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

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...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2006-11, Vol.195 (5), p.1338-1342
Main Authors: Meschia, Michele, Pifarotti, Paola, Bernasconi, Francesco, Magatti, Fabio, Viganò, Riccardo, Bertozzi, Rosanna, Barbacini, Pietro
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Complications
Device Removal
Female
Gynecology. Andrology. Obstetrics
Humans
Intraoperative Complications
Intravaginal slingplasty
Medical sciences
Middle Aged
Minimally Invasive Surgical Procedures - adverse effects
Nephrology. Urinary tract diseases
Postoperative Complications
Prostheses and Implants - adverse effects
Stress urinary incontinence
Surgical Mesh
Tension-free vaginal tape
Treatment Outcome
Urethral hypermobility
Urinary Incontinence, Stress - surgery
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
Urogenital Surgical Procedures - adverse effects
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Summary: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.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2006.03.067