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The safety of the inside-out transobturator approach for transvaginal tape (TVT-O) treatment in stress urinary incontinence: French registry data on 984 women

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Abstract

This study examines the safety of the inside-out transobturator approach for transvaginal tape (TVT-O™, Gynaecare) treatment in stress urinary incontinence (SUI) in women based on a French registry of patients. A total of 984 women from 86 centres were enrolled in the study. Patients with predominant overactive bladder or significant pelvic organ prolapse were excluded from the study. Perioperative and post-operative complications were reported as well as urinary function at 4 and 12 weeks. Pain was assessed by the patients using a visual analog scale (VAS). The overall perioperative complication rate was 2.2%. The most commonly reported morbidities were vaginal wall perforation (1.3%) followed by haematoma (0.7%). Post-operative complication rate was 5.2%; the most common complication was residual pain (2.7%). The other complications of paravesical haematoma, urinary retention, vaginal erosion and re-intervention had an incidence of less than 1.0%. This study demonstrates that the transobturator transvaginal tape approach to the treatment of SUI is a safe procedure.

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Acknowledgements

Johnson & Johnson, France provided support for the electronic database and investigator meetings. All data analyses were independent of Johnson & Johnson.

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Authors and Affiliations

  1. Clinique de Gynécologie, Jeanne de Flandre Hospital—CHRU Lille, 2 Avenue Oscar Lambret, 59037, Lille Cedex, France

    Pierre Collinet & Michel Cosson

  2. Hôpital Tenon APHP, Paris, France

    Calin Ciofu & Francois Haab

  3. CHU Nimes, Nimes, France

    Pierre Costa

  4. CHU Nancy, Nancy, France

    Bruno Deval

  5. CHU Rouen, Rouen, France

    Philippe Grise

  6. Maternité CHU Clermont Frerrand, Clermont Ferrand, France

    Bernard Jacquetin

Authors
  1. Pierre Collinet
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  2. Calin Ciofu
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  3. Pierre Costa
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  4. Michel Cosson
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  5. Bruno Deval
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  6. Philippe Grise
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  7. Bernard Jacquetin
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  8. Francois Haab
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Correspondence to Pierre Collinet.

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Collinet, P., Ciofu, C., Costa, P. et al. The safety of the inside-out transobturator approach for transvaginal tape (TVT-O) treatment in stress urinary incontinence: French registry data on 984 women. Int Urogynecol J 19, 711–715 (2008). https://doi.org/10.1007/s00192-007-0514-6

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  • DOI: https://doi.org/10.1007/s00192-007-0514-6

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