Incontinence & Female Urology & Neurourology(구연) Oral Session2 / Incontinence & female urology (O-022) Rm.203 10월 30일(수) 13:00-14:00 재발 고위험군 복압성 요실금 환자에 있어 TVT와 TOT의 수술 결과 대조 분석 연구: 메타분석 및 체계적 고찰 건국대학교 의학전문대학원 비뇨의학과교실 김아람, 김민서, 안재학, 최우석, 박형근. 백성현, 김형곤 Purpose: The efficacy and safety of retropubic (RP) and transobturator (TO) tension-free vaginal tape (TVT) midurethral slings (MUSs) for SUI patients with risk factors for recurrence remain controversial. We compare the techniques within selected groups (patients with obesity, intrinsic sphincter deficiency [ISD], pelvic organ prolapse [POP], and SUI recurrence after initial MUS). Materials and Methods: The protocol for the present meta-analysis was registered in the PROSPERO database (No. CRD42018102233). Results: We retrieved 28 studies (n=2607) to compare the efficacy and safety of RP-TVT versus TO-TVT in selected groups (mean follow-up, 26.9 months). Meta-analysis of objective cure rate showed significant superiority of RP-TVT to TO-TVT in overall patients (OR, 3.37) and in each subpopulation. RP-TVT was also significantly superior to TO-TVT in the subjective cure rate in overall patients (OR, 2.01) and in those with ISD and SUI recurrence after MUS. There was no significant difference in overall complications between RP-TVT and TO-TVT (OR, 1.22). Conclusions: The meta-analysis showed the superiority of RP-TVT to TO-TVT in objective and subjective cure rates in patients with obesity, ISD, POP, and SUI recurrence after MUS. RP-TVT also has a comparable morbidity to TO-TVT. keywords : Stress urinary incontinence, Retropubic midurethral sling, Transobturator midurethral sling, Efficacy, Safety