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Methods: A retrospective review of 533 women with mixed urinary incontinence and predominant SUI compared four groups (PVS alone, PVS with colporrhaphy, TOT alone, TOT with colporrhaphy). Primary endpoint was long-term cumulative success (dry or \u003C1 pad/day), with secondary postoperative symptom and perioperative complication outcomes.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/comparison-of-the-long-term-treatment-outcome-between-pubovaginal-and-transobturator-suburethral-sling-for-stress-urinary-incontinence-in-women/459913/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/comparison-of-the-long-term-treatment-outcome-between-pubovaginal-and-transobturator-suburethral-sling-for-stress-urinary-incontinence-in-women/459913.png","ImageObject",300,407,{"name":92,"@type":93},"eBook King","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",15,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the study purpose regarding PVS and TOT for SUI?","Question",{"text":113,"@type":114},"The study compares long-term treatment outcomes between pubovaginal sling and transobturator suburethral sling for women with stress urinary incontinence, and assesses whether adding colporrhaphy improves results.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How were the participants grouped and what was the primary outcome?",{"text":118,"@type":114},"Five hundred thirty-three women were divided into four groups: PVS alone, PVS with colporrhaphy, TOT alone, and TOT with colporrhaphy. 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The highest success occurred with PVS plus concurrent colporrhaphy, while persistent overactive bladder symptoms were highest in the TOT-alone group.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},459913,1791323031,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},962088006270,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Original Article  \nInt Neurourol J 2025;29(4):248-254  \n[https://doi.org/10.5213/inj.2550078.039](https://doi.org/10.5213/inj.2550078.039)[ ](https://doi.org/10.5213/inj.2550078.039)pISSN 2093-4777 · eISSN 2093-6931  \nComparison of the Long-term Treatment Outcome Between Pubovaginal and Transobturator Suburethral Sling for Stress Urinary Incontinence in Women  \nYi-Hsuan Wu1, Yuan-Hong Jiang2, Sheng-Fu Chen2, Hann-Chorng Kuo2  \n1Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan  \n2Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien, Taiwan  \nPurpose: Stress urinary incontinence (SUI) affects women worldwide, and surgery remains important for those who do not respond to conservative management.  \nMethods: We retrospectively reviewed the medical records of 533 female patients with mixed urinary incontinence and predominant SUI treated at a medical center. Some patients may have had stage 3 or higher cystocele and underwent concomitant anterior colporrhaphy. Patients were divided into 4 groups: pubovaginal sling (PVS) alone, PVS with colporrhaphy, transobturator suburethral sling (TOT) alone, and TOT with colporrhaphy. The primary outcome was the long-term cumulative success rate in each group, and a successful outcome was defined as being dry or using fewer than 1 pad per day. The secondary outcomes included subjective postoperative lower urinary tract symptoms and various perioperative complications. Results: The long-term cumulative success rates ofthe PVS groups, with or without colporrhaphy, were significantly higher than those ofthe TOT groups, with or without colporrhaphy (P \u003C 0.001). The group receiving PVS with concurrent colporrhaphy demonstrated the highest success rate, followed by PVS alone, TOT with colporrhaphy, and TOT alone (P = 0.003). In addition, the highest rate of persistent overactive bladder symptoms was observed in the TOT-alone group (P \u003C 0.001). Conclusions: This study suggests that PVS is superior to TOT in controlling incontinence symptoms and achieving long-term success. Concurrent colporrhaphy may also contribute to improved anti-incontinence outcomes.  \nKeywords: Stress urinary incontinence; Pubovaginal sling; Transobturator sling; Colporrhaphy; Success rate  \n• Grant/Fund Support: This study received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.  \n• Research Ethics: This study was approved by the Research Ethics Committee of Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation (IRB No. 113-040-B), and the requirement for informed consent was waived due to the retrospective study design.  \n• Conflict of Interest: No potential conflict of interest relevant to this article was reported.  \nINTRODUCTION  \nStress urinary incontinence (SUI) is defined as involuntary urine leakage that occurs when intra-abdominal pressure in-  \ncreases, such as during coughing, heavy lifting, or physical activity. SUI affects adult women worldwide, with an estimated overall prevalence of approximately 46%[1]. The underlying mechanisms of SUI involve 2 major factors: urethral hypermo-  \nCorresponding author: Hann-Chorng Kuo  \n [https://orcid.org/0000-0001-7165-4771](https://orcid.org/0000-0001-7165-4771)  \nDepartment of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, No. 707, Section 3, Chung Yang Road, Hualien 970, Taiwan  \n[Email: hck@tzuchi.com.tw](Email: hck@tzuchi.com.tw)  \nSubmitted: February 17, 2025 / Accepted after revision: May 31, 2025  \nThis is an Open Access article distributed under the terms of the Cre  \native Commons Attribution Non-Commercial License ([https://creative](https://creative)[commons.org/licenses/by-nc/4.0/](commons.org/licenses/by-nc/4.0/)) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cit","cbCaihVrtIuUe6Fr","https://ap.wps.com/l/cbCaihVrtIuUe6Fr","pdf",414633,"English","# Abstract\n## Purpose\n## Methods\n## Results\n## Conclusions\n# Introduction\n## Definition and prevalence of SUI\n## Risk factors and diagnosis\n## Treatment options and surgical context","[{\"question\":\"What is the study purpose regarding PVS and TOT for SUI?\",\"answer\":\"The study compares long-term treatment outcomes between pubovaginal sling and transobturator suburethral sling for women with stress urinary incontinence, and assesses whether adding colporrhaphy improves results.\"},{\"question\":\"How were the participants grouped and what was the primary outcome?\",\"answer\":\"Five hundred thirty-three women were divided into four groups: PVS alone, PVS with colporrhaphy, TOT alone, and TOT with colporrhaphy. The primary outcome was the long-term cumulative success rate, defined as being dry or using fewer than 1 pad per day.\"},{\"question\":\"Which approach showed better long-term success and what were the symptom differences?\",\"answer\":\"PVS groups had significantly higher long-term cumulative success than TOT groups. The highest success occurred with PVS plus concurrent colporrhaphy, while persistent overactive bladder symptoms were highest in the TOT-alone group.\"}]","Comparison of the Long-term Treatment Outcome Between Pubovaginal and Transobturator Suburethral Sling for Stress Urinary Incontinence in Women | PDF",1790757260,18]