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A randomized trial comparing TVT with TVT-O: 12-month results

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Abstract

The aim of this randomized clinical trial was to compare the cure rate and the rate of complications of the tension-free vaginal tape (TVT) with those of the tension free vaginal tape obturator (TVT-O) procedure after one year of follow-up. The study was powered to show a ten per cent difference in cure rate and/or rate of complications. Of the initially treated 267 women 134 in the TVT group and 131 in the TVT-O group were evaluated. A cough stress test and a 24 h pad test were used as objective outcome measures. Subjective outcome was assessed by different condition-specific quality of life questionnaires and general health by the EQ-5D questionnaire. Objective cure rate was 95.5% in the TVT patients and 93.1% in TVT-O patients. Subjective cure rates showed significant improvement at one the year follow up in both groups. No significant differences in cure rates between groups were seen. The complication rate was equal in both groups.

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References

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

    Article  PubMed  CAS  Google Scholar 

  2. Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7(2):81–86

    Article  PubMed  CAS  Google Scholar 

  3. Nilsson CG, Kuuva N, Falconer C, Rezapour M (2001) Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 12(Suppl 2):S5–S8

    Article  PubMed  Google Scholar 

  4. Kuuva N, Nilsson CG (2003) Tension-free vaginal tape procedure: An effective minimally invasive operation for the treatment of recurrent stress urinary incontinence? Gynecol Obstet Investig 56(2):93–98

    Article  Google Scholar 

  5. Rezapour M, Falconer C, Ulmsten U (2001) Tension-free vaginal tape (TVT) in women with mixed urinary incontinence—a long-term follow-up. Int Urogynecol J Pelvic Floor Dysfunct 12 (Suppl 2):S15–S18

    Google Scholar 

  6. Nilsson CG, Falconer C, Rezapour M (2004) Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol 104(6):1259–1262

    PubMed  Google Scholar 

  7. Kuuva N, Nilsson CG (2002) A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand 81(1):72–77

    Article  PubMed  Google Scholar 

  8. Tamussino K, Hanzal E, Kölle D, Ralph G, Riss P (2001) Tension-free vaginal tape operation: results of the Austrian registry. Obstet Gynecol 98:732–736

    Article  PubMed  CAS  Google Scholar 

  9. Leboeuf L, Tellez C, Ead D, Gousse A (2003) Complication of bowel perforation during insertion of tension-free vaginal tape. J Urol 170(4):1310–1311

    Article  PubMed  Google Scholar 

  10. Amna MB, Randrianantenaina A, Michel F (2003) Colic perforation as a complication of tension-free vaginal tape procedure. J Urol 170(6):2387

    Article  PubMed  Google Scholar 

  11. Zilbert AW, Farrell SA (2001) External iliac artery laceration during tension-free vaginal tape procedure. Int Urogynecol J Pelvic Floor Dysfunct 12(2):141–143

    Article  PubMed  CAS  Google Scholar 

  12. Vierhout ME (2001) Severe hemorrhage complicating tension-free vaginal tape (TVT): a case report. Int Urogynecol J Pelvic Floor Dysfunct 12(2):139–140

    Article  PubMed  CAS  Google Scholar 

  13. Delorme E (2001) Transobturator urethral suspension: a minimally invasive procedure to treat female stress urinary incontinence. Prog Urol 11(6):1306–1313

    PubMed  CAS  Google Scholar 

  14. de Leval J (2003) Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 44(6):724–730

    Article  PubMed  Google Scholar 

  15. Laurikainen E, Valpas A, Kivelä A, Kalliola T, Takala T, Nilsson CG et al (2007) Retropubic compared with transobturator tape placement in treatment of urinary incontinence: a randomized controlled trial. Obstet Gynecol 109(1):4–11

    PubMed  Google Scholar 

  16. Stach-Lempinen B, Kujansuu E, Laippala P, Metsänoja R (2001) Visual analogue scale, urinary incontinence severity score and 15 D-psychometric testing of three different health-related quality-of-life instruments for urinary incontinent women. Scand J Urol Nephrol 35(6):476–483

    Article  PubMed  CAS  Google Scholar 

  17. Kauppila A, Alavaikko P, Kujansuu E (1982) Detrusor instability score in the evaluation of stress urinary incontinence. Acta Obstet Gynecol Scand 61(2):137–141

    Article  PubMed  CAS  Google Scholar 

  18. Uebersax J, Wyman J, Shumaker S, McClish D, Fantl J (1995) Short forms to assess life quality and symptom distress for urinary-incontinence in women: the incontinence impact questionnaire and the urogenital distress inventory. Neurourol Urodyn 14(2):131–139

    Article  PubMed  CAS  Google Scholar 

  19. Sintonen H (2001) The 15D instrument of health-related quality of life: properties and applications. Ann Med 33(5):328–336

    Article  PubMed  CAS  Google Scholar 

  20. Stach-Lempinen B (2004) Health-related quality of life and female urinary incontinence. Acta Universitatis Tamperensis 1012. ISBN 951-44-5981-4

  21. Laurikainen E (2006) Tension-free vaginal procedures for female stress urinary incontinence. Annales Universitatis Turkuensis, Ser. D. Medica-Odontologica 724.ISBN 951-29-3140-0

  22. Dean N, Herbison P, Ellis G, Wilson D (2006) Laparoscopic colposuspension and tension-free vaginal tape: a systematic review. BJOG 113(12):1345–1353

    Article  PubMed  CAS  Google Scholar 

  23. Valpas A, Kivela A, Penthnen J, Kauko M, Kujansuu E, Nilsson CG et al (2003) Tension-free vaginal tape procedure and laparoscopic colposuspension in the treatment of stress urinary incontinence. Acta Obstet Gynecol Scand 82:665–671

    Google Scholar 

  24. Ward K, Hilton P (2004) A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow-up. Am J Obstet Gynecol 190(2):324–331

    Article  PubMed  Google Scholar 

  25. Liapis A, Bakas P, Giner M, Creatsas G (2006) Tension-free vaginal tape versus tension-free vaginal tape obturator in women with stress urinary incontinence. Gynecol Obstet Invest 62(3):160–164

    Article  PubMed  Google Scholar 

  26. Zullo MA, Plotti F, Calcagno M, Marullo E, Palaia I, Bellati F et al (2007) One-year follow-up of tension-free vaginal tape (TVT) and trans-obturator suburethral tape from inside to outside (TVT-O) for surgical treatment of female stress urinary incontinence: a prospective randomised trial. Eur Urol 51(5):1376–1384

    Article  PubMed  Google Scholar 

  27. Lim J, Cornish A, Carey M (2006) Clinical and quality-of-life outcomes in women treated by the TVT-O procedure. BJOG 113(11):1315–1320

    Article  PubMed  CAS  Google Scholar 

  28. Boustead GB (2002) The tension-free vaginal tape for treating female stress urinary incontinence. BJU Int 89(7):687–693

    Article  PubMed  CAS  Google Scholar 

  29. Schleupner CJ (1997) Urinary track infections. Postgrad Med 101(6):231–237

    PubMed  CAS  Google Scholar 

  30. Alcalay M, Monga A, Stanton SL (1995) Burch colposuspension: a 10–20 year follow up. BJOG 102(9):740–745

    PubMed  CAS  Google Scholar 

  31. Dietz HP, Wilson PD (2000) Colposuspension success and failure: a long-term objective follow-up study. Int Urogynecol J Pelvic Floor Dysfunct 11(6):346–351

    Article  PubMed  CAS  Google Scholar 

  32. Kölle D, Tamussino K, Hanzal E, Tammaa A, Preyer O, Bader A et al (2005) Bleeding complications with the tension-free vaginal tape operation. Am J Obstet Gynecol 193(6):2045–2049

    Article  PubMed  Google Scholar 

  33. Meschia M, Pifarotti P, Bernasconi F, Guercio E, Mattiolini M, Magatti F et al (2001) Tension-free vaginal tape: analysis of outcomes and complications in 404 stress incontinent women. Int Urogynecol J Pelvic Floor Dysfunct 12(Suppl 2):S24–S27

    Article  PubMed  Google Scholar 

  34. Miller J-J, Botros S, Akl M, Aschkenazi S, Beaumont J, Sand P et al (2006) Is transobturator tape as effective as tension-free vaginal tape in patients with borderline maximum urethral closure pressure? Am J Obstet Gynecol 195(6):1799–1804

    Article  PubMed  Google Scholar 

  35. O’Connor R, Nanigian D, Lyon M, Ellison L, Bales G, Stone A (2006) Early outcomes of mid-urethral slings for female stress urinary incontinence stratified by valsalva leak point pressure. Neurourol Urodyn 25:685–688

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Obstetrics and Gynecology, Kuopio University Hospital, P.O. Box 1777, Kuopio, 70211, Finland

    Kirsi Rinne

  2. Department of Obstetrics and Gynecology, Turku University Hospital, Turku, Finland

    Eija Laurikainen

  3. Department of Obstetrics and Gynecology, Oulu University Hospital, Oulu, Finland

    Arre Kivelä

  4. Department of Obstetrics and Gynecology, Central Finland Central Hospital, Jyväskylä, Finland

    Pauliina Aukee

  5. Department of Obstetrics and Gynecology, Päijät-Häme Central Hospital, Lahti, Finland

    Teuvo Takala

  6. Department of Obstetrics and Gynecology, South Carelian Central Hospital, Lappeenranta, Finland

    Antti Valpas

  7. Department of Obstetrics and Gynecology, Helsinki University Central Hospital, POB 140, Haartmaninkatu 2, 00029, Helsinki, Finland

    Carl Gustaf Nilsson

Authors
  1. Kirsi Rinne
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  2. Eija Laurikainen
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  3. Arre Kivelä
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  4. Pauliina Aukee
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  5. Teuvo Takala
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  6. Antti Valpas
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  7. Carl Gustaf Nilsson
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Corresponding author

Correspondence to Carl Gustaf Nilsson.

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Rinne, K., Laurikainen, E., Kivelä, A. et al. A randomized trial comparing TVT with TVT-O: 12-month results. Int Urogynecol J 19, 1049–1054 (2008). https://doi.org/10.1007/s00192-008-0581-3

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  • DOI: https://doi.org/10.1007/s00192-008-0581-3

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