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Efficacy, safety and hospital costs of tension-free vaginal tape and pubovaginal sling in the surgical treatment of stress incontinence.
J Obstet Gynaecol Res. 2006 Dec; 32(6):539-44.JO

Abstract

AIM

The efficacy, safety and hospital costs of the tension-free vaginal tape procedure were compared with the pubovaginal sling operation.

METHODS

A total of 60 women urodynamically diagnosed as having stress or mixed urinary incontinence were operated on using either the tension-free vaginal tape or pubovaginal sling operation in a prospective manner. Preoperative characteristics of the women were not significantly different for the groups. The women were followed for up to 24 months.

RESULTS

In the tension-free vaginal tape group, the operation time was shorter, numbers of analgesics postoperatively required were less and hospital charges were less expensive compared to those in the pubovaginal sling operation (P < 0.01). Kaplan-Meier survival analysis showed a marginal significant difference (P = 0.059) in the objective cumulative cure rates at 24 months between the groups receiving the former (70.3%) and latter (48.3%) procedures. Subjective cure rates were not significantly different (P = 0.101). In both groups, an improvement in quality of life was significant and surgical complications were identical. De novo urge incontinence developed in 6% and 10% in the former and latter, respectively.

CONCLUSIONS

The tension-free tape was significantly superior to the pubovaginal sling in terms of operation time, postoperative pain, and hospital charges, but not in cure rates. A longer follow up with a larger sample size is necessary to draw definite conclusions.

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Authors+Show Affiliations

Kondo A
Department of Urology, Komaki Shimin Hospital, Komaki, Japan. akondo@fj8.so-net.ne.jp
Isobe Y
No affiliation info available
Kimura K
No affiliation info available
Kamihira O
No affiliation info available
Matsuura O
No affiliation info available
Gotoh M
No affiliation info available
Ozawa H
No affiliation info available

MeSH

AgedCosts and Cost AnalysisFemaleGynecologic Surgical ProceduresHealth Care CostsHumansKaplan-Meier EstimateMiddle AgedProspective StudiesSecondary PreventionSurgical MeshSurvival AnalysisTreatment OutcomeUrinary Incontinence, StressUrologic Surgical Procedures

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

17100814

Citation

Kondo, Atsuo, et al. "Efficacy, Safety and Hospital Costs of Tension-free Vaginal Tape and Pubovaginal Sling in the Surgical Treatment of Stress Incontinence." The Journal of Obstetrics and Gynaecology Research, vol. 32, no. 6, 2006, pp. 539-44.
Kondo A, Isobe Y, Kimura K, et al. Efficacy, safety and hospital costs of tension-free vaginal tape and pubovaginal sling in the surgical treatment of stress incontinence. J Obstet Gynaecol Res. 2006;32(6):539-44.
Kondo, A., Isobe, Y., Kimura, K., Kamihira, O., Matsuura, O., Gotoh, M., & Ozawa, H. (2006). Efficacy, safety and hospital costs of tension-free vaginal tape and pubovaginal sling in the surgical treatment of stress incontinence. The Journal of Obstetrics and Gynaecology Research, 32(6), 539-44.
Kondo A, et al. Efficacy, Safety and Hospital Costs of Tension-free Vaginal Tape and Pubovaginal Sling in the Surgical Treatment of Stress Incontinence. J Obstet Gynaecol Res. 2006;32(6):539-44. PubMed PMID: 17100814.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy, safety and hospital costs of tension-free vaginal tape and pubovaginal sling in the surgical treatment of stress incontinence. AU - Kondo,Atsuo, AU - Isobe,Yasuaki, AU - Kimura,Kyousuke, AU - Kamihira,Osamu, AU - Matsuura,Osamu, AU - Gotoh,Momokazu, AU - Ozawa,Hideo, PY - 2006/11/15/pubmed PY - 2007/1/11/medline PY - 2006/11/15/entrez SP - 539 EP - 44 JF - The journal of obstetrics and gynaecology research JO - J Obstet Gynaecol Res VL - 32 IS - 6 N2 - AIM: The efficacy, safety and hospital costs of the tension-free vaginal tape procedure were compared with the pubovaginal sling operation. METHODS: A total of 60 women urodynamically diagnosed as having stress or mixed urinary incontinence were operated on using either the tension-free vaginal tape or pubovaginal sling operation in a prospective manner. Preoperative characteristics of the women were not significantly different for the groups. The women were followed for up to 24 months. RESULTS: In the tension-free vaginal tape group, the operation time was shorter, numbers of analgesics postoperatively required were less and hospital charges were less expensive compared to those in the pubovaginal sling operation (P < 0.01). Kaplan-Meier survival analysis showed a marginal significant difference (P = 0.059) in the objective cumulative cure rates at 24 months between the groups receiving the former (70.3%) and latter (48.3%) procedures. Subjective cure rates were not significantly different (P = 0.101). In both groups, an improvement in quality of life was significant and surgical complications were identical. De novo urge incontinence developed in 6% and 10% in the former and latter, respectively. CONCLUSIONS: The tension-free tape was significantly superior to the pubovaginal sling in terms of operation time, postoperative pain, and hospital charges, but not in cure rates. A longer follow up with a larger sample size is necessary to draw definite conclusions. SN - 1341-8076 UR - https://www.unboundmedicine.com/medline/citation/17100814/Efficacy_safety_and_hospital_costs_of_tension_free_vaginal_tape_and_pubovaginal_sling_in_the_surgical_treatment_of_stress_incontinence_ L2 - https://doi.org/10.1111/j.1447-0756.2006.00469.x DB - PRIME DP - Unbound Medicine ER -