Skip to main content

Advertisement

SpringerLink
Log in

TVT and TVT-O for surgical treatment of primary stress urinary incontinence: prospective randomized trial

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Introduction and hypothesis

A study was conducted to compare the efficacy and complications of TVT and TVT-O.

Methods

This study is a prospective randomized trial involving 300 women with primary SUI; 149 received TVT, and 151 patients were treated with TVT-O. At the 1 year follow-up, 141 TVT patients and 147 TVT-O patients (dropout, 5.3% and 2.6%) were evaluated using urodynamic studies, validated questionnaires, and a 1-h pad test.

Results

The mean operating time was shorter in the TVT-O group (p < 0.001). Urinary retention was not significantly different (p > 0.05). Inner thigh discomfort was reported by 5.4% of TVT-O patients. In the TVT and the TVT-O groups, respectively, 90.1% and 88.4% women were objectively cured. The satisfaction with the surgical outcome reflects the significant decrease in the questionnaire mean symptom scores in both groups. Postoperative de novo urgency was significantly more common in the TVT-O patients (p = 0.015).

Conclusion

The groups showed comparable objective and subjective cure rates.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

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

    Article  PubMed  Google Scholar 

  2. Nilsson CG, Palva K, Rezapour M, Falconer C (2008) Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19(8):1043–1047

    Article  CAS  PubMed  Google Scholar 

  3. 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 

  4. Abouassaly R, Steinberg JR, Lemieux M, Marois C, Gilchrist LI, Borque JL et al (2004) Complications of tension-free vaginal tape surgery: a multi-institutional review. BJU Int 94(1):110–113

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  6. Delorme E, Droupy S, de Tayrac R, Delmas V (2004) Transobturator tape (Uratape®): a new minimally-invasive procedure to treat female urinary incontinence. Eur Urol 45:724–730

    Article  Google Scholar 

  7. Minaglia S, Ozel B, Klutke C, Ballard C, Klutke J (2004) Bladder injury during transobturator sling. Urology 64:376–377

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  9. Bump RC, Mattiasson A, Bo K (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17

    Article  CAS  PubMed  Google Scholar 

  10. Lukacz ES, Lawrence JM, Burchette RJ, Luber KM, Nager Ch, Buckwalter JG (2004) The use of visual analog scale in urogynecologic research: a psychometric evaluation. Am J Obstet Gynecol 191:165–170

    Article  PubMed  Google Scholar 

  11. Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P (2004) ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 23:322–330

    Article  PubMed  Google Scholar 

  12. Amarenco G, Arnould B, Carita P, Haab F, Labat JJ, Richard F (2003) European psychometric validation of the CONTILIFE: a quality of life questionnaire for urinary incontinence. Eur Urol 43(4):391–404

    Article  PubMed  Google Scholar 

  13. 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 7:81–86

    Article  CAS  PubMed  Google Scholar 

  14. 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 

  15. deTayrac R, Deffieux X, Droupy S, Chauveaud-Lambling A, Calvanèse-Benamour L, Fernandez H (2004) A prospective trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. AJOG 190(3):602–608

    Article  Google Scholar 

  16. Whiteside JL, Walters MD (2004) Anatomy of the obturator region: relations to a trans-obturator sling. Int Urogynecol J Pelvic Floor Dysfunct 15:223–226

    PubMed  Google Scholar 

  17. Meschia M, Bertozzi R, Pifarotti P, Baccichet R, Bernasconi F, Guercio E et al (2007) Peri-operative morbidity and early results of a randomised trial comparing TVT and TVT-O. Int Urogynecol J Pelvic Floor Dysfunct 18(11):1257–1261

    Article  PubMed  Google Scholar 

  18. Karateke A, Haliloglu B, Cam C, Sakalli M (2009) Comparison of TVT and TVT-O in patients with stress urinary incontinence: short-term cure rates and factors influencing the outcome. A prospective randomised study. A NZJ Ob-Gyn 49:99–105

    Article  Google Scholar 

  19. Collinet P, Ciofu C, Costa P, Cosson M, Deval B, Grise P et al (2008) 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 Pelvic Floor Dysfunct 19(5):711–715

    Article  PubMed  Google Scholar 

  20. Bonnet P, Waltregny D, Reul O, de Leval J (2005) Transobturator vaginal tape inside out for the surgical treatment of female stress urinary incontinence: anatomical considerations. J Urol 173:1223–1228

    Article  PubMed  Google Scholar 

  21. Latthe PM, Foon R, Toozs-Hobson P (2007) Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. BJOG 114:522–531

    Article  CAS  PubMed  Google Scholar 

  22. Tamussino KF, Hanzal E, Kölle D, Ralph G, Riss PA, Austrian Urogynecology Working Group (2001) Tension-free vaginal tape operation: result of the Austrian registry. Obstet Gynecol 98:732–736

    Article  CAS  PubMed  Google Scholar 

  23. Lee KS, Han DH, Choi YS, Yum SH, Song SH, Doo CK et al (2007) A prospective trial comparing tension-free vaginal tape and transobturator vaginal tape inside-out for the surgical treatment of female stress urinary incontinence: 1-year follow up. J Urol 177(1):214–218

    Article  PubMed  Google Scholar 

  24. Petros P, Ulmsten U (1990) An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand 69(Suppl 153):7–31

    Google Scholar 

  25. Rardin CR, Rosenblatt PL, Kohli N, Miklos JR, Heit M, Lucente VR (2002) Release of tension-free vaginal tape for the treatment of refractory postoperative voiding dysfunction. Obstet Gynecol 100:898–902

    Article  CAS  PubMed  Google Scholar 

  26. Barber MD, Kleeman S, Karram MM, Paraiso MF, Walters MD, Vasavada S et al (2008) Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence. Obstet Gynecol 111:611–621

    PubMed  Google Scholar 

  27. Chêne G, Amblard J, Tardieu AS, Escalona JR, Viallon A, Fatton B et al (2007) Long-term results of tension-free vaginal tape (TVT) for the treatment of female urinary stress incontinence. EJOG 134(1):87–94

    Article  Google Scholar 

  28. Juma S, Brito CG (2007) Transobturator tape (TVT-O): two years follow-up. Neurourol Urodyn 26:37–41

    Article  PubMed  Google Scholar 

  29. Sung VW, Schleinitz MD, Rardin CR, Ward RM, Myers DL (2007) Comparison of retropubic transobturator approach to midurethral slings: a systematic review and meta-analysis. Am J Obstet Gynecol 197(1):3–11

    Article  PubMed  Google Scholar 

  30. Murphy M, van Raalte H, Mercurio E, Haff R, Wiseman B, Lucente VR (2008) Incontinence-related quality of life and sexual function following the tension-free vaginal tape obturator. Int Urogynecol J Pelvic Floor Dysfunct 19(4):481–487

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This study was supported by the Internal Grant Agency of the Ministry of Health of the Czech Republic, grant number NR-9309.

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Institute for the Care of Mother and Child, Podolske nabrezi 157, 147 00, Prague 4, Czech Republic

    Ladislav Krofta, Jaroslav Feyereisl, Michal Otčenášek, Petr Velebil, Eva Kašíková & Michal Krčmář

Authors
  1. Ladislav Krofta
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jaroslav Feyereisl
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michal Otčenášek
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Petr Velebil
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Eva Kašíková
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Michal Krčmář
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ladislav Krofta.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Krofta, L., Feyereisl, J., Otčenášek, M. et al. TVT and TVT-O for surgical treatment of primary stress urinary incontinence: prospective randomized trial. Int Urogynecol J 21, 141–148 (2010). https://doi.org/10.1007/s00192-009-1027-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-009-1027-2

Keywords

Search

Navigation