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Decreasing transobturator sling groin pain without decreasing efficacy using TVT-Abbrevo.
Int Urogynecol J. 2015 Sep; 26(9):1369-72.IU

Abstract

INTRODUCTION AND HYPOTHESIS

Groin pain following a transobturator (TO) midurethral sling is not uncommon and can be difficult to manage. We sought to determine if decreasing the mesh burden in the groin would decrease pain. The primary objective was to compare the incidence of post-operative groin pain following placement of full-length TVT-Obturator versus the shorter TVT-Abbrevo. Secondarily, we aimed to compare the efficacy between both devices 6 months after surgery.

METHODS

This is a retrospective cohort study of all women who underwent a TO midurethral sling by the division of urogynecology at one institution between 1 January 2007 and 31 October 2013. Charts were reviewed and the incidence of post-operative groin pain in the two groups dichotomized as present or absent and compared using a Chi-squared test. Validated questionnaire scores of the groups were compared using t tests.

RESULTS

There were 125 patients who received a TVT-Obturator and 100 patients who received a TVT-Abbrevo. No differences in demographic data were present between the groups. Twelve patients (9.6 %) in the TVT-Obturator group and 1 patient (1 %) in the TVT-Abbrevo group experienced bothersome groin pain (P value = 0.007). The complete pre- and 6-month post-operative ISI, UDI-6 and PFIQ-7 scores were available for 76 (61 %), 47 (38 %), and 45 (36 %) patients following TVT-Obturator and 57 (57 %), 30 (30 %), and 28 (28 %) following TVT-Abbrevo treatment. At 6 months the mean improvement in questionnaire scores for the TVT-Obturator and TVT-Abbrevo groups were as follows: 5.0 and 5.1 for ISI (P value = 0.9), 8.3 and 7.9 for UDI-6 (P value = 0.8), and 4.8 and 6.1 for PFIQ-7 (P value = 0.4).

CONCLUSION

Use of TVT-Abbrevo reduces post-operative groin pain compared with the full-length TVT-Obturator, without any reduction in efficacy.

Authors+Show Affiliations

Division of Urogynecology, Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Women and Infants Hospital of Rhode Island, 659 Eddy Street, Lower Level, Suite 12, Providence, RI, USA, jsshaw@wihri.org.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

26032699

Citation

Shaw, Jonathan S., et al. "Decreasing Transobturator Sling Groin Pain Without Decreasing Efficacy Using TVT-Abbrevo." International Urogynecology Journal, vol. 26, no. 9, 2015, pp. 1369-72.
Shaw JS, Jeppson PC, Rardin CR. Decreasing transobturator sling groin pain without decreasing efficacy using TVT-Abbrevo. Int Urogynecol J. 2015;26(9):1369-72.
Shaw, J. S., Jeppson, P. C., & Rardin, C. R. (2015). Decreasing transobturator sling groin pain without decreasing efficacy using TVT-Abbrevo. International Urogynecology Journal, 26(9), 1369-72. https://doi.org/10.1007/s00192-015-2718-5
Shaw JS, Jeppson PC, Rardin CR. Decreasing Transobturator Sling Groin Pain Without Decreasing Efficacy Using TVT-Abbrevo. Int Urogynecol J. 2015;26(9):1369-72. PubMed PMID: 26032699.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Decreasing transobturator sling groin pain without decreasing efficacy using TVT-Abbrevo. AU - Shaw,Jonathan S, AU - Jeppson,Peter C, AU - Rardin,Charles R, Y1 - 2015/06/02/ PY - 2015/01/29/received PY - 2015/04/15/accepted PY - 2015/6/3/entrez PY - 2015/6/3/pubmed PY - 2016/6/14/medline SP - 1369 EP - 72 JF - International urogynecology journal JO - Int Urogynecol J VL - 26 IS - 9 N2 - INTRODUCTION AND HYPOTHESIS: Groin pain following a transobturator (TO) midurethral sling is not uncommon and can be difficult to manage. We sought to determine if decreasing the mesh burden in the groin would decrease pain. The primary objective was to compare the incidence of post-operative groin pain following placement of full-length TVT-Obturator versus the shorter TVT-Abbrevo. Secondarily, we aimed to compare the efficacy between both devices 6 months after surgery. METHODS: This is a retrospective cohort study of all women who underwent a TO midurethral sling by the division of urogynecology at one institution between 1 January 2007 and 31 October 2013. Charts were reviewed and the incidence of post-operative groin pain in the two groups dichotomized as present or absent and compared using a Chi-squared test. Validated questionnaire scores of the groups were compared using t tests. RESULTS: There were 125 patients who received a TVT-Obturator and 100 patients who received a TVT-Abbrevo. No differences in demographic data were present between the groups. Twelve patients (9.6 %) in the TVT-Obturator group and 1 patient (1 %) in the TVT-Abbrevo group experienced bothersome groin pain (P value = 0.007). The complete pre- and 6-month post-operative ISI, UDI-6 and PFIQ-7 scores were available for 76 (61 %), 47 (38 %), and 45 (36 %) patients following TVT-Obturator and 57 (57 %), 30 (30 %), and 28 (28 %) following TVT-Abbrevo treatment. At 6 months the mean improvement in questionnaire scores for the TVT-Obturator and TVT-Abbrevo groups were as follows: 5.0 and 5.1 for ISI (P value = 0.9), 8.3 and 7.9 for UDI-6 (P value = 0.8), and 4.8 and 6.1 for PFIQ-7 (P value = 0.4). CONCLUSION: Use of TVT-Abbrevo reduces post-operative groin pain compared with the full-length TVT-Obturator, without any reduction in efficacy. SN - 1433-3023 UR - https://www.unboundmedicine.com/medline/citation/26032699/Decreasing_transobturator_sling_groin_pain_without_decreasing_efficacy_using_TVT_Abbrevo_ L2 - https://dx.doi.org/10.1007/s00192-015-2718-5 DB - PRIME DP - Unbound Medicine ER -