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Comparison of TVT and TVT-O in patients with stress urinary incontinence: short-term cure rates and factors influencing the outcome. A prospective randomised study.
Aust N Z J Obstet Gynaecol. 2009 Feb; 49(1):99-105.AN

Abstract

BACKGROUND

Recently, mid-urethral slings have been commonly used in treatment of patients with stress urinary incontinence (SUI).

AIMS

To investigate tension-free vaginal tape (TVT) and tension-free obturator tape (TVT-O) for surgical treatment of SUI for cure rates (primary endpoint), complications and factors influencing cure rate (secondary endpoints).

METHODS

One-hundred and sixty-four patients were included in the study (n = 81 for TVT, n = 83 for TVT-O). The cure rates, complications, preoperative and postoperative urodynamic evaluation, Q-tip test, the Turkish version of Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory (UDI-6) scores were recorded. At three and 12 months, the patients were evaluated regarding outcome measures.

RESULTS

The cure rates were similar in TVT and TVT-O groups, 88.9% versus 86.7% respectively. Mean operative time was significantly shorter in TVT-O group (P = 0.001). The cure rate was significantly higher in both groups in patients with urethral hypermobility when compared with those with no hypermobility (P = 0.001).

CONCLUSIONS

The TVT and TVT-O procedures appear to be equally effective for the treatment of SUI. Also, urethral hypermobility seems to be a factor influencing cure rate of mid-urethral slings.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Division of Urogynecology, Faculty of Medicine, Yeditepe University, Istanbul, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

19281588

Citation

Karateke, Ates, et al. "Comparison of TVT and TVT-O in Patients With Stress Urinary Incontinence: Short-term Cure Rates and Factors Influencing the Outcome. a Prospective Randomised Study." The Australian & New Zealand Journal of Obstetrics & Gynaecology, vol. 49, no. 1, 2009, pp. 99-105.
Karateke A, Haliloglu B, Cam C, et al. Comparison of TVT and TVT-O in patients with stress urinary incontinence: short-term cure rates and factors influencing the outcome. A prospective randomised study. Aust N Z J Obstet Gynaecol. 2009;49(1):99-105.
Karateke, A., Haliloglu, B., Cam, C., & Sakalli, M. (2009). Comparison of TVT and TVT-O in patients with stress urinary incontinence: short-term cure rates and factors influencing the outcome. A prospective randomised study. The Australian & New Zealand Journal of Obstetrics & Gynaecology, 49(1), 99-105. https://doi.org/10.1111/j.1479-828X.2009.00957.x
Karateke A, et al. Comparison of TVT and TVT-O in Patients With Stress Urinary Incontinence: Short-term Cure Rates and Factors Influencing the Outcome. a Prospective Randomised Study. Aust N Z J Obstet Gynaecol. 2009;49(1):99-105. PubMed PMID: 19281588.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of TVT and TVT-O in patients with stress urinary incontinence: short-term cure rates and factors influencing the outcome. A prospective randomised study. AU - Karateke,Ates, AU - Haliloglu,Berna, AU - Cam,Cetin, AU - Sakalli,Mustafa, PY - 2009/3/14/entrez PY - 2009/3/14/pubmed PY - 2009/6/10/medline SP - 99 EP - 105 JF - The Australian & New Zealand journal of obstetrics & gynaecology JO - Aust N Z J Obstet Gynaecol VL - 49 IS - 1 N2 - BACKGROUND: Recently, mid-urethral slings have been commonly used in treatment of patients with stress urinary incontinence (SUI). AIMS: To investigate tension-free vaginal tape (TVT) and tension-free obturator tape (TVT-O) for surgical treatment of SUI for cure rates (primary endpoint), complications and factors influencing cure rate (secondary endpoints). METHODS: One-hundred and sixty-four patients were included in the study (n = 81 for TVT, n = 83 for TVT-O). The cure rates, complications, preoperative and postoperative urodynamic evaluation, Q-tip test, the Turkish version of Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory (UDI-6) scores were recorded. At three and 12 months, the patients were evaluated regarding outcome measures. RESULTS: The cure rates were similar in TVT and TVT-O groups, 88.9% versus 86.7% respectively. Mean operative time was significantly shorter in TVT-O group (P = 0.001). The cure rate was significantly higher in both groups in patients with urethral hypermobility when compared with those with no hypermobility (P = 0.001). CONCLUSIONS: The TVT and TVT-O procedures appear to be equally effective for the treatment of SUI. Also, urethral hypermobility seems to be a factor influencing cure rate of mid-urethral slings. SN - 1479-828X UR - https://www.unboundmedicine.com/medline/citation/19281588/Comparison_of_TVT_and_TVT_O_in_patients_with_stress_urinary_incontinence:_short_term_cure_rates_and_factors_influencing_the_outcome__A_prospective_randomised_study_ L2 - https://doi.org/10.1111/j.1479-828X.2009.00957.x DB - PRIME DP - Unbound Medicine ER -