, 2011, 41(7): 11-13, 27.
17.	武曉. 無張力懸吊術治療壓力性尿失禁的圍手術期護理. 護士進修雜志, 2009, 24(9): 825-826.
18.	呂勝啟, 張杰. 老年性尿失禁. 世界臨床藥物, 2003, 24(11): 673-676.
19.	陳奎芳. 私密盆底康復技術在美業的臨床應用與推廣//中國保健協會. 第十九屆東南亞地區醫學美容學術大會論文集. 武漢: 中國保健協會, 2019: 19-24.
20.	蔡仙國, 李飛平. TVT-O 與 TVT-S 手術治療女性壓力性尿失禁的比較. 中國基層醫藥, 2011, 18(16): 2236-2237.

1. 趙冀, 周超, 鄧小凡, 等. 快速康復外科在膽總管結石患者圍手術期中的應用. 中國醫藥指南, 2015(18): 7-9.
2. 喻潔, 劉利芬, 王俊, 等. 女性壓力性尿失禁臨床治療新進展. 手術電子雜志, 2023, 10(4): 64-68.
3. 周曉峰, 應文偉, 鄧益森. 全面了解盆底康復及尿失禁. 中老年保健, 2019(9): 16-20.
4. 陳永華, 劉世康. 輸尿管軟鏡鈥激光碎石術與經皮腎鏡取石術治療輸尿管上段大結石的效果對比觀察. 中外醫學研究, 2019, 17(20): 148-149.
5. 王堅紅, 洪鑫燊. 補中益氣湯配合盆底生物反饋治療產后Ⅰ級壓力性尿失禁 37 例. 湖南中醫雜志, 2019, 35(3): 53-54.
6. 黃婉婧. 子宮切除術對盆底功能影響的研究進展. 臨床與病理雜志, 2019, 39(2): 429-435.
7. 曹玲玲, 朱鐵梅, 高紅菊. 產后盆底肌力篩查及相關因素分析. 山西醫藥雜志, 2017, 46(13): 1587-1589.
8. 鄭長才. 改良陰道部分封閉術治療老年女性盆底功能障礙的臨床效果研究. 蘭州: 蘭州大學, 2017.
9. 梁濤, 李作為, 谷寶軍, 等. TVT-A 在女性壓力性尿失禁患者中的應用分析. 中國婦幼健康研究, 2016: 416-417.
10. 廖利民, 付光. 尿失禁診斷治療學. 人民軍醫, 2016, 59(5): 535.
11. 崔巖. 電針結合金匱腎氣丸治療女性壓力性尿失禁療效觀察. 廣西中醫藥, 2015, 38(1): 43-44.
12. 張本紅. TVT-O 和 TVT-S 治療女性壓力性尿失禁的中遠期療效的 Meta 分析. 蘇州: 蘇州大學, 2014.
13. 龔江南, 申吉泓, 趙暉. 女性壓力性尿失禁 TOT 及 TVT-O 術式的對比研究. 醫藥前沿, 2012(25): 63-64.
14. 嵇靜. 盆底肌生物反饋電刺激治療女性壓力性尿失禁 80 例臨床研究. 中國藥物與臨床, 2013, 13(4): 499-501.
15. 劉素芬, 施如霞, 謝曄玲. 兩種懸吊術治療女性壓力性尿失禁療效比較. 中國實用婦科與產科雜志, 2011, 27(9): 58-61.
16. 古力米熱, 李晨, 張正彪, 等. 恥骨后膀胱頸懸吊術(Raz 術)和 TVT-O 術治療女性壓力性尿失禁的對比. 新疆醫學, 2011, 41(7): 11-13, 27.
17. 武曉. 無張力懸吊術治療壓力性尿失禁的圍手術期護理. 護士進修雜志, 2009, 24(9): 825-826.
18. 呂勝啟, 張杰. 老年性尿失禁. 世界臨床藥物, 2003, 24(11): 673-676.
19. 陳奎芳. 私密盆底康復技術在美業的臨床應用與推廣//中國保健協會. 第十九屆東南亞地區醫學美容學術大會論文集. 武漢: 中國保健協會, 2019: 19-24.
20. 蔡仙國, 李飛平. TVT-O 與 TVT-S 手術治療女性壓力性尿失禁的比較. 中國基層醫藥, 2011, 18(16): 2236-2237.

West China Medical Journal

Feasibility and safety of tension-free vaginal tape-obturator for female stress urinary incontinence under the daytime surgical mode based on the concept of enhanced recovery after surgery

Abstract Full text Figures/Tables Video References Cited by

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