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International Urogynecology Journal

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01-06-2009 | Original Article

Long-term outcomes of TVT and IVS operations for treatment of female stress urinary incontinence: monofilament vs. multifilament polypropylene tape

Authors: Jens Christian Prien-Larsen, Lars Hemmingsen

Published in: International Urogynecology Journal | Issue 6/2009

Abstract

Introduction and hypothesis

We compared cure rates of tension-free vaginal tape (TVT) with intravaginal slingplasty (IVS) and evaluated changes in cure rates over time.

Methods

One hundred three underwent TVT and 213 underwent IVS. Follow-ups were done at 3 months, 1 year, and 5 years.

Results

The following results were found: objective cure for TVT 98–95–94% vs. IVS 86–86–80% (p < 0.03); subjective cure for TVT 82–79–74% vs. IVS 79–81–71% (NS). In IVS, a significant decline in subjective cure took place. Vaginal erosions were found in 11.8% of women in the IVS group and none in the TVT group.

Conclusions

TVT is an effective and stable treatment, whereas IVS has a significant inferior objective cure rate, and a significant decline in subjective cure rate occurred over time. A high rate of vaginal erosions was found in the IVS group. We cannot recommend the use of multifilament polypropylene tape (IVS) for surgical treatment of stress urinary incontinence.

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Title: Long-term outcomes of TVT and IVS operations for treatment of female stress urinary incontinence: monofilament vs. multifilament polypropylene tape
Authors: Jens Christian Prien-Larsen
Lars Hemmingsen
Publication date: 01-06-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0844-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Long-term outcomes of TVT and IVS operations for treatment of female stress urinary incontinence: monofilament vs. multifilament polypropylene tape

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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