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Published in: International Urogynecology Journal 7/2010

01-07-2010 | Original Article

TVT-S for surgical treatment of stress urinary incontinence: prospective trial, 1-year follow-up

Authors: Ladislav Krofta, Jaroslav Feyereisl, Petr Velebil, Michal Otčenášek, Eva Kašíková, Michal Krčmář

Published in: International Urogynecology Journal | Issue 7/2010

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Abstract

Introduction and hypothesis

The aim of this study was to evaluate the effectiveness of and morbidity associated with the tension-free vaginal tape-secur (TVT-S) procedure in women with stress urinary incontinence (SUI).

Methods

We performed a prospective trial, examining 86 women with primary SUI. Eighty-two patients had a 1-year follow-up (dropout rate = 4.6%). The preoperative evaluation included urinalysis, urodynamic studies, and validated questionnaires. The 1-year outcome evaluation also included a 1-h pad testing.

Results

At the 1-year follow-up, 43 (52.4%) women were objectively cured, and 14 (17.1%) women were objectively improved. Subjectively, 49 (59.7%) patients did not experience urine loss, and 18 (22.2%) women improved in this respect. Postoperative de novo urge incontinence symptoms developed in 24.4% (n = 20) of patients. Vaginal defect healing occurred in 6.1% (n = 5) of patients, and one (1.2%) case of urethral erosion was reported.

Conclusion

Objective and subjective cure rates following TVT-S are inferior to other tape procedures.
Literature
1.
go back to reference 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 7:81–86CrossRefPubMed 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 7:81–86CrossRefPubMed
2.
go back to reference Nilsson CG, Palva K, Rezapour M, Falconer C (2008) Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:1043–1047CrossRefPubMed Nilsson CG, Palva K, Rezapour M, Falconer C (2008) Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:1043–1047CrossRefPubMed
3.
go back to reference Nilsson CG, Falconer C, Rezapour M (2004) Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol 104:1259–1262PubMed Nilsson CG, Falconer C, Rezapour M (2004) Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol 104:1259–1262PubMed
4.
go back to reference Kuuva N, Nilsson CG (2002) A nationalwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand 81:72–77CrossRefPubMed Kuuva N, Nilsson CG (2002) A nationalwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand 81:72–77CrossRefPubMed
5.
go back to reference Delorme E (2001) La bandelette transobturatricae: un procedere mini-invasif pour traiterl´incontinence de la femme. Prog Urol 11:1306–1313PubMed Delorme E (2001) La bandelette transobturatricae: un procedere mini-invasif pour traiterl´incontinence de la femme. Prog Urol 11:1306–1313PubMed
6.
go back to reference Minaglia S, Ozel B, Klutke C, Ballard C, Klutke J (2004) Bladder injury during transobturator sling. Urol 64:376–377CrossRefPubMed Minaglia S, Ozel B, Klutke C, Ballard C, Klutke J (2004) Bladder injury during transobturator sling. Urol 64:376–377CrossRefPubMed
7.
go back to reference Hermieu JF, Messas A, Delmas V, Ravery V, Dumonceau O, Boccon-Gibod L (2003) Plaie vésicale apres bandelette trans-obturatrice. Prog Urol 13:115–117PubMed Hermieu JF, Messas A, Delmas V, Ravery V, Dumonceau O, Boccon-Gibod L (2003) Plaie vésicale apres bandelette trans-obturatrice. Prog Urol 13:115–117PubMed
8.
go back to reference De Leval J (2003) Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 44:724–730CrossRefPubMed De Leval J (2003) Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 44:724–730CrossRefPubMed
9.
go back to reference Neuman M (2008) Perioperative complications and early follow-up with 100 TVT-SECUR procedures. J Minim Invasive Gynecol 15:480–484CrossRefPubMed Neuman M (2008) Perioperative complications and early follow-up with 100 TVT-SECUR procedures. J Minim Invasive Gynecol 15:480–484CrossRefPubMed
10.
go back to reference Rezapour M, Novara G, Meier PA, Holste J, Landgrebe S, Artibani W (2007) A 3-month pre-clinical trial to assess the performance of a new TVT-likemesh (TVTx) in a sheep model. Int Urogynecol J Pelvic Floor Dysfunct 18:183–187PubMed Rezapour M, Novara G, Meier PA, Holste J, Landgrebe S, Artibani W (2007) A 3-month pre-clinical trial to assess the performance of a new TVT-likemesh (TVTx) in a sheep model. Int Urogynecol J Pelvic Floor Dysfunct 18:183–187PubMed
11.
go back to reference Bump RC, Mattiasson A, Bo K (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17CrossRefPubMed Bump RC, Mattiasson A, Bo K (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17CrossRefPubMed
12.
go back to reference Lukacz ES, Lawrence JM, Burchette RJ, Luber KM, Nager Ch, Buckwalter JG (2004) The use of visual analog scale in urogynecologic research: a psychometric evaluation. Am J Obstet Gynecol 191:165–170CrossRefPubMed Lukacz ES, Lawrence JM, Burchette RJ, Luber KM, Nager Ch, Buckwalter JG (2004) The use of visual analog scale in urogynecologic research: a psychometric evaluation. Am J Obstet Gynecol 191:165–170CrossRefPubMed
13.
go back to reference Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P (2004) ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 23:322–330CrossRefPubMed Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P (2004) ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 23:322–330CrossRefPubMed
14.
go back to reference Debodiance P, Lagrange E, Amblard J, Lenoble C, Lucot JP, Villet R et al (2008) TVT secur: more and more minimal invasive. Preliminary prospective study on 110 cases. J Gynecol Obstet Biol Reprod 37:229–236 Debodiance P, Lagrange E, Amblard J, Lenoble C, Lucot JP, Villet R et al (2008) TVT secur: more and more minimal invasive. Preliminary prospective study on 110 cases. J Gynecol Obstet Biol Reprod 37:229–236
15.
go back to reference Latthe PM, Foon R, Toozs-Hobson P (2007) Transobturator and retro pubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. BJOG 114:522–531CrossRefPubMed Latthe PM, Foon R, Toozs-Hobson P (2007) Transobturator and retro pubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. BJOG 114:522–531CrossRefPubMed
16.
go back to reference Waltergny D, De Leval J (2009) The TVT-obturator surgical procedure for the treatment of female stress urinary incontinence: a clinical update. Int Urogynecol J 20:337–348CrossRef Waltergny D, De Leval J (2009) The TVT-obturator surgical procedure for the treatment of female stress urinary incontinence: a clinical update. Int Urogynecol J 20:337–348CrossRef
17.
go back to reference Meschia M, Barbacini P, Ambrogi V, Pifarotti P, Ricci L, Spreafico L (2009) TVT-secur: a minimally invasive procedure for the treatment of primary stress urinary incontinence. One year data from a multi-centre prospective trial. Int Urogynecol J Pelvic Floor Dysfunct 20:313–317CrossRefPubMed Meschia M, Barbacini P, Ambrogi V, Pifarotti P, Ricci L, Spreafico L (2009) TVT-secur: a minimally invasive procedure for the treatment of primary stress urinary incontinence. One year data from a multi-centre prospective trial. Int Urogynecol J Pelvic Floor Dysfunct 20:313–317CrossRefPubMed
18.
go back to reference Martan A, Svabík K, Masata J, Koleska T, El-Haddad R, Pavlikova M (2009) Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECURE* procedure. Int Urogynecol J Pelvic Floor Dysfunct 20:533–539CrossRef Martan A, Svabík K, Masata J, Koleska T, El-Haddad R, Pavlikova M (2009) Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECURE* procedure. Int Urogynecol J Pelvic Floor Dysfunct 20:533–539CrossRef
19.
go back to reference Kearney R, Miller J, Ashton-Miller J, Delancey J (2006) Obstetric factors associated with levator ani muscle injury after vaginal birth. Obstet Gynecol 107:144–149PubMed Kearney R, Miller J, Ashton-Miller J, Delancey J (2006) Obstetric factors associated with levator ani muscle injury after vaginal birth. Obstet Gynecol 107:144–149PubMed
20.
go back to reference Hubka P, Masata J, Nanka O, Grim M, Martan A, Zvarova J (2009) Anatomical relationship and fixation of tension-free vaginal tape Secur. Int Urogynecol J Pelvic Floor Dysfunct 20:681–688CrossRefPubMed Hubka P, Masata J, Nanka O, Grim M, Martan A, Zvarova J (2009) Anatomical relationship and fixation of tension-free vaginal tape Secur. Int Urogynecol J Pelvic Floor Dysfunct 20:681–688CrossRefPubMed
21.
go back to reference Ridgeway BM, Arias BE, Barber MD (2008) Variation of the obturator foramen and pubic arch of the female bony pelvis. Am J Obstet Gynecol 15:227–232 Ridgeway BM, Arias BE, Barber MD (2008) Variation of the obturator foramen and pubic arch of the female bony pelvis. Am J Obstet Gynecol 15:227–232
22.
go back to reference deTayrac R, Deffieux X, Droupy S, Chauveaud-Lambling A, Calvanese-Benamour L, Fernandez H (2004) A prospective trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. Am J Obstet Gynecol 190:602–608CrossRefPubMed deTayrac R, Deffieux X, Droupy S, Chauveaud-Lambling A, Calvanese-Benamour L, Fernandez H (2004) A prospective trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. Am J Obstet Gynecol 190:602–608CrossRefPubMed
23.
go back to reference Masata J, Martan A, Svabik K (2008) Severe bleeding from internal obturator muscle following tension-free tape Secur hammock approach procedure. Int Urogynecol J 19:1581–1583CrossRef Masata J, Martan A, Svabik K (2008) Severe bleeding from internal obturator muscle following tension-free tape Secur hammock approach procedure. Int Urogynecol J 19:1581–1583CrossRef
24.
go back to reference Neuman M (2007) 100 teaching operations with a novel anti-incontinence procedure. Pelviperineology 26:121–123 Neuman M (2007) 100 teaching operations with a novel anti-incontinence procedure. Pelviperineology 26:121–123
25.
go back to reference Lee KS, Han DH, Choi YS, Yum SH, Song SH, Doo CK et al (2007) A prospective trial comparing tension-free vaginal tape and transobturator vaginal tape inside-out for the surgical treatment of female stress urinary incontinence: 1-year follow up. J Urol 177:214–218CrossRefPubMed Lee KS, Han DH, Choi YS, Yum SH, Song SH, Doo CK et al (2007) A prospective trial comparing tension-free vaginal tape and transobturator vaginal tape inside-out for the surgical treatment of female stress urinary incontinence: 1-year follow up. J Urol 177:214–218CrossRefPubMed
26.
go back to reference Abouassaly R, Steinberg JR, Lemieux M, Marois C, Gilchrist LI, Borque JL et al (2004) Complications of tension-free vaginal tape surgery: a multi-institutional review. BJU Int 94(1):110–113CrossRefPubMed Abouassaly R, Steinberg JR, Lemieux M, Marois C, Gilchrist LI, Borque JL et al (2004) Complications of tension-free vaginal tape surgery: a multi-institutional review. BJU Int 94(1):110–113CrossRefPubMed
27.
go back to reference Chêne G, Amblard J, Tardieu AS, Escalona JR, Viallon A, Fatton B et al (2007) Long-term results of tension-free vaginal tape (TVT) for the treatment of female urinary stress incontinence. Eur J Obstet Gynecol Reprod Biol 134:87–94CrossRefPubMed Chêne G, Amblard J, Tardieu AS, Escalona JR, Viallon A, Fatton B et al (2007) Long-term results of tension-free vaginal tape (TVT) for the treatment of female urinary stress incontinence. Eur J Obstet Gynecol Reprod Biol 134:87–94CrossRefPubMed
Metadata
Title
TVT-S for surgical treatment of stress urinary incontinence: prospective trial, 1-year follow-up
Authors
Ladislav Krofta
Jaroslav Feyereisl
Petr Velebil
Michal Otčenášek
Eva Kašíková
Michal Krčmář
Publication date
01-07-2010
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 7/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1128-y

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