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Published in: International Urogynecology Journal 11/2010

01-11-2010 | Original Article

TVT compared with TVT-O and TOT: results from the Norwegian National Incontinence Registry

Authors: Ole A. Dyrkorn, Sigurd Kulseng-Hanssen, Leiv Sandvik

Published in: International Urogynecology Journal | Issue 11/2010

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Abstract

Introduction and hypothesis

The aim of this study is to compare the outcome and complication rates of the tension-free vaginal tape (TVT) operations with the transobturator vaginal tape (TVT-O and TOT) operations in the treatment of urinary stress incontinence.

Methods

This is a multicenter, prospective cohort study. Preoperative and postoperative assessments included a validated Stress and Urge Incontinence Questionnaire, a 24-h pad test, and a standardized stress test.

Results

The study included 5,942 women—4,281 women had a TVT operation and 731 and 373 women had TVT-O and TOT operations, respectively. Median follow-up time was 8 months. Women in the TVT group had less leakage during stress test and fewer subjective stress incontinence symptoms, and were more satisfied with the operation compared with the women in TVT-O and TOT groups, but more complications were reported after TVT operation.

Conclusions

The TVT operation is more efficient than TVT-O and TOT operations in treating stress incontinent women.
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 7:81–85CrossRefPubMed 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 7:81–85CrossRefPubMed
2.
go back to reference Delorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11:1306–1313PubMed Delorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11:1306–1313PubMed
3.
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
4.
go back to reference Latthe PM (2008) Review of transobturator and retropubic tape procedures for stress urinary incontinence. Curr Opin Obstet Gynecol 20:331–336CrossRefPubMed Latthe PM (2008) Review of transobturator and retropubic tape procedures for stress urinary incontinence. Curr Opin Obstet Gynecol 20:331–336CrossRefPubMed
5.
go back to reference Sung VW, Schleinitz MD, Rardin CR, Ward RM, Dl M (2007) Comparison of retropubic vs transobturator approach to midurethral slings: a systematic review and meta-analysis. Am J Obstet Gynecol 197:3–11CrossRefPubMed Sung VW, Schleinitz MD, Rardin CR, Ward RM, Dl M (2007) Comparison of retropubic vs transobturator approach to midurethral slings: a systematic review and meta-analysis. Am J Obstet Gynecol 197:3–11CrossRefPubMed
6.
go back to reference Barber MD, Kleeman S, Karram MM, Paraiso MF, Walters MD, Vasavada S, Ellerkmann M (2008) Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence: a randomized controlled trial. Obstet Gynecol 111:611–621PubMed Barber MD, Kleeman S, Karram MM, Paraiso MF, Walters MD, Vasavada S, Ellerkmann M (2008) Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence: a randomized controlled trial. Obstet Gynecol 111:611–621PubMed
7.
go back to reference Kulseng-Hanssen S (2003) The development of a national database of the results of surgery for urinary incontinence in women. BJOG 110:975–982CrossRefPubMed Kulseng-Hanssen S (2003) The development of a national database of the results of surgery for urinary incontinence in women. BJOG 110:975–982CrossRefPubMed
8.
go back to reference Kulseng-Hanssen S, Borstad E (2003) The development of a questionnaire to measure the severity of symptoms and the quality of life before and after surgery for stress incontinence. BJOG 110:983–988CrossRefPubMed Kulseng-Hanssen S, Borstad E (2003) The development of a questionnaire to measure the severity of symptoms and the quality of life before and after surgery for stress incontinence. BJOG 110:983–988CrossRefPubMed
9.
go back to reference Kinn AC (2001) Tension-free vaginal tape evaluated using patient self-reports and urodynamic testing—a two-year follow up. Scand J Urol Nephrol 35:484–490CrossRefPubMed Kinn AC (2001) Tension-free vaginal tape evaluated using patient self-reports and urodynamic testing—a two-year follow up. Scand J Urol Nephrol 35:484–490CrossRefPubMed
10.
go back to reference Lee KS, Doo CK, Han DH, Jung BJ, Han JY, Choo MS (2007) Outcomes following repeat mid urethral synthetic sling after failure of the initial sling procedure: rediscovery of the tension-free vaginal tape procedure. J Urol 178:1370–1374CrossRefPubMed Lee KS, Doo CK, Han DH, Jung BJ, Han JY, Choo MS (2007) Outcomes following repeat mid urethral synthetic sling after failure of the initial sling procedure: rediscovery of the tension-free vaginal tape procedure. J Urol 178:1370–1374CrossRefPubMed
11.
go back to reference Lasala CA, Schimpf MO, Udoh E, O'sullivan DM, Tulikangas P (2006) Outcome of tension-free vaginal tape procedure when complicated by intraoperative cystotomy. Am J Obstet Gynecol 195:1857–1861CrossRefPubMed Lasala CA, Schimpf MO, Udoh E, O'sullivan DM, Tulikangas P (2006) Outcome of tension-free vaginal tape procedure when complicated by intraoperative cystotomy. Am J Obstet Gynecol 195:1857–1861CrossRefPubMed
12.
go back to reference Araco F, Gravante G, Sorge R, Overton J, De Vita D, Sesti F, Piccione E (2008) TVT-O vs TVT: a randomized trial in patients with different degrees of urinary stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:917–926CrossRefPubMed Araco F, Gravante G, Sorge R, Overton J, De Vita D, Sesti F, Piccione E (2008) TVT-O vs TVT: a randomized trial in patients with different degrees of urinary stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:917–926CrossRefPubMed
13.
go back to reference Ankardal M, Heiwall B, Lausten-Thomsen N, Carnelid J, Milsom I (2006) Short- and long-term results of the tension-free vaginal tape procedure in the treatment of female urinary incontinence. Acta Obstet Gynecol Scand 85:986–992CrossRefPubMed Ankardal M, Heiwall B, Lausten-Thomsen N, Carnelid J, Milsom I (2006) Short- and long-term results of the tension-free vaginal tape procedure in the treatment of female urinary incontinence. Acta Obstet Gynecol Scand 85:986–992CrossRefPubMed
14.
go back to reference Kulseng-Hanssen S, Husby H, Schiotz HA (2008) Follow up of TVT operations in 1,113 women with mixed urinary incontinence at 7 and 38 months. Int Urogynecol J Pelvic Floor Dysfunct 19:391–396CrossRefPubMed Kulseng-Hanssen S, Husby H, Schiotz HA (2008) Follow up of TVT operations in 1,113 women with mixed urinary incontinence at 7 and 38 months. Int Urogynecol J Pelvic Floor Dysfunct 19:391–396CrossRefPubMed
15.
go back to reference Mishra GD, Hardy R, Cardozo L, Kuh D (2008) Body weight through adult life and risk of urinary incontinence in middle-aged women: results from a British prospective cohort. Int J Obes 32:1415–1422CrossRef Mishra GD, Hardy R, Cardozo L, Kuh D (2008) Body weight through adult life and risk of urinary incontinence in middle-aged women: results from a British prospective cohort. Int J Obes 32:1415–1422CrossRef
16.
go back to reference Rafii A, Daraï E, Haab F, Samain E, Levardon M, Deval B (2003) Body mass index and outcome of tension-free vaginal tape. Eur Urol 43:288–292CrossRefPubMed Rafii A, Daraï E, Haab F, Samain E, Levardon M, Deval B (2003) Body mass index and outcome of tension-free vaginal tape. Eur Urol 43:288–292CrossRefPubMed
17.
go back to reference Killingsworth LB, Wheeler TL 2nd, Burgio KL, Martirosian TE, Redden DT, Richter HE (2009) One-year outcomes of tension-free vaginal tape (TVT) mid-urethral slings in overweight and obese women. Int Urogynecol J Pelvic Floor Dysfunct 20:1103–1108CrossRefPubMed Killingsworth LB, Wheeler TL 2nd, Burgio KL, Martirosian TE, Redden DT, Richter HE (2009) One-year outcomes of tension-free vaginal tape (TVT) mid-urethral slings in overweight and obese women. Int Urogynecol J Pelvic Floor Dysfunct 20:1103–1108CrossRefPubMed
18.
go back to reference Ward KL, Hilton P (2004) A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow-up. Am J Obstet Gynecol 190:324–331CrossRefPubMed Ward KL, Hilton P (2004) A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow-up. Am J Obstet Gynecol 190:324–331CrossRefPubMed
Metadata
Title
TVT compared with TVT-O and TOT: results from the Norwegian National Incontinence Registry
Authors
Ole A. Dyrkorn
Sigurd Kulseng-Hanssen
Leiv Sandvik
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/s00192-010-1195-0

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