International Urogynecology Journal

, Volume 22, Issue 7, pp 827–833

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

  • Lluís Amat i Tardiu
  • Eva Martínez Franco
  • Josep Maria Laïlla Vicens
Original Article

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.

Keywords

Mini-sling Needleless Stress urinary incontinence TVT 

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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Copyright information

© The International Urogynecological Association 2011

Authors and Affiliations

  • Lluís Amat i Tardiu
    • 1
  • Eva Martínez Franco
    • 1
  • Josep Maria Laïlla Vicens
    • 1
  1. 1.Pelvic Floor Unit Obstetrics and Gynaecologic DepartmentHospital Universitari Sant Joan de DéuBarcelonaSpain

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