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Transobturator TVT-O versus retropubic TVT: results of a multicenter randomized controlled trial at 24 months follow-up

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Abstract

Introduction and hypothesis

The purpose of this study is to compare the retropubic tension-free vaginal tape (TVT) procedure with the inside-out transobturator approach (TVT-O).

Methods

Multicenter randomized controlled trial. One hundred forty-nine patients were randomly allocated to either TVT (n = 75) or TVT-O (n = 74). Interview, medical examination, pain scores, success rates, and quality of life assessment were recorded pre-operatively, and 2, 6, 12, and 24 months post-operatively.

Results

One hundred forty-nine patients underwent surgery, and 132 completed a 24-month follow-up. Bladder injury rate was 5% (4/75) in the TVT group and 2% (2/74) in the TVT-O group (p = 0.68). There was no significant difference between the two groups, concerning overall cure rate and the patients' satisfaction rate at 24 months follow-up. The range of mean pain scores was significantly higher after the TVT-O procedure post-operatively but not at 24 months follow-up.

Conclusion

TVT and TVT-O procedures both have an outcome associated with an increase in quality of life with no significant differences in satisfaction rates at 2 years follow-up.

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Abbreviations

ICS:

International Continence Society

MUCP:

maximum urethral closure pressure

TVT:

tension-free vaginal tape

TVT-O:

transobturator vaginal tape

USI:

urinary stress incontinence

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Acknowledgments

Thanks are expressed to all investigators who contributed to this study, including Kristel Desseaux (DBIM, Paris), Bruno Deval (Paris), Delphine Salet-Lizee (Paris), Philippe Descamps (Angers), Claude Hocke (Bordeaux), Brigitte Fatton (Clermont Ferrand), Renaud de Tayrac (Nîmes), Fabrice Sergent (Rouen), Pierre Luc Giacalone (Montpellier), and Jean Leveque (Rennes).

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Univ Paris-Sud, Le Kremlin Bicêtre, 94270, France

    Xavier Deffieux

  2. AP-HP, Service de Gynécologie-Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, Clamart, 92141, France

    Xavier Deffieux

  3. Service de Gynécologie-Obstétrique, CHU Amiens, Amiens, 80054, France

    Nagib Daher

  4. Service de Gynécologie-Obstétrique, Centre Hospitalier Paul-Ardier, Issoire, 63500, France

    Aslam Mansoor

  5. Service de Gynécologie Obstétrique, Centre Hospitalier de Dunkerque, Saint-Pol-sur-Mer, 59430, France

    Philippe Debodinance

  6. Service de Gynécologie Obstétrique, Maternité Régionale Universitaire, Nancy, 54045, France

    Joël Muhlstein

  7. AP-HP, Service de Gynécologie-Obstétrique, CHU Bicêtre, Le Kremlin Bicêtre, 94275, France

    Hervé Fernandez

  8. Inserm U822, Le Kremlin Bicêtre, France

    Hervé Fernandez

  9. Service de Gynécologie Obstétrique, Hôpital Antoine Béclère, 157, rue de la Porte-de-Trivaux, 92140, Clamart, France

    Xavier Deffieux

Authors
  1. Xavier Deffieux
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  2. Nagib Daher
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  3. Aslam Mansoor
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  4. Philippe Debodinance
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  5. Joël Muhlstein
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  6. Hervé Fernandez
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Corresponding author

Correspondence to Xavier Deffieux.

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Deffieux, X., Daher, N., Mansoor, A. et al. Transobturator TVT-O versus retropubic TVT: results of a multicenter randomized controlled trial at 24 months follow-up. Int Urogynecol J 21, 1337–1345 (2010). https://doi.org/10.1007/s00192-010-1196-z

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  • DOI: https://doi.org/10.1007/s00192-010-1196-z

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