Retropubic versus transobturator tension-free vaginal tape (TVT vs TVT-O): Five-year results of the Austrian randomized trial
| Autor: | T Aigmüller, Ralph George, Ayman Tammaa, S. Kropshofer, Wolfgang Umek, Dieter Koelle, Katharina Jundt, Engelbert Hanzal, Peter F. J. Lang, Vesna Bjelic-Radisic, Karl Tamussino, Paul Riss |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Stress incontinence medicine.medical_specialty Urology Urinary Incontinence Stress 030232 urology & nephrology Urodynamic studies Physical examination law.invention 03 medical and health sciences 0302 clinical medicine Primary outcome Gynecologic Surgical Procedures Randomized controlled trial Quality of life law medicine Humans Surgical Tape Aged Suburethral Slings 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Tension free vaginal tape Middle Aged medicine.disease Surgery Urodynamics Treatment Outcome Cough Patient Satisfaction Austria Quality of Life Female Neurology (clinical) business Follow-Up Studies |
| Zdroj: | Neurourology and urodynamics. 37(1) |
| ISSN: | 1520-6777 |
| Popis: | Aims To compare outcomes of the retropubic versus the transobturator tension-free vaginal tape (TVT vs TVT-O) at 5 years. Methods A total of 569 women undergoing surgery for primary stress incontinence were randomized to receive a retropubic or a transobturator tensionfree vaginal tape (TVT or TVT-O). Follow-up at 5 years included clinical examination, urodynamic studies and quality of life. The primary outcome measure was continence defined as a negative cough stress test at a volume of 300 mL. Secondary outcomes included urodynamic parameters, complications and quality of life.ClinicalTrials.gov (NCT 0041454). Results Three hundred and thirty-one patients (59%) were evaluated at 5 years (277 were seen, examined and completed questionnaires; 54 only completed questionnaires). No significant differences were seen in rates of a negative cough stress test (83% vs 76%, respectively), urodynamic parameters and complications. Quality-of-life improved significantly in both groups, without significant differences between the groups. Erosion rates were 5.2% and 4.5%, and reoperation rates were 4.1% and 3.2% respectively. Conclusions At 5 years, subjective and objective results after TVT and TVT-O are stable and similar, without statistical significant differences between the procedures. Major long-term problems appear rare. |
| Databáze: | OpenAIRE |
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