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Long-term outcomes of TVT and IVS operations for treatment of female stress urinary incontinence: monofilament vs. multifilament polypropylene tape

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Abstract

Introduction and hypothesis

We compared cure rates of tension-free vaginal tape (TVT) with intravaginal slingplasty (IVS) and evaluated changes in cure rates over time.

Methods

One hundred three underwent TVT and 213 underwent IVS. Follow-ups were done at 3 months, 1 year, and 5 years.

Results

The following results were found: objective cure for TVT 98–95–94% vs. IVS 86–86–80% (p < 0.03); subjective cure for TVT 82–79–74% vs. IVS 79–81–71% (NS). In IVS, a significant decline in subjective cure took place. Vaginal erosions were found in 11.8% of women in the IVS group and none in the TVT group.

Conclusions

TVT is an effective and stable treatment, whereas IVS has a significant inferior objective cure rate, and a significant decline in subjective cure rate occurred over time. A high rate of vaginal erosions was found in the IVS group. We cannot recommend the use of multifilament polypropylene tape (IVS) for surgical treatment of stress urinary incontinence.

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Abbreviations

TVT:

tension-free vaginal tape

IVS:

intravaginal slingplasty

SUI:

stress urinary incontinence

NS:

not significant

BMI:

body mass index

VE:

vaginal erosion

PVR:

postvoid residual urine

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Authors and Affiliations

  1. Department of Gynecology and Obstetrics, Nykobing Falster Hospital, Fjordvej 15, 4800, Nykobing Falster, Denmark

    Jens Christian Prien-Larsen

  2. Department of Clinical Quality Assessment, Region Sjaelland Sygehus Syd, 4700, Naestved, Denmark

    Lars Hemmingsen

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  1. Jens Christian Prien-Larsen
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  2. Lars Hemmingsen
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Correspondence to Jens Christian Prien-Larsen.

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Prien-Larsen, J.C., Hemmingsen, L. Long-term outcomes of TVT and IVS operations for treatment of female stress urinary incontinence: monofilament vs. multifilament polypropylene tape. Int Urogynecol J 20, 703–709 (2009). https://doi.org/10.1007/s00192-009-0844-7

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  • DOI: https://doi.org/10.1007/s00192-009-0844-7

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