Comparison between monofilament and multifilament polypropylene tapes in urinary incontinence.
OBJECTIVE
We compare the efficacy and late complications between a polypropylene monofilament tape (TVT) and a polypropylene multifilament tape (IVS) in the surgical implant of sub-urethral, tension free tape for the treatment of stress urinary incontinence (SUI).


METHODS
It is a non-randomised, monocentric retrospective study. Two questionnaires were sent to the patients. The first questionnaire determined the efficacy of the tape and the tolerance of the urinary process. The second questionnaire evaluated discomfort and consequences linked to urinary incontinence and associated urinary troubles.


RESULTS
The study included 313 female patients and 256 (82%) responded to the questionnaire (137 TVT, 119 IVS). Patient satisfaction was 88.3% for the TVT tape and 73.5% for the IVS tape (p < 0.005). The improvement of the quality of life was also higher for the polypropylene monofilament tapes. "De novo" urge incontinence was more common in the TVT group. However, the rates of dysuria and infection of tapes were more common in the IVS group.


CONCLUSIONS
The type of tape appears to influence efficacy and the emergence of late complications. Our results point at the greater efficacy of the polypropylene monofilament tape.
Bafghi
Abdolreza
A
Department of Gynecology and Obstetrics, University Hospital of Nice, Hôpital de l'Archet 2, CHU de Nice, BP 3079, 06202 Nice cedex 3, France.
Valerio
Laure
L
Benizri
Emmanuel Isaac
EI
Trastour
Cynthia
C
Benizri
Eric Jacob
EJ
Bongain
André
A
D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011126:Polypropylenes; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*
D011126:Polypropylenes