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Tension-free vaginal tape versus tension-free vaginal tape obturator in women with stress urinary incontinence.
Gynecol Obstet Invest. 2006; 62(3):160-4.GO

Abstract

BACKGROUND

To assess the efficacy and complications of tension-free vaginal tape (TVT) versus tension-free vaginal tape obturator in women with urodynamic stress incontinence.

METHODS

Prospective, randomized study. Initially, 91 patients were included in the study and 89 of them were available at 12 months follow-up. Forty-six patients were subjected to classic TVT procedure and 43 to transobturator vaginal tape from inside to outside (TVT-O) operation. There was no significant difference between the groups for age, BMI, menopausal status and prolapse. No patients had cystocele greater than stage I. Subjective and objective cure and improvement rate, mean operative time, hospital stay and complications incidence were assessed.

RESULTS

Mean operative time was significant shorter in the TVT-O group (17.4 +/- 6.9 min) compared to the TVT group (26.7 +/- 8.6 min). There was no significant difference in the duration of hospital stay between two groups. The objective cure rate for TVT group was 89%, the improvement rate was 6.5%, the failure rate was 4.3% and the subjective cure rate 73.9%. The objective cure rate for TVT-O group was 90%, the improvement rate was 7.6%, the failure rate was 2.5% and the subjective cure rate 76.7%. The hemoglobin loss ranged between 1.0 +/- 0.5 g/dl for TVT group and 0.9 +/- 0.4 g/dl for TVT-O group.

CONCLUSION

The TVT-O technique presents success rates comparable to the classic TVT method in the short term.

Authors+Show Affiliations

2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Athens, Greece.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

16707901

Citation

Liapis, Angelos, et al. "Tension-free Vaginal Tape Versus Tension-free Vaginal Tape Obturator in Women With Stress Urinary Incontinence." Gynecologic and Obstetric Investigation, vol. 62, no. 3, 2006, pp. 160-4.
Liapis A, Bakas P, Giner M, et al. Tension-free vaginal tape versus tension-free vaginal tape obturator in women with stress urinary incontinence. Gynecol Obstet Invest. 2006;62(3):160-4.
Liapis, A., Bakas, P., Giner, M., & Creatsas, G. (2006). Tension-free vaginal tape versus tension-free vaginal tape obturator in women with stress urinary incontinence. Gynecologic and Obstetric Investigation, 62(3), 160-4.
Liapis A, et al. Tension-free Vaginal Tape Versus Tension-free Vaginal Tape Obturator in Women With Stress Urinary Incontinence. Gynecol Obstet Invest. 2006;62(3):160-4. PubMed PMID: 16707901.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tension-free vaginal tape versus tension-free vaginal tape obturator in women with stress urinary incontinence. AU - Liapis,Angelos, AU - Bakas,Panagiotis, AU - Giner,Maria, AU - Creatsas,Georgios, Y1 - 2006/05/16/ PY - 2006/5/19/pubmed PY - 2007/1/4/medline PY - 2006/5/19/entrez SP - 160 EP - 4 JF - Gynecologic and obstetric investigation JO - Gynecol Obstet Invest VL - 62 IS - 3 N2 - BACKGROUND: To assess the efficacy and complications of tension-free vaginal tape (TVT) versus tension-free vaginal tape obturator in women with urodynamic stress incontinence. METHODS: Prospective, randomized study. Initially, 91 patients were included in the study and 89 of them were available at 12 months follow-up. Forty-six patients were subjected to classic TVT procedure and 43 to transobturator vaginal tape from inside to outside (TVT-O) operation. There was no significant difference between the groups for age, BMI, menopausal status and prolapse. No patients had cystocele greater than stage I. Subjective and objective cure and improvement rate, mean operative time, hospital stay and complications incidence were assessed. RESULTS: Mean operative time was significant shorter in the TVT-O group (17.4 +/- 6.9 min) compared to the TVT group (26.7 +/- 8.6 min). There was no significant difference in the duration of hospital stay between two groups. The objective cure rate for TVT group was 89%, the improvement rate was 6.5%, the failure rate was 4.3% and the subjective cure rate 73.9%. The objective cure rate for TVT-O group was 90%, the improvement rate was 7.6%, the failure rate was 2.5% and the subjective cure rate 76.7%. The hemoglobin loss ranged between 1.0 +/- 0.5 g/dl for TVT group and 0.9 +/- 0.4 g/dl for TVT-O group. CONCLUSION: The TVT-O technique presents success rates comparable to the classic TVT method in the short term. SN - 0378-7346 UR - https://www.unboundmedicine.com/medline/citation/16707901/Tension_free_vaginal_tape_versus_tension_free_vaginal_tape_obturator_in_women_with_stress_urinary_incontinence_ L2 - https://www.karger.com?DOI=10.1159/000093320 DB - PRIME DP - Unbound Medicine ER -