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Transobturator vs single-incision suburethral mini-slings for treatment of female stress urinary incontinence: early postoperative pain and 3-year follow-up.
J Minim Invasive Gynecol. 2011 Nov-Dec; 18(6):769-73.JM

Abstract

STUDY OBJECTIVE

To compare related pain and cure using the transobturator and single-incision suburethral mini-sling anti-incontinence operations.

DESIGN

Open, prospective, nonrandomized 2-armed study comparing 2 surgical procedures for treatment of female stress urinary incontinence (Canadian Task Force classification II-1).

SETTING

A university and a private hospital.

PATIENTS

One hundred sixty-two women with stress urinary incontinence underwent either a tension-free vaginal tape-obturator (TVT-O) or a single-incision (TVT-SECUR) suburethral or mid-urethral tape operation.

MEASUREMENTS AND MAIN RESULTS

Pain levels were estimated using a visual analog scale, and outcome using the Urinary Distress Inventory and the Incontinence Impact Questionnaire. Postoperative vaginal and thigh pain was transient, lasting for up to 2 weeks, and occurred significantly more frequently in the TVT-O group (32% vs 1% and 32% vs 0%, respectively). Dyspareunia was not self-limited, and occurred more frequently in the TVT-SECUR group (7.9% vs 0%). Cure rates were 86.9% in the TVT-O group and 90.9% in the TVT-SECUR group. Complication rates were similar in the 2 groups.

CONCLUSION

Both procedures were effective, with few adverse effects. In sexually inactive patients, the TVT-SECUR procedure may be preferable because thigh and vaginal pain is largely averted with this procedure. Sexually active patients might be better referred for the TVT-O procedure because it was not followed by dyspareunia in our series. Patient choice of surgical method rather than randomization weakened the strength of this study.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Western Galilee Hospital, Nahariya, Israel. mneuman@netvision.net.ilNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

22024263

Citation

Neuman, Menahem, et al. "Transobturator Vs Single-incision Suburethral Mini-slings for Treatment of Female Stress Urinary Incontinence: Early Postoperative Pain and 3-year Follow-up." Journal of Minimally Invasive Gynecology, vol. 18, no. 6, 2011, pp. 769-73.
Neuman M, Sosnovski V, Kais M, et al. Transobturator vs single-incision suburethral mini-slings for treatment of female stress urinary incontinence: early postoperative pain and 3-year follow-up. J Minim Invasive Gynecol. 2011;18(6):769-73.
Neuman, M., Sosnovski, V., Kais, M., Ophir, E., & Bornstein, J. (2011). Transobturator vs single-incision suburethral mini-slings for treatment of female stress urinary incontinence: early postoperative pain and 3-year follow-up. Journal of Minimally Invasive Gynecology, 18(6), 769-73. https://doi.org/10.1016/j.jmig.2011.08.718
Neuman M, et al. Transobturator Vs Single-incision Suburethral Mini-slings for Treatment of Female Stress Urinary Incontinence: Early Postoperative Pain and 3-year Follow-up. J Minim Invasive Gynecol. 2011 Nov-Dec;18(6):769-73. PubMed PMID: 22024263.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transobturator vs single-incision suburethral mini-slings for treatment of female stress urinary incontinence: early postoperative pain and 3-year follow-up. AU - Neuman,Menahem, AU - Sosnovski,Vladimir, AU - Kais,Mohammad, AU - Ophir,Ella, AU - Bornstein,Jacob, PY - 2011/06/21/received PY - 2011/08/14/revised PY - 2011/08/19/accepted PY - 2011/10/26/entrez PY - 2011/10/26/pubmed PY - 2012/3/1/medline SP - 769 EP - 73 JF - Journal of minimally invasive gynecology JO - J Minim Invasive Gynecol VL - 18 IS - 6 N2 - STUDY OBJECTIVE: To compare related pain and cure using the transobturator and single-incision suburethral mini-sling anti-incontinence operations. DESIGN: Open, prospective, nonrandomized 2-armed study comparing 2 surgical procedures for treatment of female stress urinary incontinence (Canadian Task Force classification II-1). SETTING: A university and a private hospital. PATIENTS: One hundred sixty-two women with stress urinary incontinence underwent either a tension-free vaginal tape-obturator (TVT-O) or a single-incision (TVT-SECUR) suburethral or mid-urethral tape operation. MEASUREMENTS AND MAIN RESULTS: Pain levels were estimated using a visual analog scale, and outcome using the Urinary Distress Inventory and the Incontinence Impact Questionnaire. Postoperative vaginal and thigh pain was transient, lasting for up to 2 weeks, and occurred significantly more frequently in the TVT-O group (32% vs 1% and 32% vs 0%, respectively). Dyspareunia was not self-limited, and occurred more frequently in the TVT-SECUR group (7.9% vs 0%). Cure rates were 86.9% in the TVT-O group and 90.9% in the TVT-SECUR group. Complication rates were similar in the 2 groups. CONCLUSION: Both procedures were effective, with few adverse effects. In sexually inactive patients, the TVT-SECUR procedure may be preferable because thigh and vaginal pain is largely averted with this procedure. Sexually active patients might be better referred for the TVT-O procedure because it was not followed by dyspareunia in our series. Patient choice of surgical method rather than randomization weakened the strength of this study. SN - 1553-4669 UR - https://www.unboundmedicine.com/medline/citation/22024263/Transobturator_vs_single_incision_suburethral_mini_slings_for_treatment_of_female_stress_urinary_incontinence:_early_postoperative_pain_and_3_year_follow_up_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1553-4650(11)01175-7 DB - PRIME DP - Unbound Medicine ER -