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The TVT-obturator surgical procedure for the treatment of female stress urinary incontinence: a clinical update

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Abstract

Six years ago, the inside–out transobturator tape TVT-O procedure was developed for the surgical treatment of female stress urinary incontinence (SUI) with the aim of minimizing the risk of urethra and bladder injuries and ensuring minimal tissue dissection. Initial feasibility and efficacy studies suggested that the TVT-O procedure is associated with high SUI cure rates and low morbidity at short term. A recent analysis of medium-term results indicated that the TVT-O procedure is efficient, with maintenance, after a 3-year minimum follow-up, of cure rates comparing favorably with those reported for TVT. No late complications were observed. As of July 2008, more than 35 clinical papers, including ten randomized trials and two national registries, have been published on the outcome of the TVT-O surgery. Results from these studies have confirmed that the TVT-O procedure is safe and as efficient as the TVT procedure, at least in the short/medium term.

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Abbreviations

ISD:

intrinsic sphincter deficiency

LUT:

lower urinary tract

LUTS:

lower urinary tract symptom

POP:

pelvic organ prolapse

PVR:

posvoid residual

QOL:

quality of life

SUI:

stress urinary incontinence

TOT:

outside–in transobturator tape

TVT:

tension-free vaginal tape

TVT-O:

inside–out transobturator vaginal tape

UTI:

urinary tract infection

UUI:

urge urinary incontinence

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Conflicts of interest

Both authors declare that no funding agreement or conflict of interest limited their ability fairly to complete and publish this review. There has been no extra-institutional funding. The University of Liège owns the TVT-O patent. Jean de Leval and David Waltregny are consultants for Ethicon Women’s Health and Urology.

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  1. Department of Urology, University Hospital of Liège, Liege, Belgium

    David Waltregny & Jean de Leval

  2. Department of Urology, Centre Hospitalier Universitaire de Liège, Bat. B35, Bloc central, niveau-1, 4000, Liege, Belgium

    David Waltregny

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  1. David Waltregny
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Correspondence to David Waltregny.

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Waltregny, D., de Leval, J. The TVT-obturator surgical procedure for the treatment of female stress urinary incontinence: a clinical update. Int Urogynecol J 20, 337–348 (2009). https://doi.org/10.1007/s00192-008-0753-1

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