Abstract
Introduction and hypothesis
The aim of this study is to compare the outcome and complication rates of the tension-free vaginal tape (TVT) operations with the transobturator vaginal tape (TVT-O and TOT) operations in the treatment of urinary stress incontinence.
Methods
This is a multicenter, prospective cohort study. Preoperative and postoperative assessments included a validated Stress and Urge Incontinence Questionnaire, a 24-h pad test, and a standardized stress test.
Results
The study included 5,942 women—4,281 women had a TVT operation and 731 and 373 women had TVT-O and TOT operations, respectively. Median follow-up time was 8 months. Women in the TVT group had less leakage during stress test and fewer subjective stress incontinence symptoms, and were more satisfied with the operation compared with the women in TVT-O and TOT groups, but more complications were reported after TVT operation.
Conclusions
The TVT operation is more efficient than TVT-O and TOT operations in treating stress incontinent women.
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Acknowledgement
The authors acknowledge the contributory members of the Norwegian National Incontinence Registry: Bogfjellmo D, Helse Nord-Trøndelag HF, Sykehuset Levanger; Borstad E, Oslo Universitetssykehus HF, Ullevål Universitetssykehus; Gross A, Oslo Universitetssykehus HF, Rikshospitalet; Guldhav T, Helse Førde HF, Førde Sentralsjukehus; Hjelseth B, Helgelandssykehuset HF, Mo i Rana sykehus; Holdo B, Nordlandssykehuset HF, Bodø Sykehus; Holstad A, Sykehuset Innlandet HF, Gjøvik Sykehus; Kulseng-Hanssen S, Vestre Viken HF, Sykehuset Asker og Bærum; Kurzweg J, Vestre Viken HF, Blefjell Sykehus; Majida M, Akershus Universitetssykehus HF, AHUS; Montzka P, Helse Sunnmøre HF, Ålesund Sjukehus; Myklebost M, St Olavs Hospital HF, Universitetssykehuset i Trondheim; Myklebust I, Helse Sunnmøre HF, Volda Sjukehus; Nilsen A, Helse Finnmark HF, Klinikk Hammerfest; Reinertsen PA, Helgelandssykehuset HF, Sandenssjøen Sykehus; Rise R, Helse Nordmøre og Romsdalen HF, Kristiansund Sykehus; Saltveit T, Helse Fonna HF, Haugesund Sjukehus; Schiøtz H, Sykehuset i Vestfold HF, Klinikk Tønsberg; Seip A, Vestre Viken HF, Buskerud Sykehus; Servoll T, Vestre Viken HF, Kongsberg Sykehus; Snartum H, Sykehuset Innlandet HF, Elverum sykehus; Thornhil H, Helse Bergen HF, Haukeland Universitetssykehus; Tuveng J, Vestre Viken HF, Ringerike Sykehus; Verelst M, Universitetssykehuset Nord-Norge HF, Tromsø sykehus; Western K, Sykehuset Østfold HF, Fredrikstad; and Wojtasinska M, Helse Stavanger, Stavanger Universitetssykehus.
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Dyrkorn, O.A., Kulseng-Hanssen, S. & Sandvik, L. TVT compared with TVT-O and TOT: results from the Norwegian National Incontinence Registry. Int Urogynecol J 21, 1321–1326 (2010). https://doi.org/10.1007/s00192-010-1195-0
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DOI: https://doi.org/10.1007/s00192-010-1195-0