Clinical and quality-of-life outcomes after autologous fascial sling and tension-free vaginal tape: a prospective randomized trial.
OBJECTIVE
Evaluate the impact autologous fascial sling (AFS) and tension-free vaginal tape (TVT) procedures on quality-of-life in incontinent women.


METHODS
Forty-one women were randomly distributed into two groups. Group G1 (n = 21), underwent AFS and group G2 (n = 20) TVT implant. The clinical follow up was performed at 1, 6, 12 and 36 months.


RESULTS
TVT operative time was significantly shorter than AFS. Cure rates were 71% at 1 month, 57% at 6 and 12 months in G1. In G2, cure rates were 75% at 1 month, 70% at 6 months and 65% at 12 months; there was no significant difference between groups. As regards the satisfaction rate, there was no statistical difference between groups. Analysis of quality of life at 36 months revealed that there was no significant difference between groups.


CONCLUSIONS
Similar results between AFS and TVT, except for operative time were shorter in TVT.
Amaro
Joao L
JL
Department of Urology, School of Medicine, UNESP, Botucatu, Sao Paulo, Brazil. jamaro@fmb.unesp.br
Yamamoto
Hamilto
H
Kawano
Paulo R
PR
Barros
Guilherme
G
Gameiro
Monica O O
MO
Agostinho
Aparecido D
AD
D000328:Adult; D000368:Aged; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*