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Postoperative groin pain and success rates following transobturator midurethral sling placement: TVT ABBREVO® system versus TVT™ obturator system.
Int Urogynecol J. 2015 Oct; 26(10):1509-16.IU

Abstract

INTRODUCTION AND HYPOTHESIS

Placement of a transobturator midurethral sling (MUS) is the standard surgical treatment for stress urinary incontinence. Most recent MUS procedures have been poorly evaluated. We compared the results using a "new" device expected to reduce postoperative pain, the TVT ABBREVO® system (TVT-Abb), with those using the TVT™ obturator system (TVT-O).

METHODS

This was a retrospective study comparing the use of the TVT-Abb (in 50 patients) and the TVT-O (in 50 patients). The main outcomes were the amount of postoperative pain, the success rate (no reported urinary leakage and negative cough test) with both MUS procedures, and the prevalence of complications.

RESULTS

The mean follow-up time was 12 months. The preoperative characteristics of the two groups were comparable. There was less postoperative pain (VAS, 0 to 100) in the TVT-Abb group than in the TVT-O group (12.2 vs. 24.4, p < 0.01). However, at 6 weeks after surgery there was no significant difference between the two groups (p = 0.32). The incidence of de novo bladder outlet obstruction symptoms was similar in the TVT-Abb group and the TVT-O group (8 % vs. 12 %, p = 0.74). The prevalences of perioperative and postoperative complications (bladder/urethral injury, haemorrhage) in the two groups were equal. The success rates were similar at 12 months after surgery (88 % vs. 78 %, p = 0.29).

CONCLUSIONS

The success rates with TVT-Abb and TVT-O were equal at 12 months after surgery, but there was less immediate postoperative pain with TVT-Abb.

Authors+Show Affiliations

Service de Gynécologie Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, APHP, Hôpitaux Universitaires Paris Sud, 157 rue de la Porte-de-Trivaux, 92140, Clamart, France.Service de Gynécologie Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, APHP, Hôpitaux Universitaires Paris Sud, 157 rue de la Porte-de-Trivaux, 92140, Clamart, France.Service de Gynécologie Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, APHP, Hôpitaux Universitaires Paris Sud, 157 rue de la Porte-de-Trivaux, 92140, Clamart, France.Service de Gynécologie Obstétrique, Hôpital Bicêtre, APHP, Hôpitaux Universitaires Paris Sud, Le Kremlin Bicetre, 94275, France.Service de Gynécologie Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, APHP, Hôpitaux Universitaires Paris Sud, 157 rue de la Porte-de-Trivaux, 92140, Clamart, France. xavier.deffieux@abc.aphp.fr.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

25963058

Citation

Canel, Virginie, et al. "Postoperative Groin Pain and Success Rates Following Transobturator Midurethral Sling Placement: TVT ABBREVO® System Versus TVT™ Obturator System." International Urogynecology Journal, vol. 26, no. 10, 2015, pp. 1509-16.
Canel V, Thubert T, Wigniolle I, et al. Postoperative groin pain and success rates following transobturator midurethral sling placement: TVT ABBREVO® system versus TVT™ obturator system. Int Urogynecol J. 2015;26(10):1509-16.
Canel, V., Thubert, T., Wigniolle, I., Fernandez, H., & Deffieux, X. (2015). Postoperative groin pain and success rates following transobturator midurethral sling placement: TVT ABBREVO® system versus TVT™ obturator system. International Urogynecology Journal, 26(10), 1509-16. https://doi.org/10.1007/s00192-015-2723-8
Canel V, et al. Postoperative Groin Pain and Success Rates Following Transobturator Midurethral Sling Placement: TVT ABBREVO® System Versus TVT™ Obturator System. Int Urogynecol J. 2015;26(10):1509-16. PubMed PMID: 25963058.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postoperative groin pain and success rates following transobturator midurethral sling placement: TVT ABBREVO® system versus TVT™ obturator system. AU - Canel,Virginie, AU - Thubert,Thibault, AU - Wigniolle,Ingrid, AU - Fernandez,Hervé, AU - Deffieux,Xavier, Y1 - 2015/05/12/ PY - 2015/02/02/received PY - 2015/04/18/accepted PY - 2015/5/13/entrez PY - 2015/5/13/pubmed PY - 2016/7/9/medline KW - ABBREVO KW - Groin pain KW - Midurethral sling KW - TVT KW - TVT-O KW - Urinary incontinence SP - 1509 EP - 16 JF - International urogynecology journal JO - Int Urogynecol J VL - 26 IS - 10 N2 - INTRODUCTION AND HYPOTHESIS: Placement of a transobturator midurethral sling (MUS) is the standard surgical treatment for stress urinary incontinence. Most recent MUS procedures have been poorly evaluated. We compared the results using a "new" device expected to reduce postoperative pain, the TVT ABBREVO® system (TVT-Abb), with those using the TVT™ obturator system (TVT-O). METHODS: This was a retrospective study comparing the use of the TVT-Abb (in 50 patients) and the TVT-O (in 50 patients). The main outcomes were the amount of postoperative pain, the success rate (no reported urinary leakage and negative cough test) with both MUS procedures, and the prevalence of complications. RESULTS: The mean follow-up time was 12 months. The preoperative characteristics of the two groups were comparable. There was less postoperative pain (VAS, 0 to 100) in the TVT-Abb group than in the TVT-O group (12.2 vs. 24.4, p < 0.01). However, at 6 weeks after surgery there was no significant difference between the two groups (p = 0.32). The incidence of de novo bladder outlet obstruction symptoms was similar in the TVT-Abb group and the TVT-O group (8 % vs. 12 %, p = 0.74). The prevalences of perioperative and postoperative complications (bladder/urethral injury, haemorrhage) in the two groups were equal. The success rates were similar at 12 months after surgery (88 % vs. 78 %, p = 0.29). CONCLUSIONS: The success rates with TVT-Abb and TVT-O were equal at 12 months after surgery, but there was less immediate postoperative pain with TVT-Abb. SN - 1433-3023 UR - https://www.unboundmedicine.com/medline/citation/25963058/Postoperative_groin_pain_and_success_rates_following_transobturator_midurethral_sling_placement:_TVT_ABBREVO®_system_versus_TVT™_obturator_system_ L2 - https://dx.doi.org/10.1007/s00192-015-2723-8 DB - PRIME DP - Unbound Medicine ER -