| The original versus a modified inside-out transobturator procedure: 1-year results of a prospective randomized trial. | |
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MedLine Citation:
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PMID: 20857087 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION AND HYPOTHESIS: The aim of this study is to compare a modified inside-out transobturator procedure with its original counterpart [inside-out transobturator (TVT-O)] for the treatment of female stress urinary incontinence (SUI). METHODS: A prospective, randomized trial in women suffering from SUI was used. The modified procedure consisted of a shorter tape whilst the scissors or guide no longer perforated the obturator membrane. The primary outcome was the resolution of subjective and objective SUI at 1 year. Secondary outcome measures included adverse events, quality of life measures, and groin pain. RESULTS: One hundred seventy-five patients were randomized. No intraoperative complications were recorded. The SUI cure rate was 91.7% versus 90.7% (original versus modified, respectively; p = 0.824). Incidence and intensity of groin pain was higher in the original TVT-O group on day 0 and 1 (p < 0.05), requiring more analgesics (p = 0.015) but not thereafter. CONCLUSIONS: At 1 year follow-up, the modified inside-out transobturator tape procedure was as efficient and safe as the original technique but associated with less immediate postoperative groin pain. |
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Authors:
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Jean de Leval; Alexandre Thomas; David Waltregny |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial Date: 2010-09-21 |
Journal Detail:
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Title: International urogynecology journal Volume: 22 ISSN: 1433-3023 ISO Abbreviation: Int Urogynecol J Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-24 Completed Date: 2011-05-31 Revised Date: 2011-08-18 |
Medline Journal Info:
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Nlm Unique ID: 101567041 Medline TA: Int Urogynecol J Country: England |
Other Details:
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Languages: eng Pagination: 145-56 Citation Subset: IM |
Affiliation:
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Department of Urology, University Hospital of Liège, Liège, Belgium. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Belgium / epidemiology Female Gynecologic Surgical Procedures / adverse effects, methods* Humans Middle Aged Pain, Postoperative / epidemiology, etiology Prospective Studies Suburethral Slings* Treatment Outcome Urinary Incontinence, Stress / surgery* |
| Comments/Corrections | |
Comment In:
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Int Urogynecol J. 2011 Jun;22(6):765; author reply 767
[PMID:
21424783
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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