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Tension-free vaginal tape and laparoscopic mesh colposuspension in the treatment of stress urinary incontinence: immediate outcome and complications--a randomized clinical trial.
Acta Obstet Gynecol Scand. 2003 Jul; 82(7):665-71.AO

Abstract

BACKGROUND

The purpose of the study was to evaluate the immediate outcome and complications of the tension-free vaginal tape (TVT) and laparoscopic mesh colposuspension (LC) procedures in the treatment of female stress urinary incontinence (SUI).

METHODS

One hundred and twenty-eight patients suffering from urodynamically confirmed SUI were recruited to this multicenter, randomized clinical trial. After randomization there were seven drop-outs--121 patients were operated upon: 70 patients in the TVT group and 51 in the LC group. The patients were evaluated according to the study protocol before operation and 6 weeks after it. The independent sample t-test and the Mann-Whitney U-test were used to calculate statistical differences between the study groups.

RESULTS

Immediate cure rates, defined as negative stress test with 300 mL saline in the bladder, were similar (92.9% in the TVT group and 88.2% in the LC group; p = ns). Return to normal voiding was faster in the TVT group (9.2 h in the TVT group vs. 24.4 h in the LC group; p = 0.004). Fewer analgesics were used in the TVT group and hospital stay was shorter in this group. Complication rates associated with the procedures were similar and the number of complications was small.

CONCLUSIONS

The immediate outcome of both procedures is the same. The rates of complications were similar. However, the TVT procedure seems to be less invasive and requires fewer hospital resources than LC.

Authors+Show Affiliations

Valpas A
Department of Obstetrics and Gynecology, Central-Ostrobothnian Central Hospital, Mariankatu 16-20, FIN-67200 Kokkola, Finland. antti.valpas@kolumbus.fi
Kivelä A
No affiliation info available
Penttinen J
No affiliation info available
Kauko M
No affiliation info available
Kujansuu E
No affiliation info available
Tomas E
No affiliation info available
Haarala M
No affiliation info available
Meltomaa S
No affiliation info available
Nilsson CK
No affiliation info available

MeSH

AdultAgedFemaleFinlandHumansLaparoscopyMiddle AgedPostoperative ComplicationsProspective StudiesProstheses and ImplantsProsthesis ImplantationSurgical MeshTreatment OutcomeUrinary BladderUrinary Incontinence, StressUrologic Surgical ProceduresVagina

Pub Type(s)

Clinical Trial
Journal Article
Multicenter Study
Randomized Controlled Trial

Language

eng

PubMed ID

12790850

Clinical Trial Links

Does Treatment With Macrobid Reduce Urinary Tract Infections in Patients Receiving a Sub-Urethral Sling for Incontinence

Citation

Valpas, Antti, et al. "Tension-free Vaginal Tape and Laparoscopic Mesh Colposuspension in the Treatment of Stress Urinary Incontinence: Immediate Outcome and Complications--a Randomized Clinical Trial." Acta Obstetricia Et Gynecologica Scandinavica, vol. 82, no. 7, 2003, pp. 665-71.
Valpas A, Kivelä A, Penttinen J, et al. Tension-free vaginal tape and laparoscopic mesh colposuspension in the treatment of stress urinary incontinence: immediate outcome and complications--a randomized clinical trial. Acta Obstet Gynecol Scand. 2003;82(7):665-71.
Valpas, A., Kivelä, A., Penttinen, J., Kauko, M., Kujansuu, E., Tomas, E., Haarala, M., Meltomaa, S., & Nilsson, C. K. (2003). Tension-free vaginal tape and laparoscopic mesh colposuspension in the treatment of stress urinary incontinence: immediate outcome and complications--a randomized clinical trial. Acta Obstetricia Et Gynecologica Scandinavica, 82(7), 665-71.
Valpas A, et al. Tension-free Vaginal Tape and Laparoscopic Mesh Colposuspension in the Treatment of Stress Urinary Incontinence: Immediate Outcome and Complications--a Randomized Clinical Trial. Acta Obstet Gynecol Scand. 2003;82(7):665-71. PubMed PMID: 12790850.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tension-free vaginal tape and laparoscopic mesh colposuspension in the treatment of stress urinary incontinence: immediate outcome and complications--a randomized clinical trial. AU - Valpas,Antti, AU - Kivelä,Aarre, AU - Penttinen,Jorma, AU - Kauko,Minna, AU - Kujansuu,Erkki, AU - Tomas,Eija, AU - Haarala,Mervi, AU - Meltomaa,Seija, AU - Nilsson,Carl-Kustav, PY - 2003/6/7/pubmed PY - 2003/7/30/medline PY - 2003/6/7/entrez SP - 665 EP - 71 JF - Acta obstetricia et gynecologica Scandinavica JO - Acta Obstet Gynecol Scand VL - 82 IS - 7 N2 - BACKGROUND: The purpose of the study was to evaluate the immediate outcome and complications of the tension-free vaginal tape (TVT) and laparoscopic mesh colposuspension (LC) procedures in the treatment of female stress urinary incontinence (SUI). METHODS: One hundred and twenty-eight patients suffering from urodynamically confirmed SUI were recruited to this multicenter, randomized clinical trial. After randomization there were seven drop-outs--121 patients were operated upon: 70 patients in the TVT group and 51 in the LC group. The patients were evaluated according to the study protocol before operation and 6 weeks after it. The independent sample t-test and the Mann-Whitney U-test were used to calculate statistical differences between the study groups. RESULTS: Immediate cure rates, defined as negative stress test with 300 mL saline in the bladder, were similar (92.9% in the TVT group and 88.2% in the LC group; p = ns). Return to normal voiding was faster in the TVT group (9.2 h in the TVT group vs. 24.4 h in the LC group; p = 0.004). Fewer analgesics were used in the TVT group and hospital stay was shorter in this group. Complication rates associated with the procedures were similar and the number of complications was small. CONCLUSIONS: The immediate outcome of both procedures is the same. The rates of complications were similar. However, the TVT procedure seems to be less invasive and requires fewer hospital resources than LC. SN - 0001-6349 UR - https://www.unboundmedicine.com/medline/citation/12790850/Tension_free_vaginal_tape_and_laparoscopic_mesh_colposuspension_in_the_treatment_of_stress_urinary_incontinence:_immediate_outcome_and_complications__a_randomized_clinical_trial_ DB - PRIME DP - Unbound Medicine ER -
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