Skip to main content
Top
Published in: International Urogynecology Journal 7/2011

01-07-2011 | Original Article

Contasure-Needleless® compared with transobturator-TVT® for the treatment of stress urinary incontinence

Authors: Lluís Amat i Tardiu, Eva Martínez Franco, Josep Maria Laïlla Vicens

Published in: International Urogynecology Journal | Issue 7/2011

Login to get access

Abstract

Introduction

Single-incision devices for the treatment of stress urinary incontinence (SUI) have been introduced in the last few years. We report a comparison between Obturator Tension-free vaginal tape (TVT-O®) and Contasure-Needleless (C-NDL®).

Methods

One hundred and fifty-eight women with primary SUI were scheduled to receive TVT-O® or C-NDL® and follow-up during the first year. Epidemiological information, complications, blood loss, and pain level were recorded. We also analyze stress test and quality of life.

Results

Sixty-three (87.5%) C-NDL® presented a negative stress test, compared with 54 (90%) of TVT-O® (p value 0.015 for non-inferiority test). Sandvik Severity Index was 0 in 75.4% in the C-NDL® group and 87.3% in the TVT-O® (p < 0.015). Complication rate and degree of satisfaction were similar in both groups. Statistically, there were differences (p = 0.012) in postoperative pain in the TVT-O® group.

Conclusions

C-NDL® provides similar outcomes as TVT-O® after 1-year follow-up. It is necessary that long-term data confirm our results.
Literature
1.
go back to reference Wahle G, George P, Young H, Raz S (1983) Anatomy and patophisiology of pelvic support. WB Saunders Company, Philadelphia Wahle G, George P, Young H, Raz S (1983) Anatomy and patophisiology of pelvic support. WB Saunders Company, Philadelphia
2.
go back to reference Petros PE, Ulmsten UI (1990) An integral theory of female urinary incontinence: experimental and clinical considerations. Acta Obstet Gynecol Scand Suppl 153:7–31PubMed Petros PE, Ulmsten UI (1990) An integral theory of female urinary incontinence: experimental and clinical considerations. Acta Obstet Gynecol Scand Suppl 153:7–31PubMed
3.
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 7:81–86CrossRef 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 7:81–86CrossRef
4.
go back to reference Ward K, Milton P, United Kingdom and Ireland Tension-free Vaginal Tape Trial Group (2002) Prospective multicentre randomised trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence. Br Med J 41:469–473 Ward K, Milton P, United Kingdom and Ireland Tension-free Vaginal Tape Trial Group (2002) Prospective multicentre randomised trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence. Br Med J 41:469–473
5.
go back to reference Paraiso MF, Walters MD, Karram MM, Barber MD (2004) Laparoscopic Burch colposuspension versus tension-free vaginal tape: a randomized trial. Obstet Gynecol 104:1249–1258PubMedCrossRef Paraiso MF, Walters MD, Karram MM, Barber MD (2004) Laparoscopic Burch colposuspension versus tension-free vaginal tape: a randomized trial. Obstet Gynecol 104:1249–1258PubMedCrossRef
6.
go back to reference El-Barky E, El-Shazly A, El-Wahab OA, Kehinde EO, Al-Hunayan A, Al-Awadi KA (2005) Tension free vaginal tape versus Burch colposuspension for treatment of female stress urinary incontinence. Int Urol Nephrol 37:277–281PubMedCrossRef El-Barky E, El-Shazly A, El-Wahab OA, Kehinde EO, Al-Hunayan A, Al-Awadi KA (2005) Tension free vaginal tape versus Burch colposuspension for treatment of female stress urinary incontinence. Int Urol Nephrol 37:277–281PubMedCrossRef
7.
go back to reference Ward KL, Hilton P (2008) On behalf of the UK and Ireland TVT trial Group tension-free vaginal tape versus colposuspesion for primary urodynamic stress incontinence: 5-year follow up. BJOG 115:226–233PubMed Ward KL, Hilton P (2008) On behalf of the UK and Ireland TVT trial Group tension-free vaginal tape versus colposuspesion for primary urodynamic stress incontinence: 5-year follow up. BJOG 115:226–233PubMed
8.
go back to reference Agostini A, Bretelle F, Franchi F et al (2006) Immediate complications of tension-free vaginal tape (TVT): results of a Frech survey. Eur J Obstet Gynecol Reprod Biol 81:72–77 Agostini A, Bretelle F, Franchi F et al (2006) Immediate complications of tension-free vaginal tape (TVT): results of a Frech survey. Eur J Obstet Gynecol Reprod Biol 81:72–77
9.
go back to reference Barry C, Lim YN, Muller R, Hitchins S et al (2007) A multi-centre, randomised clinical control trial comparing the retropubic (RP) approach versus the transobturator approach (TO) for tension-free, suburethral sling treatment of urodynamic stress incontinence: the TORP study. Int Urogynecol J Pelvic Floor Dysfunct 19:171–178PubMed Barry C, Lim YN, Muller R, Hitchins S et al (2007) A multi-centre, randomised clinical control trial comparing the retropubic (RP) approach versus the transobturator approach (TO) for tension-free, suburethral sling treatment of urodynamic stress incontinence: the TORP study. Int Urogynecol J Pelvic Floor Dysfunct 19:171–178PubMed
10.
go back to reference Barber M, Kleeman S, Karram M et al (2008) Transobturador tape compared with tension free vaginal tape for the treatment of stress urinary incontinence. Obstet Gynecol 111:611–621PubMedCrossRef Barber M, Kleeman S, Karram M et al (2008) Transobturador tape compared with tension free vaginal tape for the treatment of stress urinary incontinence. Obstet Gynecol 111:611–621PubMedCrossRef
11.
go back to reference De Tayrac R, Deffieux X, Droupy S et al (2004) A prospective randomized trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. Am J Obstyet Gynecol 190:602–608CrossRef De Tayrac R, Deffieux X, Droupy S et al (2004) A prospective randomized trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. Am J Obstyet Gynecol 190:602–608CrossRef
12.
go back to reference Leval J (2003) Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 44:724–730PubMedCrossRef Leval J (2003) Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 44:724–730PubMedCrossRef
13.
go back to reference Zullo MA, Plotti F, Calcagni M, Marullo E, Palaia I et al (2007) One-year follow-up of tension-free vaginal tape (TVT) and trans-obturator suburethral tape from inside to outside (TVT-O) for surgical treatment of female stress urinary incontinence: a prospective randomised trial. Eur Urol 51:1376–1382PubMedCrossRef Zullo MA, Plotti F, Calcagni M, Marullo E, Palaia I et al (2007) One-year follow-up of tension-free vaginal tape (TVT) and trans-obturator suburethral tape from inside to outside (TVT-O) for surgical treatment of female stress urinary incontinence: a prospective randomised trial. Eur Urol 51:1376–1382PubMedCrossRef
14.
go back to reference Porena M, Costantini E, Frea B, Giannantoni A, Ranzoni S, Maerini L et al (2007) Tension-free vaginal tape versus transobturator tape as surgery for stress urinary incontinence: results of a multicentre randomised trial. Eur Urol 52:1481–1490PubMedCrossRef Porena M, Costantini E, Frea B, Giannantoni A, Ranzoni S, Maerini L et al (2007) Tension-free vaginal tape versus transobturator tape as surgery for stress urinary incontinence: results of a multicentre randomised trial. Eur Urol 52:1481–1490PubMedCrossRef
15.
go back to reference Mora I, Ll A, Martínez E, Lailla JM (2007) Analysis of efficacy and complications in the surgical treatment of stress urinary incontinence: experience with retropubic and transobturator TVT®. Arch Esp Urol 60:1091–1098 Mora I, Ll A, Martínez E, Lailla JM (2007) Analysis of efficacy and complications in the surgical treatment of stress urinary incontinence: experience with retropubic and transobturator TVT®. Arch Esp Urol 60:1091–1098
16.
go back to reference Lim J, Cornish A, Carey MP (2006) Clinical and quality of life outcomes in women treated by TVT-O procedure. BJOG 113:1315–1320PubMedCrossRef Lim J, Cornish A, Carey MP (2006) Clinical and quality of life outcomes in women treated by TVT-O procedure. BJOG 113:1315–1320PubMedCrossRef
17.
go back to reference Collinet P, Ciofu C, Costa P et al (2008) The safety of the inside-out transobturator approach for transvaginbal tape (TVT-O) treatment in stress urinary incontinence: french registry data on 984 women. Int J Pelvic Floor Dysfunct 19:712–715 Collinet P, Ciofu C, Costa P et al (2008) The safety of the inside-out transobturator approach for transvaginbal tape (TVT-O) treatment in stress urinary incontinence: french registry data on 984 women. Int J Pelvic Floor Dysfunct 19:712–715
18.
go back to reference Sivanesan K, Abdel-Fattah M, Ghani R (2007) External iliac artery injury during insertion of tension-free vaginal tape: a case report and literature review. Int Urogynecol J Pelvic Floor Dysfunct 18:1105–1108PubMedCrossRef Sivanesan K, Abdel-Fattah M, Ghani R (2007) External iliac artery injury during insertion of tension-free vaginal tape: a case report and literature review. Int Urogynecol J Pelvic Floor Dysfunct 18:1105–1108PubMedCrossRef
19.
go back to reference Espuña M, Rebollo P, Puig M (2004) Validación de la versión española del International Consulting on Incontinence Questionnaire-Short Form. Un cuestionario para evaluar la Incontinencia Urinaria. Med Clín 122:288–292CrossRef Espuña M, Rebollo P, Puig M (2004) Validación de la versión española del International Consulting on Incontinence Questionnaire-Short Form. Un cuestionario para evaluar la Incontinencia Urinaria. Med Clín 122:288–292CrossRef
20.
go back to reference Sandvik H, Espuña M, Hunskaar S (2006) Validity of the incontinence severity index: comparison with pad-weighing tests. Int Urogynecol J 17:520–524CrossRef Sandvik H, Espuña M, Hunskaar S (2006) Validity of the incontinence severity index: comparison with pad-weighing tests. Int Urogynecol J 17:520–524CrossRef
21.
go back to reference Ghoniem G, Stanford E, Kenton K et al (2008) Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice. Int Urogynecol J 19:5–33CrossRef Ghoniem G, Stanford E, Kenton K et al (2008) Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice. Int Urogynecol J 19:5–33CrossRef
22.
go back to reference Sung VW, Schleinitz MD, Rardin CR, Ward RM, Myers DL (2007) Comparison of retropubic vs transobturator approach to midurethral slings: a systematic review and meta-analysis. Am J Obstet Gynecol 197:3–11PubMedCrossRef Sung VW, Schleinitz MD, Rardin CR, Ward RM, Myers DL (2007) Comparison of retropubic vs transobturator approach to midurethral slings: a systematic review and meta-analysis. Am J Obstet Gynecol 197:3–11PubMedCrossRef
23.
go back to reference Waltregny D, Gaspar Y, Reul O, Hamida W, Bonnet P, De Leval J (2008) TVT-O for the treatment of female stress urinary incontinence: results of a prospective study after a 3-year minimum follow-up. Eur Urol 53:401–408PubMedCrossRef Waltregny D, Gaspar Y, Reul O, Hamida W, Bonnet P, De Leval J (2008) TVT-O for the treatment of female stress urinary incontinence: results of a prospective study after a 3-year minimum follow-up. Eur Urol 53:401–408PubMedCrossRef
24.
go back to reference Solà V, Ricci P, Pardo J (2009) Third generation sub-mid urethral mesh: experience with 110 TVT-SECUR. Arch Esp Urol 62:376–386PubMedCrossRef Solà V, Ricci P, Pardo J (2009) Third generation sub-mid urethral mesh: experience with 110 TVT-SECUR. Arch Esp Urol 62:376–386PubMedCrossRef
25.
go back to reference Debodinance P, Amblard J, Lucot JP, Cosson M, Villet R, Jacquetin B (2009) TVT Secur: prospective study and follow up at 1 year about 154 patients. J Gynécol Obstét Biol Reprod 38:299–303CrossRef Debodinance P, Amblard J, Lucot JP, Cosson M, Villet R, Jacquetin B (2009) TVT Secur: prospective study and follow up at 1 year about 154 patients. J Gynécol Obstét Biol Reprod 38:299–303CrossRef
26.
go back to reference Navazo R, Moreno J, Hidalgo C et al (2009) Contasure needleless: a single incision TOT for the surgical treatment of stress urinary incontinence. Arch Esp Urol 62:719–723PubMedCrossRef Navazo R, Moreno J, Hidalgo C et al (2009) Contasure needleless: a single incision TOT for the surgical treatment of stress urinary incontinence. Arch Esp Urol 62:719–723PubMedCrossRef
27.
go back to reference Haliloglu B, Rizk DE (2010) Subjective versus objectice measurement of surgical outcomes of treatment of female stress urinary incontinences: it is not just black and white. Int Urogynecol J 21:761–762CrossRef Haliloglu B, Rizk DE (2010) Subjective versus objectice measurement of surgical outcomes of treatment of female stress urinary incontinences: it is not just black and white. Int Urogynecol J 21:761–762CrossRef
28.
go back to reference Novara G, Galfano A, Boscolo-Berto R, Secco S, Cavalleri S, Ficarra V, Artibani W (2008) Complication rates of tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials comparing tension-free midurethral tapes to other surgical procedures and different devices. Eur Urol 53:288–308PubMedCrossRef Novara G, Galfano A, Boscolo-Berto R, Secco S, Cavalleri S, Ficarra V, Artibani W (2008) Complication rates of tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials comparing tension-free midurethral tapes to other surgical procedures and different devices. Eur Urol 53:288–308PubMedCrossRef
Metadata
Title
Contasure-Needleless® compared with transobturator-TVT® for the treatment of stress urinary incontinence
Authors
Lluís Amat i Tardiu
Eva Martínez Franco
Josep Maria Laïlla Vicens
Publication date
01-07-2011
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 7/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1380-9

Other articles of this Issue 7/2011

International Urogynecology Journal 7/2011 Go to the issue