International Urogynecology Journal

, Volume 20, Issue 3, pp 337–348

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

Review Article

DOI: 10.1007/s00192-008-0753-1

Cite this article as:
Waltregny, D. & de Leval, J. Int Urogynecol J (2009) 20: 337. doi:10.1007/s00192-008-0753-1

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.

Keywords

SlingStress urinary incontinenceTension-free vaginal tapeVaginal tape obturatorVaginal surgery

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

Copyright information

© The International Urogynecological Association 2008

Authors and Affiliations

  1. 1.Department of UrologyUniversity Hospital of LiègeLiegeBelgium
  2. 2.Department of UrologyCentre Hospitalier Universitaire de LiègeLiegeBelgium