[Therapeutic efficacy of retropubic tension-free vaginal tape for female stress urinary incontinence under day surgery mode].

Objective: To explore the therapeutic effect of retropubic tension-free vaginal tape (TVT) for the treatment of female stress urinary incontinence (SUI) under day surgery mode. Methods: A retrospective analysis was conducted on 119 patients with moderate-to-severe SUI who underwent the TVT procedure at the Department of Gynecology and the Day Surgery Center, the Second Affiliated Hospital of Soochow University, between March 2018 and March 2024. Based on the perioperative care model, patients were categorized into a day surgery group (n=57) and a traditional inpatient surgery group (n=62). We compared general data of patients, surgical and hospitalization-related indicators, postoperative efficacy evaluation indicators, and surgical complications between the groups. Results: The 119 patients were aged (56.0±8.7) years. There were no statistically significant differences in age [(56.0±7.1) vs (56.3±9.1) years], body mass index [(23.75±2.98) vs (23.10±2.83) kg/m²], disease duration [(4.77±1.35) vs (4.82±1.50) years], number of vaginal deliveries [(3.24±0.40) vs (3.17±0.39) times], subjective SUI grading, or objective SUI grading between the two groups (all P>0.05). Both groups of patients successfully completed the surgery. No significant differences were found in operative duration, intraoperative blood loss, surgical costs, or anesthesia costs (all P>0.05). However, the duration of indwelling urinary catheter [(16.12±1.34) vs (34.05±6.25) h], nursing costs [(70.79±10.66) vs (498.37±125.83) yuan], total hospitalization costs [ (10 899.63±45.54) vs (18 501.87±41.46) yuan], and hospitalization duration [ (1.08±0.11) vs (5.85±1.21) d] in the day surgery group were significantly lower than those in the traditional inpatient surgery group (all P<0.05), and medical satisfaction in the day surgery group was higher than that in the traditional inpatient surgery group [ (13.19±0.46) vs (9.95±3.06) points, P<0.05]. There were no statistically significant differences in postoperative pain or the global impression of improvement between the two groups (all P>0.05). Compared with preoperative values, the Incontinence Impact Questionnaire-7 (IIQ-7) scores, Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12) scores, and 1 h pad test results improved at 6 months postoperatively in both groups (all P<0.05); there were no statistically significant differences in the preoperative or postoperative 6-month IIQ-7 scores, PISQ-12 scores, or 1 h pad test results between the two groups (all P>0.05). The overall incidence rate of surgical complications did not differ significantly between the day surgery group [3.51% (2/57)] and the traditional inpatient surgery group [4.84% (3/62)] (P>0.05). Conclusions: The application of day surgery mode in TVT for female SUI is feasible and safe. It could significantly shorten hospitalization duration and indwelling urinary catheter time, reduce total hospitalization costs, and increase medical service satisfaction, without increasing the incidence of surgical complications.