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Tension-free vaginal tape obturator versus Ajust adjustable single incision sling procedure in women with urodynamic stress urinary incontinence.
Eur J Obstet Gynecol Reprod Biol. 2013 Oct; 170(2):563-6.EJ

Abstract

OBJECTIVE

To assess the efficacy and complications of inside-out transobturator tension-free vaginal tape (TVT-O) in comparison with a single incision sling procedure (Ajust) for the treatment of urodynamic stress urinary incontinence.

STUDY DESIGN

Prospective closely matched controlled study. In total, 171 patients were included in the study: 86 women underwent the TVT-O procedure, while in other 85 cases the Ajust procedure was performed. Subjective and objective cure, improvement and failure rates, mean operative time, hospital stay and incidence of complications were assessed.

RESULTS

There was no statistically significant difference between the two groups for age, body mass index, parity, menopausal status and severity of prolapse. No major intraoperative complications occurred. There was no significant difference in the mean operative time and the duration of hospital stay between the two groups. The mean follow-up time of the study was 22.3 months (range 12-36 months). For the TVT-O group the objective cure rate was 86%, the improvement rate was 5.9% and the failure rate was 8.1%, while the subjective cure rate was 82.6%. For the Ajust group the objective cure rate was 84.7%, the improvement rate was 4.7%, 10.6% of patients showed no change in their symptoms and the subjective cure rate was 81.2%.

CONCLUSIONS

The Ajust sling procedure presents success rates, at 22 months' mean follow up, comparable to the TVT-O method. Both techniques seem to be safe and effective for the treatment of urodynamic stress urinary incontinence.

Authors+Show Affiliations

2nd Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Greece. Electronic address: xarisgrigoriadis@yahoo.gr.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

23972452

Citation

Grigoriadis, C, et al. "Tension-free Vaginal Tape Obturator Versus Ajust Adjustable Single Incision Sling Procedure in Women With Urodynamic Stress Urinary Incontinence." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 170, no. 2, 2013, pp. 563-6.
Grigoriadis C, Bakas P, Derpapas A, et al. Tension-free vaginal tape obturator versus Ajust adjustable single incision sling procedure in women with urodynamic stress urinary incontinence. Eur J Obstet Gynecol Reprod Biol. 2013;170(2):563-6.
Grigoriadis, C., Bakas, P., Derpapas, A., Creatsa, M., & Liapis, A. (2013). Tension-free vaginal tape obturator versus Ajust adjustable single incision sling procedure in women with urodynamic stress urinary incontinence. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 170(2), 563-6. https://doi.org/10.1016/j.ejogrb.2013.07.041
Grigoriadis C, et al. Tension-free Vaginal Tape Obturator Versus Ajust Adjustable Single Incision Sling Procedure in Women With Urodynamic Stress Urinary Incontinence. Eur J Obstet Gynecol Reprod Biol. 2013;170(2):563-6. PubMed PMID: 23972452.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tension-free vaginal tape obturator versus Ajust adjustable single incision sling procedure in women with urodynamic stress urinary incontinence. AU - Grigoriadis,C, AU - Bakas,P, AU - Derpapas,A, AU - Creatsa,M, AU - Liapis,A, Y1 - 2013/08/07/ PY - 2012/09/05/received PY - 2013/06/17/revised PY - 2013/07/29/accepted PY - 2013/8/27/entrez PY - 2013/8/27/pubmed PY - 2014/5/27/medline KW - Ajust sling KW - Stress urinary incontinence KW - TVT-O SP - 563 EP - 6 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 170 IS - 2 N2 - OBJECTIVE: To assess the efficacy and complications of inside-out transobturator tension-free vaginal tape (TVT-O) in comparison with a single incision sling procedure (Ajust) for the treatment of urodynamic stress urinary incontinence. STUDY DESIGN: Prospective closely matched controlled study. In total, 171 patients were included in the study: 86 women underwent the TVT-O procedure, while in other 85 cases the Ajust procedure was performed. Subjective and objective cure, improvement and failure rates, mean operative time, hospital stay and incidence of complications were assessed. RESULTS: There was no statistically significant difference between the two groups for age, body mass index, parity, menopausal status and severity of prolapse. No major intraoperative complications occurred. There was no significant difference in the mean operative time and the duration of hospital stay between the two groups. The mean follow-up time of the study was 22.3 months (range 12-36 months). For the TVT-O group the objective cure rate was 86%, the improvement rate was 5.9% and the failure rate was 8.1%, while the subjective cure rate was 82.6%. For the Ajust group the objective cure rate was 84.7%, the improvement rate was 4.7%, 10.6% of patients showed no change in their symptoms and the subjective cure rate was 81.2%. CONCLUSIONS: The Ajust sling procedure presents success rates, at 22 months' mean follow up, comparable to the TVT-O method. Both techniques seem to be safe and effective for the treatment of urodynamic stress urinary incontinence. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/23972452/Tension_free_vaginal_tape_obturator_versus_Ajust_adjustable_single_incision_sling_procedure_in_women_with_urodynamic_stress_urinary_incontinence_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301-2115(13)00367-9 DB - PRIME DP - Unbound Medicine ER -