Abstract
Introduction and hypothesis
The purpose of the study was to evaluate and compare the clinical values of tension-free vaginal tape (TVT), tension-free vaginal tape-transobturator (TVT-O), or tension-free vaginal tape-Secur (TVT-Secur) as treatment for female stress urinary incontinence.
Methods
The pre-operative and 1-year post-operative follow-up protocols for patients who were treated with serial mid-urethral tension-free tape procedures in two hospitals from October 2008 to December 2009 were prospectively studied. These patients were randomly allocated to TVT, TVT-O, or TVT-Secur.
Results
A total of 102 women participated. At the 1-year follow-up, complications were not statistically different across the three groups except for pain in the thigh, which was more common in the TVT-O group. The overall efficacy and cure rate were similar between the TVT and TVT-O groups, but were significantly lower in the TVT-Secur group.
Conclusions
A comparison of the three procedures shows that TVT-O is easy to operate and is as safe as TVT-Secur, and it has similar long-term efficacy to TVT, though, as one of the third-generation mid-urethral tension-free tapes, TVT-Secur is still being evaluated. Basing on the outcome of our study, it had rare complications but unsatisfactory efficacy, and we suggest that TVT-Secur is not fit for severe cases. However, observation and comparison of these groups in a larger sample size on a longer term are needed.
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Abbreviations
- TVT-Secur:
-
Tension-free vaginal tape-Secur
- SUI:
-
Stress urinary incontinence
- TVT:
-
Tension-free vaginal tape
- TVT-O:
-
Tension-free vaginal tape-transobturator
- BMI:
-
Body mass index
- ALPP:
-
Abdominal leak point pressure
- ICI-Q-SF:
-
International Consultation on Incontinence Questionnaire-Short Form
- UUI:
-
Urge urinary incontinence
- OAB:
-
Overactive bladder
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Wang, Yj., Li, Fp., Wang, Q. et al. Comparison of three mid-urethral tension-free tapes (TVT, TVT-O, and TVT-Secur) in the treatment of female stress urinary incontinence: 1-year follow-up. Int Urogynecol J 22, 1369–1374 (2011). https://doi.org/10.1007/s00192-011-1445-9
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DOI: https://doi.org/10.1007/s00192-011-1445-9