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RETRACTED ARTICLE

A prospective randomized trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence.
Am J Obstet Gynecol. 2004 Mar; 190(3):602-8.AJ

Abstract

OBJECTIVE

The purpose of this study was to prospectively and randomly compare tension-free vaginal tape (TVT) with transobturator suburethral tape (T.O.T.) for the surgical treatment of stress urinary incontinence (SUI) in women.

STUDY DESIGN

Sixty-one women with SUI were randomly assigned to either TVT (n=31) or T.O.T. (n=30). The preoperative evaluation included a quality-of-life questionnaire and a comprehensive urodynamic examination. The 1-year outcome included a detrusor pressure-uroflow study to compare bladder outlet obstruction.

RESULTS

Patient characteristics, preoperative quality of life, and urodynamic evaluation were similar in the 2 groups. Mean operative time was significantly shorter in the T.O.T. group (15 min+/-4 vs 27 min+/-8, P<.001). No bladder injury occurred in the T.O.T. group versus 9.7% (n=3) in the TVT group (P>.05). The rate of postoperative urinary retention was 25.8% (n=8) in the TVT group versus 13.3% (n=4) in the T.O.T. group (P>.05). The rates of cure (83.9% vs 90%), improvement (9.7% vs 3.3%), and failure (6.5% vs 6.7%) were similar for the TVT and T.O.T. groups, respectively. The 1-year outcome data were collected in 29 women of the TVT group and 27 women of the T.O.T. group. No vaginal erosion occurred in either of the groups. In terms of bladder outlet obstruction, no differences were found after TVT and T.O.T.

CONCLUSION

T.O.T. appears to be equally efficient as TVT for surgical treatment of stress urinary incontinence in women, with no reduction of bladder outlet obstruction at 1-year follow-up.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Antoine Béclère Hospital, Clamart and Department of Urology, Kremlin-Bicêtre Hospital, Kremlin-Bicêtre, France. renaud.detayrac@abc.ap-hop-paris.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Retracted Publication

Language

eng

PubMed ID

15041987

Citation

deTayrac, Renaud, et al. "A Prospective Randomized Trial Comparing Tension-free Vaginal Tape and Transobturator Suburethral Tape for Surgical Treatment of Stress Urinary Incontinence." American Journal of Obstetrics and Gynecology, vol. 190, no. 3, 2004, pp. 602-8.
deTayrac R, Deffieux X, Droupy S, et al. A prospective randomized trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. Am J Obstet Gynecol. 2004;190(3):602-8.
deTayrac, R., Deffieux, X., Droupy, S., Chauveaud-Lambling, A., Calvanèse-Benamour, L., & Fernandez, H. (2004). A prospective randomized trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. American Journal of Obstetrics and Gynecology, 190(3), 602-8.
deTayrac R, et al. A Prospective Randomized Trial Comparing Tension-free Vaginal Tape and Transobturator Suburethral Tape for Surgical Treatment of Stress Urinary Incontinence. Am J Obstet Gynecol. 2004;190(3):602-8. PubMed PMID: 15041987.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A prospective randomized trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. AU - deTayrac,Renaud, AU - Deffieux,Xavier, AU - Droupy,Stéphane, AU - Chauveaud-Lambling,Aurélia, AU - Calvanèse-Benamour,Laurence, AU - Fernandez,Hervé, PY - 2004/3/26/pubmed PY - 2004/4/23/medline PY - 2004/3/26/entrez SP - 602 EP - 8 JF - American journal of obstetrics and gynecology JO - Am J Obstet Gynecol VL - 190 IS - 3 N2 - OBJECTIVE: The purpose of this study was to prospectively and randomly compare tension-free vaginal tape (TVT) with transobturator suburethral tape (T.O.T.) for the surgical treatment of stress urinary incontinence (SUI) in women. STUDY DESIGN: Sixty-one women with SUI were randomly assigned to either TVT (n=31) or T.O.T. (n=30). The preoperative evaluation included a quality-of-life questionnaire and a comprehensive urodynamic examination. The 1-year outcome included a detrusor pressure-uroflow study to compare bladder outlet obstruction. RESULTS: Patient characteristics, preoperative quality of life, and urodynamic evaluation were similar in the 2 groups. Mean operative time was significantly shorter in the T.O.T. group (15 min+/-4 vs 27 min+/-8, P<.001). No bladder injury occurred in the T.O.T. group versus 9.7% (n=3) in the TVT group (P>.05). The rate of postoperative urinary retention was 25.8% (n=8) in the TVT group versus 13.3% (n=4) in the T.O.T. group (P>.05). The rates of cure (83.9% vs 90%), improvement (9.7% vs 3.3%), and failure (6.5% vs 6.7%) were similar for the TVT and T.O.T. groups, respectively. The 1-year outcome data were collected in 29 women of the TVT group and 27 women of the T.O.T. group. No vaginal erosion occurred in either of the groups. In terms of bladder outlet obstruction, no differences were found after TVT and T.O.T. CONCLUSION: T.O.T. appears to be equally efficient as TVT for surgical treatment of stress urinary incontinence in women, with no reduction of bladder outlet obstruction at 1-year follow-up. SN - 0002-9378 UR - https://www.unboundmedicine.com/medline/citation/15041987/A_prospective_randomized_trial_comparing_tension_free_vaginal_tape_and_transobturator_suburethral_tape_for_surgical_treatment_of_stress_urinary_incontinence_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002937803019380 DB - PRIME DP - Unbound Medicine ER -