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

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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.

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Abbreviations

SUI:

Stress urinary incontinence

TVT®:

Tension-free vaginal tape

ISD:

Intrinsic sphincter dysfunction

C-NDL®:

Contasure-Needleless®

TVT®-O:

Transobturator-TVT®

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Authors and Affiliations

  1. Pelvic Floor Unit Obstetrics and Gynaecologic Department, Hospital Universitari Sant Joan de Déu, 08950 Esplugues de Llobregat, Barcelona, Spain

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

Authors
  1. Lluís Amat i Tardiu
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  2. Eva Martínez Franco
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  3. Josep Maria Laïlla Vicens
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Correspondence to Lluís Amat i Tardiu.

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Amat i Tardiu, L., Martínez Franco, E. & Laïlla Vicens, J.M. Contasure-Needleless® compared with transobturator-TVT® for the treatment of stress urinary incontinence. Int Urogynecol J 22, 827–833 (2011). https://doi.org/10.1007/s00192-011-1380-9

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  • DOI: https://doi.org/10.1007/s00192-011-1380-9

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