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A prospective randomized trial comparing tension-free vaginal tape versus transobturator tape in patients with stress or mixed urinary incontinence: subjective cure rate and satisfaction in median follow-up of 46 months.
Scand J Urol. 2014 Jun; 48(3):309-15.SJ

Abstract

OBJECTIVE

The aim of this study was to investigate the difference in subjective cure rate and patient satisfaction between tension-free vaginal tape (TVT) and transobturator tape (TOT) surgical methods in the treatment of stress and mixed urinary incontinence.

MATERIAL AND METHODS

From January 2004 to November 2006, a total of 100 patients suffering from stress or mixed urinary incontinence and evaluated to benefit from operative treatment were randomized to undergo either TVT or TOT surgery in Oulu University Hospital. There were no significant differences between the study groups concerning the patient characteristics. During the 3, 14 and 46 month follow-up steps, information on subjective cure and patient satisfaction was gathered with Urinary Incontinence Severity Score and Detrusor Instability Score questionnaires and a specific question about satisfaction.

RESULTS

The subjective cure rate was 81% in both study groups. The satisfaction rate was 79% in the TVT group and 74% in the TOT group at the final follow-up. Urge symptoms were relieved in 70% of patients in the mixed urinary incontinence subgroup. De novo urgency occurred in 17% of the patients in the stress urinary incontinence subgroup, and 45% of these patients were unsatisfied after the follow-up.

CONCLUSIONS

TVT and TOT are equally effective methods in the treatment of urinary incontinence and patient satisfaction is similar in both methods. A large proportion of patients with mixed urinary incontinence found the operation beneficial for urge symptoms.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, North Karelian Central Hospital , Joensuu , Finland.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

24286482

Citation

Nyyssönen, Virva, et al. "A Prospective Randomized Trial Comparing Tension-free Vaginal Tape Versus Transobturator Tape in Patients With Stress or Mixed Urinary Incontinence: Subjective Cure Rate and Satisfaction in Median Follow-up of 46 Months." Scandinavian Journal of Urology, vol. 48, no. 3, 2014, pp. 309-15.
Nyyssönen V, Talvensaari-Mattila A, Santala M. A prospective randomized trial comparing tension-free vaginal tape versus transobturator tape in patients with stress or mixed urinary incontinence: subjective cure rate and satisfaction in median follow-up of 46 months. Scand J Urol. 2014;48(3):309-15.
Nyyssönen, V., Talvensaari-Mattila, A., & Santala, M. (2014). A prospective randomized trial comparing tension-free vaginal tape versus transobturator tape in patients with stress or mixed urinary incontinence: subjective cure rate and satisfaction in median follow-up of 46 months. Scandinavian Journal of Urology, 48(3), 309-15. https://doi.org/10.3109/21681805.2013.863802
Nyyssönen V, Talvensaari-Mattila A, Santala M. A Prospective Randomized Trial Comparing Tension-free Vaginal Tape Versus Transobturator Tape in Patients With Stress or Mixed Urinary Incontinence: Subjective Cure Rate and Satisfaction in Median Follow-up of 46 Months. Scand J Urol. 2014;48(3):309-15. PubMed PMID: 24286482.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A prospective randomized trial comparing tension-free vaginal tape versus transobturator tape in patients with stress or mixed urinary incontinence: subjective cure rate and satisfaction in median follow-up of 46 months. AU - Nyyssönen,Virva, AU - Talvensaari-Mattila,Anne, AU - Santala,Markku, Y1 - 2013/11/29/ PY - 2013/11/30/entrez PY - 2013/11/30/pubmed PY - 2015/1/6/medline KW - TOT KW - TVT KW - incontinence surgery KW - mixed urinary incontinence KW - patient satisfaction KW - stress urinary incontinence KW - subjective cure KW - transobturator tape KW - transvaginal tape SP - 309 EP - 15 JF - Scandinavian journal of urology JO - Scand J Urol VL - 48 IS - 3 N2 - OBJECTIVE: The aim of this study was to investigate the difference in subjective cure rate and patient satisfaction between tension-free vaginal tape (TVT) and transobturator tape (TOT) surgical methods in the treatment of stress and mixed urinary incontinence. MATERIAL AND METHODS: From January 2004 to November 2006, a total of 100 patients suffering from stress or mixed urinary incontinence and evaluated to benefit from operative treatment were randomized to undergo either TVT or TOT surgery in Oulu University Hospital. There were no significant differences between the study groups concerning the patient characteristics. During the 3, 14 and 46 month follow-up steps, information on subjective cure and patient satisfaction was gathered with Urinary Incontinence Severity Score and Detrusor Instability Score questionnaires and a specific question about satisfaction. RESULTS: The subjective cure rate was 81% in both study groups. The satisfaction rate was 79% in the TVT group and 74% in the TOT group at the final follow-up. Urge symptoms were relieved in 70% of patients in the mixed urinary incontinence subgroup. De novo urgency occurred in 17% of the patients in the stress urinary incontinence subgroup, and 45% of these patients were unsatisfied after the follow-up. CONCLUSIONS: TVT and TOT are equally effective methods in the treatment of urinary incontinence and patient satisfaction is similar in both methods. A large proportion of patients with mixed urinary incontinence found the operation beneficial for urge symptoms. SN - 2168-1813 UR - https://www.unboundmedicine.com/medline/citation/24286482/A_prospective_randomized_trial_comparing_tension_free_vaginal_tape_versus_transobturator_tape_in_patients_with_stress_or_mixed_urinary_incontinence:_subjective_cure_rate_and_satisfaction_in_median_follow_up_of_46_months_ L2 - http://www.tandfonline.com/doi/full/10.3109/21681805.2013.863802 DB - PRIME DP - Unbound Medicine ER -