International Urogynecology Journal

, Volume 14, Issue 1, pp 17–23

Randomized trial of porcine dermal sling (Pelvicol implant) vs. Tension-free Vaginal Tape (TVT) in the Surgical treatment of stress incontinence: a questionnaire-based study

  • A.S. Arunkalaivanan
  • J.W. Barrington
ORIGINAL ARTICLE

DOI: 10.1007/s00192-002-1000-9

Cite this article as:
Arunkalaivanan, A. & Barrington, J. Int Urogynecol J (2003) 14: 17. doi:10.1007/s00192-002-1000-9

Abstract

 The objective of this study was to compare porcine dermal sling (Pelvicol implant, Bard) with tension-free vaginal tape (TVT) in the surgical treatment of stress incontinence. One hundred and forty-two women with genuine stress incontinence (GSI) were randomly assigned to either Pelvicol implant pubovaginal sling (n=74) or TVT (n=68). They were followed up at a minimum of 6 months (range 6–24 months), with a median follow-up of 12 months. The majority (n=109) of procedures were carried out in a day surgery unit. The median operation time was 35 minutes (range 15–60) in the TVT group and 30 minutes (range 20–80) in the Pelvicol implant group; 81% of the TVT group and 77% of the Pelvicol implant group were able to void urine within 24 hours, and had insignificant residual bladder volumes. The prevalence of postoperative symptomatic voiding dysfunction was 3.4% after TVT and 1.4% after Pelvicol implant. Nine percent of the TVT group developed de novo urge incontinence and 6% of the Pelvicol implant group had de novo urge incontinence 6 months after the procedure. Postoperative evaluation was done at the outpatient department, and a postal questionnaire was also completed to determine subjective continence status. The patient-determined cure rate was 85% in the TVT group and 89% in the Pelvicol implant group. The Pelvicol implant sling had a comparable patient- determined success rate with TVT and should be considered in the surgical treatment of women with genuine stress incontinence.

Keywords Pelvicol™ implantPorcine dermal slingTension-free vaginal tapeTVT

Copyright information

© Springer-Verlag London Limited 2003

Authors and Affiliations

  • A.S. Arunkalaivanan
    • 1
  • J.W. Barrington
    • 1
  1. 1.Torbay Hospital, Torquay, UKGB
  2. 2.Woodlands Coppice, 2A Egerton Road, Streetly, Sutton Coldfield, E-mail: asarun34@hotmail.comGB