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Is the fixation of single incision TVT-S tape as good as that of transobturator tape? An ultrasound study of randomized trial results

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Abstract

Introduction

TVT-Secur (TVT-S) was the first single-incision sling available on the market and was soon found to have less efficacy than mid-urethral slings. Our aim was to assess the position and tape descent following TVT-O and TVT-S H in a U procedure and, based on this evaluation, to find the possible reason for lower TVT-S surgery efficacy.

Methods

We conducted an ultrasound study of a randomised trial with a 3-year follow-up that took place between 2007 and 2009 and included 197 women with urodynamic stress urinary incontinence. Of these, 67 were allocated to receive the TVT-O procedure, 64 to TVT-S in the H position, and 65 in the U position. Patients underwent a complete urogynaecological and ultrasound examination. The positions of the bladder neck and the tape after surgery were assessed and the data obtained compared between groups.

Results

Our primary study showed a significantly higher rate of positive stress tests in the TVT-S groups compared to the TVT-O group. After surgery, there was no difference between the position of the tape at rest and at maximal Valsalva between the groups. In TVT-O patients, the mean length of the upper tape margin descent increased from 6 mm on the 1st day after surgery to 9 mm 3 months after surgery and remained stable afterwards. For TVT-S patients, there was a further increase of up to 15 mm in tape descent after 3 months.

Conclusions

Our results show that the lower efficacy of TVT-S might be due to inadequate fixation and increasing tape descent.

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References

  1. Ford AA, Rogerson L, Cody JD, Aluko P, Ogah JA. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2017;7:CD006375.

    PubMed  Google Scholar 

  2. Ulmsten U, Petros P. Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol. 1995;29(1):75–82.

    Article  CAS  Google Scholar 

  3. Delorme E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Progres En Urol J Assoc Francaise Urol Soc Francaise Urol. 2001;11(6):1306–13.

    CAS  Google Scholar 

  4. Masata J, Svabik K, Martan A. Bleeding complication with the TVT-exact procedure: a report of two cases. Int Urogynecology J. 2015;26(2):303–5.

    Article  Google Scholar 

  5. de Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol. 2003;44(6):724–30.

    Article  Google Scholar 

  6. Nambiar A, Cody JD, Jeffery ST, Aluko P. Single-incision sling operations for urinary incontinence in women. Cochrane Database Syst Rev. 2017;7:CD008709.

    PubMed  Google Scholar 

  7. Hubka P, Masata J, Nanka O, Grim M, Martan A, Zvarova J. Anatomical relationship and fixation of tension-free vaginal tape Secur. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(6):681–8.

    Article  Google Scholar 

  8. Masata J, Svabik K, Zvara K, Drahoradova P, El Haddad R, Hubka P, et al. Randomized trial of a comparison of the efficacy of TVT-O and single-incision tape TVT SECUR systems in the treatment of stress urinary incontinent women--2-year follow-up. Int Urogynecology J. 2012;23(10):1403–12.

    Article  Google Scholar 

  9. Masata J, Martan A, Svabik K, Drahoradova P, Pavlikova M. Ultrasound imaging of the lower urinary tract after successful tension-free vaginal tape (TVT) procedure. Ultrasound Obstet Gynecol Off J Int Soc Ultrasound Obstet Gynecol. 2006;28(2):221–8.

    Article  CAS  Google Scholar 

  10. Abdel-Fattah M, Ford JA, Lim CP, Madhuvrata P. Single-incision mini-slings versus standard midurethral slings in surgical management of female stress urinary incontinence: a meta-analysis of effectiveness and complications. Eur Urol. 2011;60(3):468–80.

    Article  Google Scholar 

  11. Meschia M, Barbacini P, Ambrogi V, Pifarotti P, Ricci L, Spreafico L. TVT-secur: a minimally invasive procedure for the treatment of primary stress urinary incontinence. One year data from a multi-Centre prospective trial. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(3):313–7.

    Article  Google Scholar 

  12. Krofta L, Feyereisl J, Velebil P, Otcenásek M, Kasíková E, Krcmár M. TVT-S for surgical treatment of stress urinary incontinence: prospective trial, 1-year follow-up. Int Urogynecology J. 2010;21(7):779–85.

    Article  Google Scholar 

  13. Andrada Hamer M, Larsson P-G, Teleman P, Etén-Bergqvist C, Persson J. Short-term results of a prospective randomized evaluator blinded multicenter study comparing TVT and TVT-Secur. Int Urogynecology J. 2011;22(7):781–7.

    Article  Google Scholar 

  14. Oliveira R, Botelho F, Silva P, Resende A, Silva C, Dinis P, et al. Exploratory study assessing efficacy and complications of TVT-O, TVT-Secur, and mini-arc: results at 12-month follow-up. Eur Urol. 2011;59(6):940–4.

    Article  Google Scholar 

  15. Mostafa A, Lim CP, Hopper L, Madhuvrata P, Abdel-Fattah M. Single-incision mini-slings versus standard midurethral slings in surgical management of female stress urinary incontinence: an updated systematic review and meta-analysis of effectiveness and complications. Eur Urol. 2014;65(2):402–27.

    Article  Google Scholar 

  16. Naumann G, Steetskamp J, Meyer M, Laterza R, Skala C, Albrich S, et al. Sexual function and quality of life following retropubic TVT and single-incision sling in women with stress urinary incontinence: results of a prospective study. Arch Gynecol Obstet. 2013;287(5):959–66.

    Article  Google Scholar 

  17. Hubka P, Svabik K, Martan A, Masata J. A serious bleeding complication with injury of the corona mortis with the TVT-Secur procedure: two cases of contact of TVT-S with the corona mortis during cadaver study. Int Urogynecology J. 2010;21(9):1179–80.

    Article  Google Scholar 

  18. Hubka P, Nanka O, Martan A, Grim M, Zvarova J, Masata J. TVT-S in the U position--anatomical study. Int Urogynecology J. 2011;22(2):241–6.

    Article  Google Scholar 

  19. Hubka P, Nanka O, Martan A, Svabik K, El-Haddad R, Masata J. Fixation of the Ajust minisling based upon cadaveric study. Int Urogynecology J. 2013;24(12):2119–23.

    Article  Google Scholar 

  20. Martan A, Svabík K, Masata J, Koleska T, El-Haddad R, Pavlikova M. Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECUR* procedure. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(5):533–9.

    Article  Google Scholar 

  21. Svabik K, Masata J, Zvara K, Hubka P, Martan A. What is the optimal length for single-incision tape? Int Urogynecology J. 2019;30(12):2171–5.

    Article  Google Scholar 

  22. Chantarasorn V, Shek KL, Dietz HP. Sonographic appearance of transobturator slings: implications for function and dysfunction. Int Urogynecology J. 2011;22(4):493–8.

    Article  Google Scholar 

  23. Tamma A, Bjelic-Radisic V, Hölbfer S, Trutnovsky G, Tamussino K, Aigmüller T, et al. Sonographic sling position and cure rate 10-years after TVT- O procedure. PLoS One. 2019;14(1):e0209668.

    Article  CAS  Google Scholar 

  24. Kociszewski J, Rautenberg O, Perucchini D, Eberhard J, Geissbühler V, Hilgers R, et al. Tape functionality: sonographic tape characteristics and outcome after TVT incontinence surgery. Neurourol Urodyn. 2008;27(6):485–90.

    Article  Google Scholar 

  25. Jiang Y-H, Wang C-C, Chuang F-C, Ke Q-S, Kuo H-C. Positioning of a suburethral sling at the bladder neck is associated with a higher recurrence rate of stress urinary incontinence. J Ultrasound Med. 2013;32(2):239–45.

    Article  Google Scholar 

  26. Dresler MM, Kociszewski J, Wlaźlak E, Pędraszewski P, Trzeciak A, Surkont G. Repeatability and reproducibility of measurements of the suburethral tape location obtained in pelvic floor ultrasound performed with a transvaginal probe. J Ultrason. 2017;17(69):101–5.

    Article  Google Scholar 

  27. Chan L, Tse V. Pelvic floor ultrasound in the diagnosis of sling complications. World J Urol. 2018;36(5):753–9.

    Article  Google Scholar 

  28. Tunitsky-Bitton E, Unger CA, Barber MD, Goldman HB, Walters MD. Ultrasound evaluation of Midurethral sling position and correlation to physical examination and patient symptoms. Female Pelvic Med Reconstr Surg. 2015;21(5):263–8.

    Article  Google Scholar 

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Funding

This work was supported by Charles University in Prague (UNCE 204024).

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Authors and Affiliations

  1. Department of General Gynaecology and Urogynaecology, Clinic for Gynaecology and Perinatology, University Medical Centre Maribor, Maribor, Slovenia

    Tamara Serdinsek & Igor But

  2. Department of Obstetrics and Gynecology, 1st Faculty of Medicine, Charles University and General University Hospital in Prague, Nové Měst, Czech Republic

    Alois Martan, Kamil Svabik, Petr Kolek & Jaromir Masata

Authors
  1. Tamara Serdinsek
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  2. Alois Martan
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  3. Kamil Svabik
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  4. Igor But
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  5. Petr Kolek
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  6. Jaromir Masata
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Contributions

Tamara Serdinsek: Manuscript writing, Data evaluation.

Alois Martan: Surgical procedures, Patient monitoring, Manuscript editing.

Jaromir Masata: Project development, Surgical procedures, Patient monitoring, Manuscript writing, Manuscript editing.

Kamil Svabik: Project development, Surgical procedures, Patient monitoring.

Igor But: Manuscript editing.

Petr Kolek: Revision data preparing.

Corresponding author

Correspondence to Jaromir Masata.

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Serdinsek, T., Martan, A., Svabik, K. et al. Is the fixation of single incision TVT-S tape as good as that of transobturator tape? An ultrasound study of randomized trial results. Int Urogynecol J 32, 141–148 (2021). https://doi.org/10.1007/s00192-020-04390-6

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  • DOI: https://doi.org/10.1007/s00192-020-04390-6

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