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Neurourol Urodyn. 2018 Jan;37(1):331-338. doi: 10.1002/nau.23298. Epub 2017 May 2.

Retropubic versus transobturator tension-free vaginal tape (TVT vs TVT-O): Five-year results of the Austrian randomized trial.

Author information

1
Department of Obstetrics and Gynecology, Wilhelminenspital, Vienna, Austria.
2
Division of Gynecology, Medical University of Graz, Graz, Austria.
3
Division of Gynecology and Gynecologic Oncology, Medical University of Vienna, Vienna, Austria.
4
Department of Obstetrics and Gynecology, Medical University of Innsbruck, Innsbruck, Austria.
5
Department of Gynecology Krankenhaus der Barmherzigen Brüder Graz, Graz, Austria.
6
Department of Obstetrics and Gynecology, Landeskrankenhaus Leoben, Leoben, Austria.
7
Department of Obstetrics and Gynecology, Landesklinikum Mödling, Mödling, Austria.
8
Department of Obstetrics and Gynecology, Krankenhaus Schwaz, Schwaz, Austria.
9
Department of Obstetrics and Gynecology, University of Munich, Munich, Germany.

Abstract

AIMS:

To compare outcomes of the retropubic versus the transobturator tension-free vaginal tape (TVT vs TVT-O) at 5 years.

METHODS:

A total of 569 women undergoing surgery for primary stress incontinence were randomized to receive a retropubic or a transobturator tensionfree vaginal tape (TVT or TVT-O). Follow-up at 5 years included clinical examination, urodynamic studies and quality of life. The primary outcome measure was continence defined as a negative cough stress test at a volume of 300 mL. Secondary outcomes included urodynamic parameters, complications and quality of life.ClinicalTrials.gov (NCT 0041454).

RESULTS:

Three hundred and thirty-one patients (59%) were evaluated at 5 years (277 were seen, examined and completed questionnaires; 54 only completed questionnaires). No significant differences were seen in rates of a negative cough stress test (83% vs 76%, respectively), urodynamic parameters and complications. Quality-of-life improved significantly in both groups, without significant differences between the groups. Erosion rates were 5.2% and 4.5%, and reoperation rates were 4.1% and 3.2% respectively.

CONCLUSIONS:

At 5 years, subjective and objective results after TVT and TVT-O are stable and similar, without statistical significant differences between the procedures. Major long-term problems appear rare.

KEYWORDS:

TVT; TVT-O; tension-free vaginal tape

PMID:
28464312
DOI:
10.1002/nau.23298
[Indexed for MEDLINE]

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