International Urogynecology Journal

, Volume 14, Issue 6, pp 432–436

A randomized comparison between monofilament and multifilament tapes for stress incontinence surgery

  • Tomasz Rechberger
  • Katarzyna Rzeźniczuk
  • Paweł Skorupski
  • Aneta Adamiak
  • Jacek Tomaszewski
  • Włodzimierz Baranowski
  • Jerzy A. Jakowicki
Original Article

DOI: 10.1007/s00192-003-1104-x

Cite this article as:
Rechberger, T., Rzeźniczuk, K., Skorupski, P. et al. Int Urogynecol J (2003) 14: 432. doi:10.1007/s00192-003-1104-x
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Abstract

Our objective was to compare monofilament and multifilament tapes positioned without tension at the midurethra for postoperative complications and cure rate. One hundred patients with stress urinary incontinence were randomly allocated into two study groups. Using identical surgical methodology, 50 patients had a monofilament tape inserted at the midurethra using the TVT delivery instrument, and another 50 a multifilament tape using the IVS delivery instrument. The only significant difference between the groups was in the incidence of postoperative urinary retention (p=0.023). Ten patients from the monofilament group required longer than normal (‘normal’ means to the morning of the next day) catheterization, in contrast to only two from the multifilament group. The clinical efficacy of both procedures was equally high. Conclusions were that both tapes appear to be equally effective in the surgical treatment of SUI. The higher incidence of postoperative urinary retention in the monofilament group was most likely caused by the elastic feature of this tape.

Keywords

Complications IVS/TVT operations Polypropylene tape Urinary incontinence

Abbreviations

ISD

Intrinsic sphincter deficiency

PVR

Postvoid residual volume

SUI

Stress urinary incontinence

TVT

Tension-free vaginal tape

UPP

Urethral pressure profile

Copyright information

© International Urogynecological Association 2003

Authors and Affiliations

  • Tomasz Rechberger
    • 1
  • Katarzyna Rzeźniczuk
    • 2
  • Paweł Skorupski
    • 1
  • Aneta Adamiak
    • 1
    • 3
  • Jacek Tomaszewski
    • 1
  • Włodzimierz Baranowski
    • 1
  • Jerzy A. Jakowicki
    • 1
  1. 1.Department of Gynecological SurgeryUniversity School of Medicine LublinLublinPoland
  2. 2.Department of PathophysiologyUniversity School of Medicine LublinLublinPoland
  3. 3.Department of Biochemistry and Molecular BiologyUniversity School of Medicine LublinLublinPoland