Display Settings:


Send to:

Choose Destination
Am J Obstet Gynecol. 2006 Nov;195(5):1338-42. Epub 2006 Jun 12.

Tension-free vaginal tape (TVT) and intravaginal slingplasty (IVS) for stress urinary incontinence: a multicenter randomized trial.

Author information

  • 1Department of Obstetrics and Gynecology, Ospedale G. Fornaroli, Magenta, Italy. m.meschia@libero.it



This study was undertaken to compare the efficacy and morbidity of 2 minimally invasive procedures for stress urinary incontinence.


This was a prospective randomized multicenter trial; 190 women with primary urodynamic stress incontinence were randomly assigned to tension-free vaginal tape (TVT) (n = 95) or intravaginal slingplasty (IVS) (n = 95). The primary and secondary outcome measures were rates of success and complications. SPSS software was used for data analysis.


At 2 years 92 and 87 patients were available in the TVT and IVS group for outcomes analysis. Subjectively, 80 (87%) and 68 (78%) women were cured, respectively. Objectively, a 1-hour pad test was negative in 78 (85%) and 63 (72%) patients. Eight of the patients assigned to IVS (9%) had vaginal erosion/infection, compared with none in the TVT group (P < .01).


Both procedures were effective for stress incontinence, but 9% of women treated with the IVS required removal of the tape for erosions.

Comment in

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk