Tension-free vaginal tape (TVT) and intravaginal slingplasty (IVS) for stress urinary incontinence: a multicenter randomized trial.
OBJECTIVE
This study was undertaken to compare the efficacy and morbidity of 2 minimally invasive procedures for stress urinary incontinence.


METHODS
This was a prospective randomized multicenter trial; 190 women with primary urodynamic stress incontinence were randomly assigned to tension-free vaginal tape (TVT) (n = 95) or intravaginal slingplasty (IVS) (n = 95). The primary and secondary outcome measures were rates of success and complications. SPSS software was used for data analysis.


RESULTS
At 2 years 92 and 87 patients were available in the TVT and IVS group for outcomes analysis. Subjectively, 80 (87%) and 68 (78%) women were cured, respectively. Objectively, a 1-hour pad test was negative in 78 (85%) and 63 (72%) patients. Eight of the patients assigned to IVS (9%) had vaginal erosion/infection, compared with none in the TVT group (P < .01).


CONCLUSIONS
Both procedures were effective for stress incontinence, but 9% of women treated with the IVS required removal of the tape for erosions.
Meschia
Michele
M
Department of Obstetrics and Gynecology, Ospedale G. Fornaroli, Magenta, Italy. m.meschia@libero.it
Pifarotti
Paola
P
Bernasconi
Francesco
F
Magatti
Fabio
F
Viganò
Riccardo
R
Bertozzi
Rosanna
R
Barbacini
Pietro
P
D000368:Aged; D020878:Device Removal; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects; D011183:Postoperative Complications; D019736:Prostheses and Implants / Q000009:adverse effects; D013526:Surgical Mesh; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000009:adverse effects