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Analysis of 1,000 cases of synthetic midurethral slings used for treatment of female urinary incontinence - a single-center experience.

Pushkar D, Kasyan G, Gvozdev M, Sosnowski R - Cent European J Urol (2011)

Bottom Line: A negative cough test was found in 85.58% of patients in Group 1.There is a higher risk of vaginal perforation for TVT-O.TVT and TVT-O are equally effective and safe methods of treatment for women suffering from SUI and MUI.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Moscow State University of Medicine and Dentistry, Moscow, Russia.

ABSTRACT

Introduction: This study summarized our experience in the treatment of 1,081 women with stress urinary incontinence (SUI) using mid-urethral slings.

Material and methods: The study included 1,081 operated patients. Pure SUI was diagnosed in 77.80% (841) of the patients; another 18.68% (202) had mixed symptoms. The remaining 3.52% (38) suffered from recurrent SUI. Group 1 included the SUI patients treated with TVT. Group 2 - SUI managed with TVT-O. In Group 3, mixed urinary incontinent (MUI) patients were treated with TVT-O.

Results: Retropubic TVT was used in 273 patients (25.25%) and TVT-O in 740 (68.45%). Other slings were used in 68 patients (6.3%). Mean follow-up for the groups was 50.1, 31.1, and 32.6 months respectively. For objective evaluation of cure rate we used the cough stress test. Subjective efficacy was studied via a visual analog scale. The complication rate in each group of the patients was used as a secondary end point. A negative cough test was found in 85.58% of patients in Group 1. For the TVT-O group, the objective cure rate was 84.36%. Intra-operative complications for TVT and TVT-O were not related to age, BMI, or parity. Bladder perforation and pelvic hematoma developed more frequently in the TVT group. There is a higher risk of vaginal perforation for TVT-O. The objective and subjective cure rates for MUI patients were 86.15% and 87.69% respectively.

Conclusions: TVT and TVT-O are equally effective and safe methods of treatment for women suffering from SUI and MUI.

No MeSH data available.


Related in: MedlinePlus

Distribution of tapes among the patients.
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Figure 0001: Distribution of tapes among the patients.

Mentions: The treatment option was chosen for the patients according to the routine method used in our department at the time when the patients were admitted and treated. Retropubic TVT (Gynecare) procedures were used in 273 patients (25.25%). In 740 cases, transobtorator TVT-O (Gynecare) tapes were utilized for the treatment of SUI (68.45%). Other patients were operated with transobturator MONARC (28 pts, 2.59%) or Obtape (40, 3.70%) slings (Fig. 1).


Analysis of 1,000 cases of synthetic midurethral slings used for treatment of female urinary incontinence - a single-center experience.

Pushkar D, Kasyan G, Gvozdev M, Sosnowski R - Cent European J Urol (2011)

Distribution of tapes among the patients.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921747&req=5

Figure 0001: Distribution of tapes among the patients.
Mentions: The treatment option was chosen for the patients according to the routine method used in our department at the time when the patients were admitted and treated. Retropubic TVT (Gynecare) procedures were used in 273 patients (25.25%). In 740 cases, transobtorator TVT-O (Gynecare) tapes were utilized for the treatment of SUI (68.45%). Other patients were operated with transobturator MONARC (28 pts, 2.59%) or Obtape (40, 3.70%) slings (Fig. 1).

Bottom Line: A negative cough test was found in 85.58% of patients in Group 1.There is a higher risk of vaginal perforation for TVT-O.TVT and TVT-O are equally effective and safe methods of treatment for women suffering from SUI and MUI.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Moscow State University of Medicine and Dentistry, Moscow, Russia.

ABSTRACT

Introduction: This study summarized our experience in the treatment of 1,081 women with stress urinary incontinence (SUI) using mid-urethral slings.

Material and methods: The study included 1,081 operated patients. Pure SUI was diagnosed in 77.80% (841) of the patients; another 18.68% (202) had mixed symptoms. The remaining 3.52% (38) suffered from recurrent SUI. Group 1 included the SUI patients treated with TVT. Group 2 - SUI managed with TVT-O. In Group 3, mixed urinary incontinent (MUI) patients were treated with TVT-O.

Results: Retropubic TVT was used in 273 patients (25.25%) and TVT-O in 740 (68.45%). Other slings were used in 68 patients (6.3%). Mean follow-up for the groups was 50.1, 31.1, and 32.6 months respectively. For objective evaluation of cure rate we used the cough stress test. Subjective efficacy was studied via a visual analog scale. The complication rate in each group of the patients was used as a secondary end point. A negative cough test was found in 85.58% of patients in Group 1. For the TVT-O group, the objective cure rate was 84.36%. Intra-operative complications for TVT and TVT-O were not related to age, BMI, or parity. Bladder perforation and pelvic hematoma developed more frequently in the TVT group. There is a higher risk of vaginal perforation for TVT-O. The objective and subjective cure rates for MUI patients were 86.15% and 87.69% respectively.

Conclusions: TVT and TVT-O are equally effective and safe methods of treatment for women suffering from SUI and MUI.

No MeSH data available.


Related in: MedlinePlus