Document Detail


Long-term outcomes of TVT and IVS operations for treatment of female stress urinary incontinence: monofilament vs. multifilament polypropylene tape.
MedLine Citation:
PMID:  19434387     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION AND HYPOTHESIS: We compared cure rates of tension-free vaginal tape (TVT) with intravaginal slingplasty (IVS) and evaluated changes in cure rates over time.
METHODS: One hundred three underwent TVT and 213 underwent IVS. Follow-ups were done at 3 months, 1 year, and 5 years.
RESULTS: The following results were found: objective cure for TVT 98-95-94% vs. IVS 86-86-80% (p < 0.03); subjective cure for TVT 82-79-74% vs. IVS 79-81-71% (NS). In IVS, a significant decline in subjective cure took place. Vaginal erosions were found in 11.8% of women in the IVS group and none in the TVT group.
CONCLUSIONS: TVT is an effective and stable treatment, whereas IVS has a significant inferior objective cure rate, and a significant decline in subjective cure rate occurred over time. A high rate of vaginal erosions was found in the IVS group. We cannot recommend the use of multifilament polypropylene tape (IVS) for surgical treatment of stress urinary incontinence.
Authors:
Jens Christian Prien-Larsen; Lars Hemmingsen
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-03-10
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  20     ISSN:  -     ISO Abbreviation:  Int Urogynecol J Pelvic Floor Dysfunct     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-12     Completed Date:  2009-08-11     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  England    
Other Details:
Languages:  eng     Pagination:  703-9     Citation Subset:  IM    
Affiliation:
Department of Gynecology and Obstetrics, Nykobing Falster Hospital, Fjordvej 15, 4800, Nykobing Falster, Denmark. jcpr@regionsjaelland.dk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Device Removal
Female
Humans
Middle Aged
Polypropylenes / therapeutic use
Prosthesis Implantation / adverse effects*
Suburethral Slings / adverse effects*
Treatment Outcome
Urinary Incontinence, Stress / surgery*
Vaginal Diseases / etiology*,  surgery
Chemical
Reg. No./Substance:
0/Polypropylenes

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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