The Tension&amp;ndash;Free Transvaginal Tape Procedure in the Treatment of Female Urinary Stress Incontinence: A French Prospective Multicentre Study

Soulié, M.; Cuvillier, Xavier; Benaïssa, Assma; Mouly, Patrick; Larroque, Jean-Marc; Bernstein, Jacques; Soulié, Régis; Tollon, Christophe; Brucher, P; Vazzoler, Nicolas; Séguin, Philippe; Pontonnier, F; Plante, Pierre

doi:10.1159/000052531

Cited by 56 publications

(2 citation statements)

References 8 publications

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“…Postoperative urinary retention was statistically significant higher in the TVT-Exact group., our data are not in agreement with the literature report [26]. Therefore, TVT-Exact is a safe and effective surgical treatment for female stress urinary incontinence with a good effectiveness [27–30, 37], but the TVT-Exact operation- is also associated with various perioperative complications [31–34].…”

Section: Discussioncontrasting

confidence: 82%

TVT-Exact and midurethral sling (SLING-IUFT) operative procedures: a randomized study

2015

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ObjectivesThe aim of the study is to compare results, effectiveness and complications of TVT exact and midurethral sling (SLING-IUFT) operations in the treatment of female stress urinary incontinence (SUI).MethodsA single center nonblind, randomized study of women with SUI who were randomized to TVT-Exact and SLING-IUFT was performed by one surgeon from April 2009 to April 2011. SUI was diagnosed on coughing and Valsalva test and urodynamics (cystometry and uroflowmetry) were assessed before operation and 1 year after surgery. This was a prospective randomized study. The follow up period was 12 months. 76 patients were operated using the TVT-Exact operation and 78 patients – using the SLING-IUFT operation. There was no statistically significant differences between groups for BMI, parity, menopausal status and prolapsed stage (no patients had cystocele greater than stage II).ResultsMean operative time was significantly shorter in the SLING-IUFT group (19 ± 5.6 min.) compared with the TVT-Exact group (27 ± 7.1 min.). There were statistically significant differences in the effectiveness of both procedures: TVT-Exact – at 94.5% and SLING-IUFT – at 61.2% after one year. Hospital stay was statistically significantly shorter in the SLING-IUFT group (1. 2 ± 0.5 days) compared with the TVT-Exact group (3.5 ± 1.5 days). Statistically significantly fewer complications occurred in the SLING-IUFT group.Conclusionthe TVT-Exact and SLING-IUFT operations are both effective for surgical treatment of female stress urinary incontinence. The SLING-IUFT involved a shorter operation time and lower complications rate., the TVT-Exact procedure had statistically significantly more complications than the SLING-IUFT operation, but a higher effectiveness.

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Section: Discussioncontrasting

confidence: 82%

TVT-Exact and midurethral sling (SLING-IUFT) operative procedures: a randomized study

2015

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“…Whereas the traditional incontinence operation had an incidence rate of more than 30% [9], TVT has shown postoperative voiding difficulties of transient urine retention in 8 to 17% of patients [19-21] and urgency in 5 to 15% of patients [5,20,21]. Delorme [6] reported no postoperative voiding difficulties in his research on the use of the transobturator approach.…”

Section: Discussionmentioning

confidence: 99%

Randomized Controlled Study of MONARC® vs. Tension-free Vaginal Tape Obturator (TVT-O®) in the Treatment of Female Urinary Incontinence: Comparison of 3-Year Cure Rates

Park

Kim

2012

Korean J Urol

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PurposeTransobturator approaches to midurethral sling surgery are one of the most commonly performed operations for female stress urinary incontinence throughout the world. However, very few results of randomized clinical trials of transobturator midurethral sling surgery (MONARC vs. TVT-O) for the treatment of female urinary incontinence have been reported. In this study, we compared the 3-year follow-up cure rates of these two procedures.Materials and MethodsFrom July 2006 to June 2008, 74 patients who had undergone MONARC (35 patients) or TVT-O (39 patients) were included in the study and were analyzed prospectively. The mean follow-up duration of both groups was 39.2 months. Preoperative and postoperative evaluations included physical examination, uroflowmetry and postvoid residual measurement, involuntary urine loss with physical activity, and urinary symptoms. Cure of female urinary incontinence was defined as patient report of no loss of urine upon physical activity. The patients' satisfaction after treatment was rated as very satisfied, satisfied, equivocal, and unsatisfied. Very satisfied and satisfied were considered as the satisfied rate.ResultsThere were no significant differences in preoperative patient characteristics, postoperative complications, or success rate between the two groups. The cure rate of the MONARC and TVT-O groups was 85.7% and 84.6%, respectively. The patient satisfaction (very satisfied, satisfied) rate of the MONARC and TVT-O groups was 82.8% and 82.1%, respectively.ConclusionsThe MONARC and TVT-O procedures were equally efficient for the treatment of female urinary incontinence, with maintenance of high cure rates for 3 years. Longer follow-up is needed to confirm these results.

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A re‐adjustable sling for female recurrent stress incontinence and sphincteric deficiency: Outcomes and complications in 125 patients using the Remeex sling system

Errando

Rodríguez-Escovar

Gutiérrez

et al. 2010

Neurourology and Urodynamics

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The Tension–Free Transvaginal Tape Procedure in the Treatment of Female Urinary Stress Incontinence: A French Prospective Multicentre Study

Cited by 56 publications

References 8 publications

TVT-Exact and midurethral sling (SLING-IUFT) operative procedures: a randomized study

TVT-Exact and midurethral sling (SLING-IUFT) operative procedures: a randomized study

Randomized Controlled Study of MONARC® vs. Tension-free Vaginal Tape Obturator (TVT-O®) in the Treatment of Female Urinary Incontinence: Comparison of 3-Year Cure Rates

A re‐adjustable sling for female recurrent stress incontinence and sphincteric deficiency: Outcomes and complications in 125 patients using the Remeex sling system

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