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TVT-O vs. TVT-Abbrevo for stress urinary incontinence treatment in women: a randomized trial.
Int Urogynecol J. 2020 04; 31(4):703-710.IU

Abstract

INTRODUCTION

To compare the efficacy, safety and complications of the trans-obturator midurethral sling from inside to outside (TVT-O) and of the shorter trans-obturator midurethral sling (TVT-Abbrevo) for treatment of female SUI.

MATERIALS AND METHODS

One hundred fifty-eight recruited patients were randomized into either the TVT-O or TVT-Abbrevo group. Preoperative assessment included history and general assessment, urinalysis and urine culture, urogynaecological clinical examination, urodynamic evaluation and urogynaecologic interview by ICIQ-SF-UI, PGI-I and PISQ12. Operative time, perioperative complications, spontaneous voiding, postoperative complications and hospital stay were prospectively recorded in all patients. At 3, 6, 12, 24 and 36 months after surgery, patients were asked to answer urogynaecological interviews by ICIQ-SF-UI, PGI-I and PISQ12. The urodynamic assessment was performed at 12, 24 and 36 months. Success rate was assessed at 12, 24 and 36 months postoperatively.

RESULTS

Overall, 138 of 158 patients (87%) were cured of SUI 36 months after the operation with no significant differences between groups [69 (87%) and 69 (87%) patients in the TVT-O and TVT Abbrevo groups, respectively]. The two groups did not significantly differ in operative time, intraoperative blood loss and length of hospital stay. Nine patients (11%) had postoperative groin pain in the TVT-O group and one patient in the TVT Abbrevo group (p = 0.02). Three-year control demonstrated an equal objective cure rate in both groups. There was a significant improvement in total PISQ-12 and ICIQ-SF-UI scores in both groups at 36 months FU.

CONCLUSION

TVT-Abbrevo has similar efficacy and safety compared with TVT-O in women with SUI; the use of a shorter sling reduces postoperative pain.

Authors+Show Affiliations

Department of Surgery-Week Surgery, Campus Biomedico, University of Rome, Rome, Italy.Department of Gynecological and Obstetric Sciences, and Urological Sciences, University of Rome "Sapienza", Umberto I Hospital, Viale del Policlinico 155, 00161, Rome, Italy. michelecarlo.schiavi@gmail.com.Department of Surgery-Week Surgery, Campus Biomedico, University of Rome, Rome, Italy.Department of Gynecological and Obstetric Sciences, and Urological Sciences, University of Rome "Sapienza", Umberto I Hospital, Viale del Policlinico 155, 00161, Rome, Italy.Department of Gynecological and Obstetric Sciences, and Urological Sciences, University of Rome "Sapienza", Umberto I Hospital, Viale del Policlinico 155, 00161, Rome, Italy.Department of Gynecological and Obstetric, San Filippo Neri Hospital, Rome, Italy.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

31410518

Citation

Zullo, Marzio Angelo, et al. "TVT-O Vs. TVT-Abbrevo for Stress Urinary Incontinence Treatment in Women: a Randomized Trial." International Urogynecology Journal, vol. 31, no. 4, 2020, pp. 703-710.
Zullo MA, Schiavi MC, Luffarelli P, et al. TVT-O vs. TVT-Abbrevo for stress urinary incontinence treatment in women: a randomized trial. Int Urogynecol J. 2020;31(4):703-710.
Zullo, M. A., Schiavi, M. C., Luffarelli, P., Prata, G., Di Pinto, A., & Oliva, C. (2020). TVT-O vs. TVT-Abbrevo for stress urinary incontinence treatment in women: a randomized trial. International Urogynecology Journal, 31(4), 703-710. https://doi.org/10.1007/s00192-019-04077-7
Zullo MA, et al. TVT-O Vs. TVT-Abbrevo for Stress Urinary Incontinence Treatment in Women: a Randomized Trial. Int Urogynecol J. 2020;31(4):703-710. PubMed PMID: 31410518.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - TVT-O vs. TVT-Abbrevo for stress urinary incontinence treatment in women: a randomized trial. AU - Zullo,Marzio Angelo, AU - Schiavi,Michele Carlo, AU - Luffarelli,Paolo, AU - Prata,Giovanni, AU - Di Pinto,Anna, AU - Oliva,Cosimo, Y1 - 2019/08/13/ PY - 2019/05/31/received PY - 2019/07/26/accepted PY - 2019/8/15/pubmed PY - 2021/6/1/medline PY - 2019/8/15/entrez KW - Mid-urethral sling KW - Mini-sling KW - Quality of life KW - Stress urinary incontinence KW - TVT-O SP - 703 EP - 710 JF - International urogynecology journal JO - Int Urogynecol J VL - 31 IS - 4 N2 - INTRODUCTION: To compare the efficacy, safety and complications of the trans-obturator midurethral sling from inside to outside (TVT-O) and of the shorter trans-obturator midurethral sling (TVT-Abbrevo) for treatment of female SUI. MATERIALS AND METHODS: One hundred fifty-eight recruited patients were randomized into either the TVT-O or TVT-Abbrevo group. Preoperative assessment included history and general assessment, urinalysis and urine culture, urogynaecological clinical examination, urodynamic evaluation and urogynaecologic interview by ICIQ-SF-UI, PGI-I and PISQ12. Operative time, perioperative complications, spontaneous voiding, postoperative complications and hospital stay were prospectively recorded in all patients. At 3, 6, 12, 24 and 36 months after surgery, patients were asked to answer urogynaecological interviews by ICIQ-SF-UI, PGI-I and PISQ12. The urodynamic assessment was performed at 12, 24 and 36 months. Success rate was assessed at 12, 24 and 36 months postoperatively. RESULTS: Overall, 138 of 158 patients (87%) were cured of SUI 36 months after the operation with no significant differences between groups [69 (87%) and 69 (87%) patients in the TVT-O and TVT Abbrevo groups, respectively]. The two groups did not significantly differ in operative time, intraoperative blood loss and length of hospital stay. Nine patients (11%) had postoperative groin pain in the TVT-O group and one patient in the TVT Abbrevo group (p = 0.02). Three-year control demonstrated an equal objective cure rate in both groups. There was a significant improvement in total PISQ-12 and ICIQ-SF-UI scores in both groups at 36 months FU. CONCLUSION: TVT-Abbrevo has similar efficacy and safety compared with TVT-O in women with SUI; the use of a shorter sling reduces postoperative pain. SN - 1433-3023 UR - https://www.unboundmedicine.com/medline/citation/31410518/TVT_O_vs__TVT_Abbrevo_for_stress_urinary_incontinence_treatment_in_women:_a_randomized_trial_ L2 - https://dx.doi.org/10.1007/s00192-019-04077-7 DB - PRIME DP - Unbound Medicine ER -