TY - JOUR
T1 - Tension-free vaginal tape (TVT) and intravaginal slingplasty (IVS) for stress urinary incontinence
T2 - A multicenter randomized trial
AU - Meschia, Michele
AU - Pifarotti, Paola
AU - Bernasconi, Francesco
AU - Magatti, Fabio
AU - Viganò, Riccardo
AU - Bertozzi, Rosanna
AU - Barbacini, Pietro
PY - 2006/11
Y1 - 2006/11
N2 - Objective: This study was undertaken to compare the efficacy and morbidity of 2 minimally invasive procedures for stress urinary incontinence. Study design: 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. Results: 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). Conclusion: Both procedures were effective for stress incontinence, but 9% of women treated with the IVS required removal of the tape for erosions.
AB - Objective: This study was undertaken to compare the efficacy and morbidity of 2 minimally invasive procedures for stress urinary incontinence. Study design: 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. Results: 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). Conclusion: Both procedures were effective for stress incontinence, but 9% of women treated with the IVS required removal of the tape for erosions.
KW - Complications
KW - Intravaginal slingplasty
KW - Stress urinary incontinence
KW - Tension-free vaginal tape
KW - Urethral hypermobility
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U2 - 10.1016/j.ajog.2006.03.067
DO - 10.1016/j.ajog.2006.03.067
M3 - Article
C2 - 16769016
AN - SCOPUS:33750307227
VL - 195
SP - 1338
EP - 1342
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 5
ER -