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Title of Journal: Int Urogynecol J

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Abbravation: International Urogynecology Journal

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Springer-Verlag

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DOI

10.1007/s11839-007-0013-5

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1433-3023

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Effects of a modified technique for TVTO position

Authors: Giovanni A Tommaselli Carmen Formisano Costantino Di Carlo Annamaria Fabozzi Carmine Nappi
Publish Date: 2012/04/18
Volume: 23, Issue: 9, Pages: 1293-1299
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Abstract

One of the most frequent and distressing complications of the tensionfree vaginal tape obturator TVTO procedure for stress urinary incontinence SUI is groin pain which may be related to the surgical technique or to the tape The aim of this study was to evaluate the impact of a more limited dissection and a more medial trocar trajectory in TVTO positioning on postoperative painSeventytwo SUI patients were randomized to undergo TVTO either with the traditional technique group A or a modified procedure reduced paraurethral dissection and a more medial trocar trajectory group B Visual analog scale pain scores 12 h 24 h and 1 month after the procedure number of analgesic vials objective cure rate and patient functional and quality of life scores 6 months after the procedure were evaluated Data were analyzed by the Student’s t test for parametric variables the Mann–Whitney U and Wilcoxon tests for nonparametric variables and Fisher’s exact test for categorical variablesPain scores were significantly lower in group B compared with group A 24 h after surgery P = 001 Pain scores significantly decreased from 12–24 h postoperatively to 1 month followup in both groups P  0001 No significant differences were observed in the number of analgesic vials administered cure rates and questionnaire scores between the two groups

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