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Comparison of the treatment outcome of pubovaginal sling, tension-free vaginal tape, and transobturator tape for stress urinary incontinence with intrinsic sphincter deficiency.
Am J Obstet Gynecol. 2008 Jul; 199(1):76.e1-4.AJ

Abstract

OBJECTIVE

The aim of this study was to compare the treatment outcome of 3 sling procedures for stress urinary incontinence with intrinsic sphincter deficiency.

STUDY DESIGN

This retrospective study included 253 patients who underwent incontinence surgery (pubovaginal sling [PVS] = 87, tension-free vaginal tape [TVT] = 94, and transobturator tape [TOT] = 72) for urodynamic stress incontinence with intrinsic sphincter deficiency. Analysis of variance, chi(2) test, Fisher's exact test, Kaplan-Meier survival analysis, and Cox proportional hazard regression were used for statistical analysis.

RESULTS

Overall complication rates were not significantly different. At 2 years postoperatively, the cumulative cure rates of the PVS, TVT, and TOT groups were significantly different (87.25%, 86.94%, and 34.89%, respectively; P < .0001). The risk of treatment failure in women who received TOT was 4.6 times higher than in women who underwent PVS. The 7-year cumulative cure rates of PVS and TVT groups were 59.10% and 55.09%, respectively.

CONCLUSION

PVS and TVT were more efficacious, but the long-term cure rates were low.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Yonsei University Health System, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18221934

Citation

Jeon, Myung-Jae, et al. "Comparison of the Treatment Outcome of Pubovaginal Sling, Tension-free Vaginal Tape, and Transobturator Tape for Stress Urinary Incontinence With Intrinsic Sphincter Deficiency." American Journal of Obstetrics and Gynecology, vol. 199, no. 1, 2008, pp. 76.e1-4.
Jeon MJ, Jung HJ, Chung SM, et al. Comparison of the treatment outcome of pubovaginal sling, tension-free vaginal tape, and transobturator tape for stress urinary incontinence with intrinsic sphincter deficiency. Am J Obstet Gynecol. 2008;199(1):76.e1-4.
Jeon, M. J., Jung, H. J., Chung, S. M., Kim, S. K., & Bai, S. W. (2008). Comparison of the treatment outcome of pubovaginal sling, tension-free vaginal tape, and transobturator tape for stress urinary incontinence with intrinsic sphincter deficiency. American Journal of Obstetrics and Gynecology, 199(1), e1-4. https://doi.org/10.1016/j.ajog.2007.11.060
Jeon MJ, et al. Comparison of the Treatment Outcome of Pubovaginal Sling, Tension-free Vaginal Tape, and Transobturator Tape for Stress Urinary Incontinence With Intrinsic Sphincter Deficiency. Am J Obstet Gynecol. 2008;199(1):76.e1-4. PubMed PMID: 18221934.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of the treatment outcome of pubovaginal sling, tension-free vaginal tape, and transobturator tape for stress urinary incontinence with intrinsic sphincter deficiency. AU - Jeon,Myung-Jae, AU - Jung,Hyun-Joo, AU - Chung,Sue-Min, AU - Kim,Sei-Kwang, AU - Bai,Sang-Wook, Y1 - 2008/01/25/ PY - 2007/07/03/received PY - 2007/09/10/revised PY - 2007/11/27/accepted PY - 2008/1/29/pubmed PY - 2008/7/23/medline PY - 2008/1/29/entrez SP - 76.e1 EP - 4 JF - American journal of obstetrics and gynecology JO - Am J Obstet Gynecol VL - 199 IS - 1 N2 - OBJECTIVE: The aim of this study was to compare the treatment outcome of 3 sling procedures for stress urinary incontinence with intrinsic sphincter deficiency. STUDY DESIGN: This retrospective study included 253 patients who underwent incontinence surgery (pubovaginal sling [PVS] = 87, tension-free vaginal tape [TVT] = 94, and transobturator tape [TOT] = 72) for urodynamic stress incontinence with intrinsic sphincter deficiency. Analysis of variance, chi(2) test, Fisher's exact test, Kaplan-Meier survival analysis, and Cox proportional hazard regression were used for statistical analysis. RESULTS: Overall complication rates were not significantly different. At 2 years postoperatively, the cumulative cure rates of the PVS, TVT, and TOT groups were significantly different (87.25%, 86.94%, and 34.89%, respectively; P < .0001). The risk of treatment failure in women who received TOT was 4.6 times higher than in women who underwent PVS. The 7-year cumulative cure rates of PVS and TVT groups were 59.10% and 55.09%, respectively. CONCLUSION: PVS and TVT were more efficacious, but the long-term cure rates were low. SN - 1097-6868 UR - https://www.unboundmedicine.com/medline/citation/18221934/Comparison_of_the_treatment_outcome_of_pubovaginal_sling_tension_free_vaginal_tape_and_transobturator_tape_for_stress_urinary_incontinence_with_intrinsic_sphincter_deficiency_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(07)02242-9 DB - PRIME DP - Unbound Medicine ER -