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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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| Published in: | American journal of obstetrics and gynecology 2006-11, Vol.195 (5), p.1338-1342 |
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| Main Authors: | , , , , , , |
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| cites | cdi_FETCH-LOGICAL-c384t-c413bfc9b6253ad2d4725e5cc9dc70e223728edd0818c4ae1e7fd0553d6d57983 |
| container_end_page | 1342 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Meschia, Michele Pifarotti, Paola Bernasconi, Francesco Magatti, Fabio Viganò, Riccardo Bertozzi, Rosanna Barbacini, Pietro |
| description | 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. |
| doi_str_mv | 10.1016/j.ajog.2006.03.067 |
| format | article |
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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.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2006.03.067</identifier><identifier>PMID: 16769016</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>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</subject><ispartof>American journal of obstetrics and gynecology, 2006-11, Vol.195 (5), p.1338-1342</ispartof><rights>2006 Mosby, Inc.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-c413bfc9b6253ad2d4725e5cc9dc70e223728edd0818c4ae1e7fd0553d6d57983</citedby><cites>FETCH-LOGICAL-c384t-c413bfc9b6253ad2d4725e5cc9dc70e223728edd0818c4ae1e7fd0553d6d57983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18290690$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16769016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meschia, Michele</creatorcontrib><creatorcontrib>Pifarotti, Paola</creatorcontrib><creatorcontrib>Bernasconi, Francesco</creatorcontrib><creatorcontrib>Magatti, Fabio</creatorcontrib><creatorcontrib>Viganò, Riccardo</creatorcontrib><creatorcontrib>Bertozzi, Rosanna</creatorcontrib><creatorcontrib>Barbacini, Pietro</creatorcontrib><title>Tension-free vaginal tape (TVT) and intravaginal slingplasty (IVS) for stress urinary incontinence: A multicenter randomized trial</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>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.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Complications</subject><subject>Device Removal</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Intraoperative Complications</subject><subject>Intravaginal slingplasty</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - adverse effects</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Postoperative Complications</subject><subject>Prostheses and Implants - adverse effects</subject><subject>Stress urinary incontinence</subject><subject>Surgical Mesh</subject><subject>Tension-free vaginal tape</subject><subject>Treatment Outcome</subject><subject>Urethral hypermobility</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>Intraoperative Complications</topic><topic>Intravaginal slingplasty</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - adverse effects</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Postoperative Complications</topic><topic>Prostheses and Implants - adverse effects</topic><topic>Stress urinary incontinence</topic><topic>Surgical Mesh</topic><topic>Tension-free vaginal tape</topic><topic>Treatment Outcome</topic><topic>Urethral hypermobility</topic><topic>Urinary Incontinence, Stress - surgery</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><topic>Urogenital Surgical Procedures - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meschia, Michele</creatorcontrib><creatorcontrib>Pifarotti, Paola</creatorcontrib><creatorcontrib>Bernasconi, Francesco</creatorcontrib><creatorcontrib>Magatti, Fabio</creatorcontrib><creatorcontrib>Viganò, Riccardo</creatorcontrib><creatorcontrib>Bertozzi, Rosanna</creatorcontrib><creatorcontrib>Barbacini, Pietro</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meschia, Michele</au><au>Pifarotti, Paola</au><au>Bernasconi, Francesco</au><au>Magatti, Fabio</au><au>Viganò, Riccardo</au><au>Bertozzi, Rosanna</au><au>Barbacini, Pietro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tension-free vaginal tape (TVT) and intravaginal slingplasty (IVS) for stress urinary incontinence: A multicenter randomized trial</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2006-11-01</date><risdate>2006</risdate><volume>195</volume><issue>5</issue><spage>1338</spage><epage>1342</epage><pages>1338-1342</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>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.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>16769016</pmid><doi>10.1016/j.ajog.2006.03.067</doi><tpages>5</tpages></addata></record> |
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| ispartof | American journal of obstetrics and gynecology, 2006-11, Vol.195 (5), p.1338-1342 |
| issn | 0002-9378 1097-6868 |
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| source | ScienceDirect Freedom Collection |
| 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 |
| title | Tension-free vaginal tape (TVT) and intravaginal slingplasty (IVS) for stress urinary incontinence: A multicenter randomized trial |
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