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.	赵冀, 周超, 邓小凡, 等. 快速康复外科在胆总管结石患者围手术期中的应用. 中国医药指南, 2015(18): 7-9.
2.	喻洁, 刘利芬, 王俊, 等. 女性压力性尿失禁临床治疗新进展. 手术电子杂志, 2023, 10(4): 64-68.
3.	周晓峰, 应文伟, 邓益森. 全面了解盆底康复及尿失禁. 中老年保健, 2019(9): 16-20.
4.	陈永华, 刘世康. 输尿管软镜钬激光碎石术与经皮肾镜取石术治疗输尿管上段大结石的效果对比观察. 中外医学研究, 2019, 17(20): 148-149.
5.	王坚红, 洪鑫燊. 补中益气汤配合盆底生物反馈治疗产后Ⅰ级压力性尿失禁 37 例. 湖南中医杂志, 2019, 35(3): 53-54.
6.	黄婉婧. 子宫切除术对盆底功能影响的研究进展. 临床与病理杂志, 2019, 39(2): 429-435.
7.	曹玲玲, 朱铁梅, 高红菊. 产后盆底肌力筛查及相关因素分析. 山西医药杂志, 2017, 46(13): 1587-1589.
8.	郑长才. 改良阴道部分封闭术治疗老年女性盆底功能障碍的临床效果研究. 兰州: 兰州大学, 2017.
9.	梁涛, 李作为, 谷宝军, 等. TVT-A 在女性压力性尿失禁患者中的应用分析. 中国妇幼健康研究, 2016: 416-417.
10.	廖利民, 付光. 尿失禁诊断治疗学. 人民军医, 2016, 59(5): 535.
11.	崔岩. 电针结合金匮肾气丸治疗女性压力性尿失禁疗效观察. 广西中医药, 2015, 38(1): 43-44.
12.	张本红. TVT-O 和 TVT-S 治疗女性压力性尿失禁的中远期疗效的 Meta 分析. 苏州: 苏州大学, 2014.
13.	龚江南, 申吉泓, 赵晖. 女性压力性尿失禁 TOT 及 TVT-O 术式的对比研究. 医药前沿, 2012(25): 63-64.
14.	嵇静. 盆底肌生物反馈电刺激治疗女性压力性尿失禁 80 例临床研究. 中国药物与临床, 2013, 13(4): 499-501.
15.	刘素芬, 施如霞, 谢晔玲. 两种悬吊术治疗女性压力性尿失禁疗效比较. 中国实用妇科与产科杂志, 2011, 27(9): 58-61.
16.	古力米热, 李晨, 张正彪, 等. 耻骨后膀胱颈悬吊术(Raz 术)和 TVT-O 术治疗女性压力性尿失禁的对比. 新疆医学, 2011, 41(7): 11-13, 27.
17.	武晓. 无张力悬吊术治疗压力性尿失禁的围手术期护理. 护士进修杂志, 2009, 24(9): 825-826.
18.	吕胜启, 张杰. 老年性尿失禁. 世界临床药物, 2003, 24(11): 673-676.
19.	陈奎芳. 私密盆底康复技术在美业的临床应用与推广//中国保健协会. 第十九届东南亚地区医学美容学术大会论文集. 武汉: 中国保健协会, 2019: 19-24.
20.	蔡仙国, 李飞平. TVT-O 与 TVT-S 手术治疗女性压力性尿失禁的比较. 中国基层医药, 2011, 18(16): 2236-2237.

1. 赵冀, 周超, 邓小凡, 等. 快速康复外科在胆总管结石患者围手术期中的应用. 中国医药指南, 2015(18): 7-9.
2. 喻洁, 刘利芬, 王俊, 等. 女性压力性尿失禁临床治疗新进展. 手术电子杂志, 2023, 10(4): 64-68.
3. 周晓峰, 应文伟, 邓益森. 全面了解盆底康复及尿失禁. 中老年保健, 2019(9): 16-20.
4. 陈永华, 刘世康. 输尿管软镜钬激光碎石术与经皮肾镜取石术治疗输尿管上段大结石的效果对比观察. 中外医学研究, 2019, 17(20): 148-149.
5. 王坚红, 洪鑫燊. 补中益气汤配合盆底生物反馈治疗产后Ⅰ级压力性尿失禁 37 例. 湖南中医杂志, 2019, 35(3): 53-54.
6. 黄婉婧. 子宫切除术对盆底功能影响的研究进展. 临床与病理杂志, 2019, 39(2): 429-435.
7. 曹玲玲, 朱铁梅, 高红菊. 产后盆底肌力筛查及相关因素分析. 山西医药杂志, 2017, 46(13): 1587-1589.
8. 郑长才. 改良阴道部分封闭术治疗老年女性盆底功能障碍的临床效果研究. 兰州: 兰州大学, 2017.
9. 梁涛, 李作为, 谷宝军, 等. TVT-A 在女性压力性尿失禁患者中的应用分析. 中国妇幼健康研究, 2016: 416-417.
10. 廖利民, 付光. 尿失禁诊断治疗学. 人民军医, 2016, 59(5): 535.
11. 崔岩. 电针结合金匮肾气丸治疗女性压力性尿失禁疗效观察. 广西中医药, 2015, 38(1): 43-44.
12. 张本红. TVT-O 和 TVT-S 治疗女性压力性尿失禁的中远期疗效的 Meta 分析. 苏州: 苏州大学, 2014.
13. 龚江南, 申吉泓, 赵晖. 女性压力性尿失禁 TOT 及 TVT-O 术式的对比研究. 医药前沿, 2012(25): 63-64.
14. 嵇静. 盆底肌生物反馈电刺激治疗女性压力性尿失禁 80 例临床研究. 中国药物与临床, 2013, 13(4): 499-501.
15. 刘素芬, 施如霞, 谢晔玲. 两种悬吊术治疗女性压力性尿失禁疗效比较. 中国实用妇科与产科杂志, 2011, 27(9): 58-61.
16. 古力米热, 李晨, 张正彪, 等. 耻骨后膀胱颈悬吊术(Raz 术)和 TVT-O 术治疗女性压力性尿失禁的对比. 新疆医学, 2011, 41(7): 11-13, 27.
17. 武晓. 无张力悬吊术治疗压力性尿失禁的围手术期护理. 护士进修杂志, 2009, 24(9): 825-826.
18. 吕胜启, 张杰. 老年性尿失禁. 世界临床药物, 2003, 24(11): 673-676.
19. 陈奎芳. 私密盆底康复技术在美业的临床应用与推广//中国保健协会. 第十九届东南亚地区医学美容学术大会论文集. 武汉: 中国保健协会, 2019: 19-24.
20. 蔡仙国, 李飞平. TVT-O 与 TVT-S 手术治疗女性压力性尿失禁的比较. 中国基层医药, 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

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