Top

World Journal of Urology

Published in:

01-03-2018 | Original Article

Three- and twelve-month follow-up outcomes of TVT-EXACT and TVT-ABBREVO for treatment of female stress urinary incontinence: a randomized clinical trial

Authors: ShiJian Feng, DeYi Luo, QinYu Liu, TongXin Yang, Caigan Du, Hong Li, KunJie Wang, Hong Shen

Published in: World Journal of Urology | Issue 3/2018

Abstract

Objective

To compare the efficacy, safety, postoperative complications and discomforts between TVT-EXACT (TVT-E) and TVT-ABBREVO (TVT-A) for treatment of female stress urinary incontinence.

Methods

Recruited patients were randomized into either TVT-E or TVT-A group using SPSS software. Follow-up measures were performed at day 1 before surgery and both 3 and 12 months after the surgery. The measurement outcomes were the scores of involved six questionnaires on quality of life, symptom severity and patient satisfaction. Sixty patients in each arm were planned to be powerful enough to draw a valid conclusion. All statistical analyses were done with t test, Chi square, Mann–Whitney U test and ANOVA as appropriate.

Results

The final sample sizes were 63 (TVT-E) versus 62 (TVT-A). TVT-E took more time but caused less postoperative pain than TVT-A. The number of patients who did not suffer from peri-operational complications or discomforts in each group was similar. The rate of urine leakage in TVT-A group was higher than that in TVT-E, but the difference was not statistical significant in 12 months. At both 3- and 12-month time points, the TVT-E group showed the higher score in I-QOL and the lower scores in both ICIQ-SF and PFIQ-7 scales, which might imply better effectiveness and quality of life. The two groups demonstrated comparable objective cure rates by cough stress test in both 3 and 12 months. The subjective cure rate of TVT-E was better than that of TVT-A in 3 months, but was similar between two groups in 12 months.

Conclusions

The present study provided evidences showing that although TVT-E might provide the better subjective cure rate and the fewer troublesome discomforts at 3 months comparing to TVT-A, the long-term results between these two treatments showed no significant difference.

Dooley Y, Kenton K, Cao G, Luke A, Durazo-Arvizu R, Kramer H, Brubaker L (2008) Urinary incontinence prevalence: results from the National Health and Nutrition Examination Survey. J Urol 179(2):656–661. https://doi.org/10.1016/j.juro.2007.09.081 CrossRefPubMed

Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 29(1):4–20. https://doi.org/10.1002/nau.20798 PubMed

Lucas MG, Bosch RJ, Burkhard FC, Cruz F, Madden TB, Nambiar AK, Neisius A, de Ridder DJ, Tubaro A, Turner WH, Pickard RS, European Association of U (2012) EAU guidelines on surgical treatment of urinary incontinence. Eur Urol 62(6):1118–1129. https://doi.org/10.1016/j.eururo.2012.09.023 CrossRefPubMed

Richter HE, Albo ME, Zyczynski HM, Kenton K, Norton PA, Sirls LT, Kraus SR, Chai TC, Lemack GE, Dandreo KJ, Varner RE, Menefee S, Ghetti C, Brubaker L, Nygaard I, Khandwala S, Rozanski TA, Johnson H, Schaffer J, Stoddard AM, Holley RL, Nager CW, Moalli P, Mueller E, Arisco AM, Corton M, Tennstedt S, Chang TD, Gormley EA, Litman HJ, Urinary Incontinence Treatment N (2010) Retropubic versus transobturator midurethral slings for stress incontinence. N Engl J Med 362(22):2066–2076. https://doi.org/10.1056/NEJMoa0912658 CrossRefPubMedPubMedCentral

Canel V, Thubert T, Wigniolle I, Fernandez H, Deffieux X (2015) Postoperative groin pain and success rates following transobturator midurethral sling placement: TVT ABBREVO(R) system versus TVT obturator system. Int Urogynecol J 26(10):1509–1516. https://doi.org/10.1007/s00192-015-2723-8 CrossRefPubMed

Thubert T, Canel V, Vinchant M, Wigniolle I, Fernandez H, Deffieux X (2016) Bladder injury and success rates following retropubic mid-urethral sling: TVT EXACT vs. TVT. Eur J Obstet Gynecol Reprod Biol 198:78–83. https://doi.org/10.1016/j.ejogrb.2016.01.012 CrossRefPubMed

Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7(2):81–85 (discussion 85–86) CrossRefPubMed

de Leval J, Thomas A, Waltregny D (2011) The original versus a modified inside-out transobturator procedure: 1-year results of a prospective randomized trial. Int Urogynecol J 22(2):145–156. https://doi.org/10.1007/s00192-010-1264-4 CrossRefPubMed

Zhang Z, Zhu L, Xu T, Lang J (2016) Retropubic tension-free vaginal tape and inside-out transobturator tape: a long-term randomized trial. Int Urogynecol J 27(1):103–111. https://doi.org/10.1007/s00192-015-2798-2 CrossRefPubMed

10.

Karantanis E, Fynes M, Moore KH, Stanton SL (2004) Comparison of the ICIQ-SF and 24-hour pad test with other measures for evaluating the severity of urodynamic stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 15(2):111–116. https://doi.org/10.1007/s00192-004-1123-2 (discussion 116) CrossRefPubMed

11.

Shaw JS, Jeppson PC, Rardin CR (2015) Decreasing transobturator sling groin pain without decreasing efficacy using TVT-Abbrevo. Int Urogynecol J 26(9):1369–1372. https://doi.org/10.1007/s00192-015-2718-5 CrossRefPubMed

12.

Yalcin I, Bump RC (2003) Validation of two global impression questionnaires for incontinence. Am J Obstet Gynecol 189(1):98–101CrossRefPubMed

13.

Masata J, Svabik K, Martan A (2015) Bleeding complication with the TVT-Exact procedure: a report of two cases. Int Urogynecol J 26(2):303–305. https://doi.org/10.1007/s00192-014-2494-7 CrossRefPubMed

14.

Li WL, Lu ZW, Li FP, Yu HY (2016) A comparative study on treating femal stress urinary incontinence with TVT-Abbrevo and TVT-Obturator. Zhonghua yi xue za zhi 96(28):2238–2240. https://doi.org/10.3760/cma.j.issn.0376-2491.2016.28.008 PubMed

15.

Aigmuller T, Tammaa A, Tamussino K, Hanzal E, Umek W, Kolle D, Kropshofer S, Bjelic-Radisic V, Haas J, Giuliani A, Lang PF, Preyer O, Peschers U, Jundt K, Ralph G, Dungl A, Riss PA, Austrian TVTvTVTOSG (2014) Retropubic vs. transobturator tension-free vaginal tape for female stress urinary incontinence: 3-month results of a randomized controlled trial. Int Urogynecol J 25(8):1023–1030. https://doi.org/10.1007/s00192-014-2384-z CrossRefPubMed

16.

Agur W, Riad M, Secco S, Litman H, Madhuvrata P, Novara G, Abdel-Fattah M (2013) Surgical treatment of recurrent stress urinary incontinence in women: a systematic review and meta-analysis of randomised controlled trials. Eur Urol 64(2):323–336. https://doi.org/10.1016/j.eururo.2013.04.034 CrossRefPubMed

Title: Three- and twelve-month follow-up outcomes of TVT-EXACT and TVT-ABBREVO for treatment of female stress urinary incontinence: a randomized clinical trial
Authors: ShiJian Feng
DeYi Luo
QinYu Liu
TongXin Yang
Caigan Du
Hong Li
KunJie Wang
Hong Shen
Publication date: 01-03-2018
Publisher: Springer Berlin Heidelberg
Published in: World Journal of Urology / Issue 3/2018
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-017-2165-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Three- and twelve-month follow-up outcomes of TVT-EXACT and TVT-ABBREVO for treatment of female stress urinary incontinence: a randomized clinical trial

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 3/2018

The stone surgeon in the mirror: how are German-speaking urologists treating large renal stones today?

Prognostic factors in patients with penile cancer after surgical management

Retrospective analysis of the development of PIRADS 3 lesions over time: when is a follow-up MRI reasonable?

Inter-rater reliability in the radiological classification of renal injuries

Diagnostic accuracy of C-11 choline and C-11 acetate for lymph node staging in patients with bladder cancer: a systematic review and meta-analysis

Utilization of Active Surveillance and Watchful Waiting for localized prostate cancer in the daily practice