Top

International Urogynecology Journal

Published in:

01-02-2010 | Original Article

TVT and TVT-O for surgical treatment of primary stress urinary incontinence: prospective randomized trial

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

Published in: International Urogynecology Journal | Issue 2/2010

Abstract

Introduction and hypothesis

A study was conducted to compare the efficacy and complications of TVT and TVT-O.

Methods

This study is a prospective randomized trial involving 300 women with primary SUI; 149 received TVT, and 151 patients were treated with TVT-O. At the 1 year follow-up, 141 TVT patients and 147 TVT-O patients (dropout, 5.3% and 2.6%) were evaluated using urodynamic studies, validated questionnaires, and a 1-h pad test.

Results

The mean operating time was shorter in the TVT-O group (p < 0.001). Urinary retention was not significantly different (p > 0.05). Inner thigh discomfort was reported by 5.4% of TVT-O patients. In the TVT and the TVT-O groups, respectively, 90.1% and 88.4% women were objectively cured. The satisfaction with the surgical outcome reflects the significant decrease in the questionnaire mean symptom scores in both groups. Postoperative de novo urgency was significantly more common in the TVT-O patients (p = 0.015).

Conclusion

The groups showed comparable objective and subjective cure rates.

Rezapour M, Ulmsten U (2001) Tension-free vaginal tape (TVT) procedure in women with mixed urinary incontinence—a long-term follow up. Int Urogynecol J Pelvic Floor Dysfunct 12(Suppl 2):S15–S18CrossRefPubMed

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(8):1043–1047CrossRefPubMed

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(6):1259–1262PubMed

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

Kuuva N, Nilsson CG (2002) A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand 81:72–77CrossRefPubMed

Delorme E, Droupy S, de Tayrac R, Delmas V (2004) Transobturator tape (Uratape®): a new minimally-invasive procedure to treat female urinary incontinence. Eur Urol 45:724–730CrossRef

Minaglia S, Ozel B, Klutke C, Ballard C, Klutke J (2004) Bladder injury during transobturator sling. Urology 64:376–377CrossRefPubMed

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

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

10.

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

11.

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

12.

Amarenco G, Arnould B, Carita P, Haab F, Labat JJ, Richard F (2003) European psychometric validation of the CONTILIFE: a quality of life questionnaire for urinary incontinence. Eur Urol 43(4):391–404CrossRefPubMed

13.

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

14.

Liapis A, Bakas P, Giner M, Creatsas G (2006) Tension-free vaginal tape versus tension-free vaginal tape obturator in women with stress urinary incontinence. Gynecol Obstet Invest 62(3):160–164CrossRefPubMed

15.

deTayrac R, Deffieux X, Droupy S, Chauveaud-Lambling A, Calvanèse-Benamour L, Fernandez H (2004) A prospective trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. AJOG 190(3):602–608CrossRef

16.

Whiteside JL, Walters MD (2004) Anatomy of the obturator region: relations to a trans-obturator sling. Int Urogynecol J Pelvic Floor Dysfunct 15:223–226PubMed

17.

Meschia M, Bertozzi R, Pifarotti P, Baccichet R, Bernasconi F, Guercio E et al (2007) Peri-operative morbidity and early results of a randomised trial comparing TVT and TVT-O. Int Urogynecol J Pelvic Floor Dysfunct 18(11):1257–1261CrossRefPubMed

18.

Karateke A, Haliloglu B, Cam C, Sakalli M (2009) Comparison of TVT and TVT-O in patients with stress urinary incontinence: short-term cure rates and factors influencing the outcome. A prospective randomised study. A NZJ Ob-Gyn 49:99–105CrossRef

19.

Collinet P, Ciofu C, Costa P, Cosson M, Deval B, Grise P et al (2008) The safety of the inside-out transobturator approach for transvaginal tape (TVT-O) treatment in stress urinary incontinence: French registry data on 984 women. Int Urogynecol J Pelvic Floor Dysfunct 19(5):711–715CrossRefPubMed

20.

Bonnet P, Waltregny D, Reul O, de Leval J (2005) Transobturator vaginal tape inside out for the surgical treatment of female stress urinary incontinence: anatomical considerations. J Urol 173:1223–1228CrossRefPubMed

21.

Latthe PM, Foon R, Toozs-Hobson P (2007) Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. BJOG 114:522–531CrossRefPubMed

22.

Tamussino KF, Hanzal E, Kölle D, Ralph G, Riss PA, Austrian Urogynecology Working Group (2001) Tension-free vaginal tape operation: result of the Austrian registry. Obstet Gynecol 98:732–736CrossRefPubMed

23.

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(1):214–218CrossRefPubMed

24.

Petros P, Ulmsten U (1990) An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand 69(Suppl 153):7–31

25.

Rardin CR, Rosenblatt PL, Kohli N, Miklos JR, Heit M, Lucente VR (2002) Release of tension-free vaginal tape for the treatment of refractory postoperative voiding dysfunction. Obstet Gynecol 100:898–902CrossRefPubMed

26.

Barber MD, Kleeman S, Karram MM, Paraiso MF, Walters MD, Vasavada S et al (2008) Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence. Obstet Gynecol 111:611–621PubMed

27.

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. EJOG 134(1):87–94CrossRef

28.

Juma S, Brito CG (2007) Transobturator tape (TVT-O): two years follow-up. Neurourol Urodyn 26:37–41CrossRefPubMed

29.

Sung VW, Schleinitz MD, Rardin CR, Ward RM, Myers DL (2007) Comparison of retropubic transobturator approach to midurethral slings: a systematic review and meta-analysis. Am J Obstet Gynecol 197(1):3–11CrossRefPubMed

30.

Murphy M, van Raalte H, Mercurio E, Haff R, Wiseman B, Lucente VR (2008) Incontinence-related quality of life and sexual function following the tension-free vaginal tape obturator. Int Urogynecol J Pelvic Floor Dysfunct 19(4):481–487CrossRefPubMed

Title: TVT and TVT-O for surgical treatment of primary stress urinary incontinence: prospective randomized trial
Authors: Ladislav Krofta
Jaroslav Feyereisl
Michal Otčenášek
Petr Velebil
Eva Kašíková
Michal Krčmář
Publication date: 01-02-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 2/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-1027-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

TVT and TVT-O for surgical treatment of primary stress urinary incontinence: prospective randomized trial

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 2/2010

Epidemiology of female urinary incontinence in the Greek population: EURIG study

Colorectal and anal symptoms in women with urinary incontinence and pelvic organ prolapse

Tension-free vaginal tape bowel perforation

Sacral neuromodulation for multiple sclerosis patients with urinary retention and clean intermittent catheterization

Postoperative transvaginal tape mobilization in preventing voiding difficulty after tension-free vaginal tape procedures

Urinary incontinence in nulliparous women before and during pregnancy: prevalence, incidence, and associated risk factors