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2014 | 10 | 1 |
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TVT-Exact and midurethral sling (SLING-IUFT) operative procedures: a randomized study

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Objectives: The 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). Methods: A 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). Results: Mean 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 SLINGIUFT group. Conclusion: the 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 TVTExact procedure had statistically significantly more complications than the SLING-IUFT operation, but a higher effectiveness.
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  • Lithuanian University of
    Health Sciences, Mickeviciaus str.9, Kaunas, LT-44307, Lithuania
  • Clinic of Urology, Lithuanian
    University of Health Sciences, Lithuania
  • Clinic of Urology, Lithuanian
    University of Health Sciences, Lithuania
  • [1] Hunskaar S., Vinsnes A. The quality of life in women withurinary incontinence as measured by the sickness impactprofile. J Am Geriatr Soc 1991.,39: 378-382[Crossref]
  • [2] Schlenk E., Erlen J., Jacob J., et al. Health-related quality of lifein chronic disorders: a comparison across studies using theMOS Sf-36.Qual Life Res 1998.,7:57-65
  • [3] Temml C. G. J.,et al. Urinary incontinence in both sexesprevalence rates and impact on quality of life and sexual life.Neurourol Urodynam 2000., 19:259-271[Crossref]
  • [4] Lalos O.,Berglund A.L., Lalos A. Impact of urinary andclimacteric symptoms on social and sexual life after surgicaltreatment of stress urinary incontinence in women: a long termoutcome. J Adv Nurs 2001.,33:316-327[Crossref]
  • [5] Shaw C. A rewiev of the psychological predictors ofhelp-seeking behavior and impact on quality of life in peoplewith urinary incontinence.J Clin Nurs 2001.,10:15-22[Crossref]
  • [6] Swithinbank L., Abrams P. The impact of urinary incontinenceon the quality of life of women. World J Urol 1999.,17:225-229[Crossref]
  • [7] Innerkofler P.C., Guenther V., Rehder P., et al. Improvement ofquality of life, anxiety and depression after surgery in patientswith stress urinary incontinence: results of a longitudinalshort-term follow-up. Health Qual Life Outcomes 2008.,6:72
  • [8] Heidler S. Female incontinence: long –term results of slings.Current Opinion in Urology 2011, 21: 488-492[Crossref]
  • [9] Lekha S.Hota., Hanaway K., Hacker MR., Disciullo A.,Elkadry E., Dramitinos P., et al. TVT-Secur (Hammock) versusTVT-Obturator: a randomized trial of suburethral sling operativeprocedures. Female Pelvic Med Reconstr Surg 2012.,18:41-45
  • [10] Daneshgari F., Kong W., Swartz M. Complications of midurethral slings: important outcomes for future clinical trials. JUrol 2008.,180:1890-1897[Crossref]
  • [11] Richter HE., Albo M.E., Zyczynski H.M., et al. Retropubic versustransobturaror midurethral slings for stress incontinence. NEngl J Med 2010.,362:2066-2076[Crossref]
  • [12] Brubaker L., Norton P.A, Albo M.E., et al. Adverse events overtwo years after retropubic or transobturator midurethral slingsurgery: findings from the Trial of Midurethral Slings(TOMUS)study.Am J Obstet Gynecol 2011.,205: 498e1-498e2[Crossref]
  • [13] Chermansky Ch., Winters Ch. Complications of vaginal meshsurgery. Curr Opin Urol 2012.,22:287-291[Crossref]
  • [14] FDA Public Health Notification : Serious complicationsassociated with transvaginal placement of surgical mesh inrepair of pelvic organ prolapse and stress urinary incontinence(2008) 1February 2012
  • [15] FDA Safety Communication: UPDATE on serious complicationsassociated with transvaginal placement of surgical mesh inrepair of pelvic organ prolapse (2011) 1 February 2012
  • [16] Auward W., Freeman R.M., Swift S. Is the pelvic organ prolapsequantification system (POPQ) being used? A survey of membersof the International Continence Society (ICS) and the AmericanUrogynecologic Society (AUGS) Int Urogynecol J Pelvic FloorDysfunct 2004; 15:324-327
  • [17] Abrams P., Cardozo L., Fall M., et al. The standardisationof terminology of lower urinary tract function: report fromthe Standardisation Sub-Committee of the InternationalContinence Society. Neurourol Urodyn 2002; 21:167-178[Crossref]
  • [18] de Tayrac R., Xavier D., Droupy S., Chauveaud-LamblingA., Calrvanese-Behamour L., Fernandez H. A prospectiverandomized trial comparing tension-free vaginal tape andtransobturator suburethral tape for surgical treatment ofstress urinary incontinence. Am J Obstet @Gynecol 2004;190:602-608[Crossref]
  • [19] Mellier G., Benayed B., Bretones S., Pasquier S. Suburethraltape via the obturator route: Is the TOT a simplification of theTVT? Int Urogynecol J Pelvic Floor Dysfunct 2004; 15: 227-232
  • [20] Ulmsten U., Falconer C., Johnson P., Onas M., Lannaer L.,Nilsson C.G., et al. A multicenter study of tension free vaginaltape (TVT) for surgical treatment of stress urinary incontinence.Int Urogynecol J Pelvic Floor Dysfunct 1998; 9:210-213[Crossref]
  • [21] Karran M.M., Segal J.L., Vassalo B.J., Kleeman S.D. Complicationsand untoward effects of the tension free vaginal tapeprocedure. Obstet Gynecol 2003; 101:929-932
  • [22] Klutke C., Siegal S., Carlin B., Paszkiewiez E., Kirkemo A.,Klutke J. Urinary retention after tension free vaginal tapeprocedure incidence and treatment. Urology 2001; 58: 697-701[Crossref]
  • [23] Ulmsten U., Johnson P., Rezapour M. A three-year follow-up oftension free vaginal tape for surgical treatment of female stressurinary incontinence. BJOG 1999; 106:345-350[Crossref]
  • [24] Meschia M., Pifarotti P., Bernasconi F., et al. Tension freevaginal tape. Analysis of outcomes and complications in404 stress incontinent women. Int Urogynecol J Pelvic FloorDysfunct 2001; 12 (suppl 2): 524-527[Crossref]
  • [25] Moran P.A., Ward K.L., Johnson D., et al. Tension free vaginaltape for primary genuine stress incontinence: a two centerfollow-up study. BUJ Int 2000; 86:39-42[Crossref]
  • [26] Soulie M., Cuvillier X., Benaissa A., Mouly P., Larroque J.M.,Bernstein J., et al. The tension free transvaginal tape procedurein the treatment of female urinary stress incontinence: a Frenchprospective multicentre study. Eur Urol 2001; 39:709-714[Crossref]
  • [27] Nilsson C.G., Falconer C., Rezapour M. Seven year follow-up ofthe tension-free vaginal tape procedure for treatment of urinaryincontinence. Obstet Gynecol 2004; 104:1259-1262[Crossref]
  • [28] Jomaa M. A seven-year follow-up of tension free vaginaltape (TVT) for surgical treatment of female stress urinaryincontinence under local anaesthesia. Int Urogynecol J 2003;14:S69 (abstract)
  • [29] Rafii A., Paoletti X., Haab F., Levardon M., Deval B. Tension-freevaginal tape and associated procedures: a case control study.Eur Urol 2004; 45:356-361[Crossref]
  • [30] Munir N., Bunce C., Gelister J., Briggs T. Outcome followingTVT sling procedure: a comparison of outcome recorded bysurgeons to that reported by their patients at a London districtgeneral hospital. Eur Urol 2005; 47: 635-640[Crossref]
  • [31] Schraffordt Koops S.E., Bisseling T.M., Heintz A.P.M., et al.Prospective analysis of complications of tension-free vaginaltape from The Netherlands Tension-free Vaginal Tape study. AmJ Obstet Gynecol 2005; 193:45-52[Crossref]
  • [32] Abouassaly R., Jordan R., Steinberg R., et al. Complications oftension-free vaginal tape surgery: a multi-institutional review.BJU Int 2004; 94:110-113[Crossref]
  • [33] Nilsson C.G., Kuuva N. The tension-free vaginal tape procedureis successful in the majority of women with indications forsurgical treatment of urinary stress incontinence. BJOG 2001;108:414-419[Crossref]
  • [34] Niknejad K., Plzak L.S., Staskin D.R., et al. Autologous andsynthetic urethral slings for female incontinence. Urol ClinNorth Am 2002; 29:597-611[Crossref]
  • [35] Delorme E. Transobturator urethral suspension: mini invasiveprocedure in the treatment of stress urinary incontinence inwomen. Prog Urol 2001; 11:1306-1313
  • [36] De Leval J. Novel surgical technique for the treatment of femalestress urinary incontinence: transobturator vaginal tapeinside-out. Eur Urol 2003; 44:724-730[Crossref]
  • [37] Bariliene S., Aniuliene R. New surgical treatment of femalestress urinary incontinence.// Medicina. ISSN-1010-660X.2007.43.N.8.671-675.
  • [38] Aniuliene R., Bariliene S. Analysis of new surgical treatmentof female urinary incontinence in department of obstetricsand gynecology of Kaunas university hospital. // Medicina.ISSN-1010-660X.2006.42.N.9.725-731.
  • [39] Fisher A., Fink T., Zachmann S., Eickenbusch U. Comparison ofretropubic and outside-in transobturator sling systems for the cure of female genuine stress urinary incontinence. Eur Urol2005; 48:799-804[Crossref]
  • [40] Andonian S.,Denis B., Lemieux M.C., et al. Prospective clinicaltrial comparing Obtape and DUPS to TVT: one year safety andefficacy results. Eur Urol 2007., 52:245-255[Crossref]
  • [41] Andonian S., Chen S.T., Denis B., et al. Randomized clinicaltrial comparing suprapubic arch sling (SPARC) and tension–free vaginal tape (TVT): one year results. Eur Urol 2005.,47:537-541[Crossref]
  • [42] Lim Y.N., Muller R., Corstiaans A., et al. Suburethral slingplastyevaluation study in North Queensland, Australia: the SUSPENDtrial. Aust NZ J Obstet Gynaecol 2005., 45:52-59
  • [43] Lord H.E.,Taylor J.D,Finn J.C., et al. A randomized controlledequivalence trial of short-term complications and efficacyof tension – free vaginal tape and suprapubic urethralsupport sling for treating stress incontinence. BJU Int 2006.,98:367-376[Crossref]
  • [44] Tseng L.H., Wang A.C., Lin Y.H., et al. Randomized comparisonof the suprapubic arc sling procedure vs tension-free vaginaltaping for stress incontinent women. Int Urogynecol J2005.,16:230-235.[MEDLINE: 20354].[38NAU][Crossref]
  • [45] Taweel W.A., Rabah D.M. Transobturator tape for female stressincontinence: follow-up after 24 months. CanUrol Assoc J2010., 4:33-36[Crossref]
  • [46] Araco F., Gravente G., Sorge R., et al. TVT-O vs TVT: arandomized trial in patients with different degrees of urinarystress incontinence. Int Urogynecol J 2008., 19:917-926[Crossref]
  • [47] Barry C., Lim Y.N, Muller R., et al. A multicentre, randomizedclinical control trial comparing the retropubic (RP) approachversus the transobturator approach (TO) for tension-free,suburethral sling treatment of urodynamic stress incontinence :the TORP study. Int Urogynecol J 2008., 19:171-178[Crossref]
  • [48] Darai E., Frobert J.L., Grisard-Anaf M., et al. Functional resultsafter the suburethral sling procedure for urinary stressincontinence : a prospective randomized multicentre studycomparing the retropubic and transobturator routes. Eur Urol2007.,51:795-802[Crossref]
  • [49] Enzelsberger H., Schalu J.,Heider R., et al. TVT versusTOT: a prospective randomized study for the treatment offemale stress urinary incontinence at a follow-up of 1 year.Geburtshilfe Frauenheilkd 2005., 65:506-511
  • [50] Novara G., Galfano A., Boscolo-Berto R., et al. Complicationrate of tension-free midurethral slings in treatment offemale stress urinary incontinence: a systematic review andmeta-analysis of randomized trials comparing tension-freemidurethral tapes to other surgical procedures and differentdevices. Eur Urol 2008.,53: 288-309
  • [51] Fritel X., Fauconnier A., Bader G., Cosson M., DebodinanceP., Deffieux X .Diagnosis and treatment of adult female stress
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