TVT-O vs. TVT-Abbrevo for stress urinary incontinence treatment in women: a randomized trial

Zullo, Marzio Angelo; Schiavi, Michele Carlo; Luffarelli, Paolo; Prata, Giovanni; Pinto, Anna Di; Oliva, Cosimo

doi:10.1007/s00192-019-04077-7

Cited by 19 publications

(18 citation statements)

References 23 publications

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“…Postoperative complication rates of 27% have been reported in TVT-O surgery 20 , 21 , higher than our results. However, complication rates similar to ours have been shown in Latin America 22 .…”

Section: Discussioncontrasting

confidence: 79%

Medium-term safety outcomes in patients undergoing tension free vaginal tape obturator for stress urinary incontinence in Murcia, Spain. Historical cohort

Marín-Martínez

Oñate-Celdrán

Molina-Hernández

et al. 2021

Rev. Colomb. Obstet. Ginecol.

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Objective: Describe the medium-term safety of the tension free vaginal tape obturator (TVT-O) procedure in terms of complications, cure and changes in quality of life (QoL) after the surgery. Materials and methods: Descriptive historical cohort that included women over 18 years of age who underwent TVT-O due to objectively proven stress urinary incontinence, urethral hypermobility or mixed urinary incontinence in which the stress component predominated, confirmed on urodynamic testing between July 2013-April 2017, in a reference hospital located in the city of Murcia Spain. Women with previous anti-incontinence surgery, concomitant vaginal surgery and planning pregnancy were excluded. Follow-up was determined for each patient based on the time elapsed between surgery and the time when the research protocol was applied. Complications were stratified according to the modified Clavien-Dindo classification; also we evaluated subjective cure rate, quality of life using the ICIQ-SF score, before and after surgery. Results: The mean age was 52.6 (SD± 10.5) years and 80.1% of patients were at least overweight. The incidence of complications at 12 months was: 8.3% (12/144). We did not detect complications after this period in the followed patients at 24, 36 and 48 months. The subjective cure determined at 12, 24, 36 and 48 months was 62.5% (90/144), 59.09% (55/88), 50.81% (31/61) and 50% (7/14), respectively. There was a significant improvement in quality of life, as determined by the ICQ-SF mean score before and after surgery (13.76[6,34] vs 3.84[5.76]; p<0.05). Conclusions: The TVT-O surgery is a safe therapy associated with a low complication incidence at 12 months, an acceptable subjective cure rate in stress urinary incontinence, and quality-of-life improvement. Classifications of complications related to the insertion of the prosthesis and of those inherent to surgery, such as urinary tract infection, are required.

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Section: Discussioncontrasting

confidence: 79%

Medium-term safety outcomes in patients undergoing tension free vaginal tape obturator for stress urinary incontinence in Murcia, Spain. Historical cohort

Marín-Martínez

Oñate-Celdrán

Molina-Hernández

et al. 2021

Rev. Colomb. Obstet. Ginecol.

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“…Mesh exposure following its use is important. In these two trials, rates of mesh exosure for the mini-sling were 2% and 4.9% in 3 years of follow-up, respectively [2,3]. Another 24month follow-up study showed 3.37% of mesh exposure was ≤ 1 cm, and 2.24% was > 1 cm according to the IUGA/ICS Classification of Prosthesis-related Complications [1].…”

mentioning

confidence: 96%

“…Two randomized clinical trials comparing the mini-sling to TVT-O published in the IUJ reveal similar efficacy, safety and mesh erosion rates between the two procedures. In addition, the trials found that women who underwent a mini-sling procedure reported lower intensity and a shorter duration of postoperative pain after 2 and 3 years of follow-up [1,2]. Length of vaginal tape (12 cm vs. 19 cm) seems to be the main factor that influences the amount of postoperative pain.…”

mentioning

confidence: 99%

Can the mini-sling become the golden standard for treating stress urinary incontinence?

2020

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“…The TVT‐O sling is generally routed from the vagina through the obturator with bypassing the upper segment of the pubic symphysis and passing through the closed fossa and the roots of the thigh. The purpose is mainly to establish a sling hammock support between the closed holes on both sides, so the perforation rate of the bladder after surgery is rather low, and no bladder examination is needed during the operation 32 . However, it is very easy to damage the vascular nerve, so the pain in the inner thigh of the patient is more common.…”

Section: Discussionmentioning

confidence: 99%

TVT‐O vs TVT‐S for female stress urinary incontinence: A systematic review and meta‐analysis

Song

Shen

et al. 2020

Int J Clin Pract

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Background Tension‐free vaginal tape obturator (TVT‐O) and tension‐free vaginal tape secur (TVT‐S) are common surgeries for the treatment of stress urinary incontinence (SUI), several randomised controlled trials (RCTs) have compared the effects of TVT‐O and TVT‐S, yet the results remained inconsistent. Therefore, we attempted to conduct this systematic review and meta‐analysis to analyse the role of TVT‐O and TVT‐S in patients with SUI. Methods We searched PubMed databases from inception date to Jan 15, 2020 for RCTs that compared TVT‐O and TVT‐S in SUI patients. Two authors independently screened and extracted data from the published articles. Summary odd ratios (OR) or mean differences (MD) with 95% confidence intervals (95% CI) were calculated for each outcome by fixed‐ or random‐effects model. Results Seven RCTs with a total of 755 patients were identified, with 373 patients for TVT‐O and 382 patients for TVT‐S. TVT‐O preceded TVT‐S in the objective cure at 12 months (OR = 1.72, 95% CI 1.21‐2.45), subjective cure (OR = 1.98, 95% CI 1.08‐3.62); but TVT‐S have more advantage in the incidence of postoperative thigh pain (OR = 18.94, 95% CI 7.01‐51.15); no significant differences on the duration of operative procedure (OR = −1.09, 95% CI −2.37‐0.18), urinary retention (OR = 0.77, 95% CI 0.36‐1.62) and urinary infection (OR = 1.80, 95% CI 0.63‐5.13) were found. Conclusions TVT‐O should be preferred for patients with SUI even though with higher risks of postoperative thigh pain when compared with TVT‐S, more related studies are needed to identify the role of TVT‐O and TVT‐S for the treatment of SUI.

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TVT-O vs. TVT-Abbrevo for stress urinary incontinence treatment in women: a randomized trial

Cited by 19 publications

References 23 publications

Medium-term safety outcomes in patients undergoing tension free vaginal tape obturator for stress urinary incontinence in Murcia, Spain. Historical cohort

Medium-term safety outcomes in patients undergoing tension free vaginal tape obturator for stress urinary incontinence in Murcia, Spain. Historical cohort

Can the mini-sling become the golden standard for treating stress urinary incontinence?

TVT‐O vs TVT‐S for female stress urinary incontinence: A systematic review and meta‐analysis

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