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International Urogynecology Journal

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01-11-2010 | Original Article

Transobturator TVT-O versus retropubic TVT: results of a multicenter randomized controlled trial at 24 months follow-up

Authors: Xavier Deffieux, Nagib Daher, Aslam Mansoor, Philippe Debodinance, Joël Muhlstein, Hervé Fernandez

Published in: International Urogynecology Journal | Issue 11/2010

Abstract

Introduction and hypothesis

The purpose of this study is to compare the retropubic tension-free vaginal tape (TVT) procedure with the inside-out transobturator approach (TVT-O).

Methods

Multicenter randomized controlled trial. One hundred forty-nine patients were randomly allocated to either TVT (n = 75) or TVT-O (n = 74). Interview, medical examination, pain scores, success rates, and quality of life assessment were recorded pre-operatively, and 2, 6, 12, and 24 months post-operatively.

Results

One hundred forty-nine patients underwent surgery, and 132 completed a 24-month follow-up. Bladder injury rate was 5% (4/75) in the TVT group and 2% (2/74) in the TVT-O group (p = 0.68). There was no significant difference between the two groups, concerning overall cure rate and the patients' satisfaction rate at 24 months follow-up. The range of mean pain scores was significantly higher after the TVT-O procedure post-operatively but not at 24 months follow-up.

Conclusion

TVT and TVT-O procedures both have an outcome associated with an increase in quality of life with no significant differences in satisfaction rates at 2 years follow-up.

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Title: Transobturator TVT-O versus retropubic TVT: results of a multicenter randomized controlled trial at 24 months follow-up
Authors: Xavier Deffieux
Nagib Daher
Aslam Mansoor
Philippe Debodinance
Joël Muhlstein
Hervé Fernandez
Publication date: 01-11-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 11/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1196-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transobturator TVT-O versus retropubic TVT: results of a multicenter randomized controlled trial at 24 months follow-up

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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