Tags

Type your tag names separated by a space and hit enter

Randomized trial of porcine dermal sling (Pelvicol implant) vs. tension-free vaginal tape (TVT) in the surgical treatment of stress incontinence: a questionnaire-based study.
Int Urogynecol J Pelvic Floor Dysfunct. 2003 Feb; 14(1):17-23; discussion 21-2.IU

Abstract

The objective of this study was to compare porcine dermal sling (Pelvicol implant, Bard) with tension-free vaginal tape (TVT) in the surgical treatment of stress incontinence. One hundred and forty-two women with genuine stress incontinence (GSI) were randomly assigned to either Pelvicol implant pubovaginal sling (n=74) or TVT (n=68). They were followed up at a minimum of 6 months (range 6-24 months), with a median follow-up of 12 months. The majority (n=109) of procedures were carried out in a day surgery unit. The median operation time was 35 minutes (range 15-60) in the TVT group and 30 minutes (range 20-80) in the Pelvicol implant group; 81% of the TVT group and 77% of the Pelvicol implant group were able to void urine within 24 hours, and had insignificant residual bladder volumes. The prevalence of postoperative symptomatic voiding dysfunction was 3.4% after TVT and 1.4% after Pelvicol implant. Nine percent of the TVT group developed de novo urge incontinence and 6% of the Pelvicol implant group had de novo urge incontinence 6 months after the procedure. Postoperative evaluation was done at the outpatient department, and a postal questionnaire was also completed to determine subjective continence status. The patient-determined cure rate was 85% in the TVT group and 89% in the Pelvicol implant group. The Pelvicol implant sling had a comparable patient- determined success rate with TVT and should be considered in the surgical treatment of women with genuine stress incontinence.

Authors+Show Affiliations

Torbay Hospital, Torquay, UK. asarun34@hotmail.comNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

12601511

Citation

Arunkalaivanan, A S., and J W. Barrington. "Randomized Trial of Porcine Dermal Sling (Pelvicol Implant) Vs. Tension-free Vaginal Tape (TVT) in the Surgical Treatment of Stress Incontinence: a Questionnaire-based Study." International Urogynecology Journal and Pelvic Floor Dysfunction, vol. 14, no. 1, 2003, pp. 17-23; discussion 21-2.
Arunkalaivanan AS, Barrington JW. Randomized trial of porcine dermal sling (Pelvicol implant) vs. tension-free vaginal tape (TVT) in the surgical treatment of stress incontinence: a questionnaire-based study. Int Urogynecol J Pelvic Floor Dysfunct. 2003;14(1):17-23; discussion 21-2.
Arunkalaivanan, A. S., & Barrington, J. W. (2003). Randomized trial of porcine dermal sling (Pelvicol implant) vs. tension-free vaginal tape (TVT) in the surgical treatment of stress incontinence: a questionnaire-based study. International Urogynecology Journal and Pelvic Floor Dysfunction, 14(1), 17-23; discussion 21-2.
Arunkalaivanan AS, Barrington JW. Randomized Trial of Porcine Dermal Sling (Pelvicol Implant) Vs. Tension-free Vaginal Tape (TVT) in the Surgical Treatment of Stress Incontinence: a Questionnaire-based Study. Int Urogynecol J Pelvic Floor Dysfunct. 2003;14(1):17-23; discussion 21-2. PubMed PMID: 12601511.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized trial of porcine dermal sling (Pelvicol implant) vs. tension-free vaginal tape (TVT) in the surgical treatment of stress incontinence: a questionnaire-based study. AU - Arunkalaivanan,A S, AU - Barrington,J W, PY - 2003/2/26/pubmed PY - 2003/7/26/medline PY - 2003/2/26/entrez SP - 17-23; discussion 21-2 JF - International urogynecology journal and pelvic floor dysfunction JO - Int Urogynecol J Pelvic Floor Dysfunct VL - 14 IS - 1 N2 - The objective of this study was to compare porcine dermal sling (Pelvicol implant, Bard) with tension-free vaginal tape (TVT) in the surgical treatment of stress incontinence. One hundred and forty-two women with genuine stress incontinence (GSI) were randomly assigned to either Pelvicol implant pubovaginal sling (n=74) or TVT (n=68). They were followed up at a minimum of 6 months (range 6-24 months), with a median follow-up of 12 months. The majority (n=109) of procedures were carried out in a day surgery unit. The median operation time was 35 minutes (range 15-60) in the TVT group and 30 minutes (range 20-80) in the Pelvicol implant group; 81% of the TVT group and 77% of the Pelvicol implant group were able to void urine within 24 hours, and had insignificant residual bladder volumes. The prevalence of postoperative symptomatic voiding dysfunction was 3.4% after TVT and 1.4% after Pelvicol implant. Nine percent of the TVT group developed de novo urge incontinence and 6% of the Pelvicol implant group had de novo urge incontinence 6 months after the procedure. Postoperative evaluation was done at the outpatient department, and a postal questionnaire was also completed to determine subjective continence status. The patient-determined cure rate was 85% in the TVT group and 89% in the Pelvicol implant group. The Pelvicol implant sling had a comparable patient- determined success rate with TVT and should be considered in the surgical treatment of women with genuine stress incontinence. UR - https://www.unboundmedicine.com/medline/citation/12601511/Randomized_trial_of_porcine_dermal_sling__Pelvicol_implant__vs__tension_free_vaginal_tape__TVT__in_the_surgical_treatment_of_stress_incontinence:_a_questionnaire_based_study_ L2 - http://www.diseaseinfosearch.org/result/3797 DB - PRIME DP - Unbound Medicine ER -