Tension-free vaginal tape procedure and laparoscopic colposuspension in the treatment of stress urinary incontinence

Valpas, Antti; Nilsson, Carl Gustaf

doi:10.1097/01.gco.0000136498.79828.df

Cited by 4 publications

(3 citation statements)

References 30 publications

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“…The number of published reports is, however, increasing and the majority of these have been comparing the original TVT procedure with either colposuspension or some modification of the TVT operation. Very few of these randomized reports give any further details of a statistical power analysis, and those which do often have not reached the desired number of patients enrolled [23,24].…”

Section: Discussionmentioning

confidence: 99%

A randomized trial comparing TVT with TVT-O: 12-month results

et al. 2008

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The aim of this randomized clinical trial was to compare the cure rate and the rate of complications of the tension-free vaginal tape (TVT) with those of the tension free vaginal tape obturator (TVT-O) procedure after one year of follow-up. The study was powered to show a ten per cent difference in cure rate and/or rate of complications. Of the initially treated 267 women 134 in the TVT group and 131 in the TVT-O group were evaluated. A cough stress test and a 24 h pad test were used as objective outcome measures. Subjective outcome was assessed by different condition-specific quality of life questionnaires and general health by the EQ-5D questionnaire. Objective cure rate was 95.5% in the TVT patients and 93.1% in TVT-O patients. Subjective cure rates showed significant improvement at one the year follow up in both groups. No significant differences in cure rates between groups were seen. The complication rate was equal in both groups.

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Section: Discussionmentioning

confidence: 99%

A randomized trial comparing TVT with TVT-O: 12-month results

et al. 2008

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“…The TVT is one of the most thoroughly investigated and documented minimal-invasive procedures [15], with an objective and subjective success rate of 81.3% at 7 years for treatment of primary stress urinary incontinence [1] and with equal results when performed for treatment of recurrent stress incontinence at 4 years follow-up [16]. Probably because of this high success, little is known about the treatment of recurrent stress urinary incontinence after synthetic sub-urethral tape procedures.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Burch colposuspension after failed sub-urethral tape procedures: a retrospective audit

2007

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Our objective was to evaluate the outcome of laparoscopic Burch colposuspension in women with recurrent stress urinary incontinence after failed primary sub-urethral tape procedures. A total of 16 patients were identified, and their data from symptom-specific questionnaires, urodynamic studies and urogynaecological assessment were collected. At a median follow-up of 24.5 months, objective and subjective cure rates were 54.5% and 92.9%, respectively. Average satisfaction score regarding outcome after surgery was 9.3 on a rating scale from 0 to 10. All but one patient had symptoms of urge incontinence pre-operatively with 64.3% experiencing cure or improvement post-operatively. Voiding difficulties were observed in one patient, and post-operative urodynamics revealed a significant decrease in urinary flow rate (p < 0.05) but with no difference in urinary residuals or maximum urethral closure pressure. Severe peri-urethral fibrosis was identified in 62.5% of the patients. Laparoscopic Burch colposuspension is an effective and safe surgical option.

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“…The technique described was in advance of the introduction of newer techniques involving tension free vaginal mesh for holding the anterior vaginal wall in place 22–25. Since the placement of these meshes requires several needle passages, it has also the risk for major complications 26–28.…”

Section: Discussionmentioning

confidence: 99%

Anterior vaginal wall reconstruction: anterior colporrhaphy reinforced with tension free vaginal tape underneath bladder base

Tantanasis

Giannoulis

Daniilidis

et al. 2008

Acta Obstet Gynecol Scand

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Tension-free vaginal tape procedure and laparoscopic colposuspension in the treatment of stress urinary incontinence

Abstract: This review attempts to highlight the recent clinical experience of these two surgical techniques, including cure rates, complications and cost-effectiveness.

Cited by 4 publications

References 30 publications

A randomized trial comparing TVT with TVT-O: 12-month results

A randomized trial comparing TVT with TVT-O: 12-month results

Laparoscopic Burch colposuspension after failed sub-urethral tape procedures: a retrospective audit

Anterior vaginal wall reconstruction: anterior colporrhaphy reinforced with tension free vaginal tape underneath bladder base

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