Long-term outcomes of TVT and IVS operations for treatment of female stress urinary incontinence: monofilament vs. multifilament polypropylene tape.
OBJECTIVE
We compared cure rates of tension-free vaginal tape (TVT) with intravaginal slingplasty (IVS) and evaluated changes in cure rates over time.


METHODS
One hundred three underwent TVT and 213 underwent IVS. Follow-ups were done at 3 months, 1 year, and 5 years.


RESULTS
The following results were found: objective cure for TVT 98-95-94% vs. IVS 86-86-80% (p < 0.03); subjective cure for TVT 82-79-74% vs. IVS 79-81-71% (NS). In IVS, a significant decline in subjective cure took place. Vaginal erosions were found in 11.8% of women in the IVS group and none in the TVT group.


CONCLUSIONS
TVT is an effective and stable treatment, whereas IVS has a significant inferior objective cure rate, and a significant decline in subjective cure rate occurred over time. A high rate of vaginal erosions was found in the IVS group. We cannot recommend the use of multifilament polypropylene tape (IVS) for surgical treatment of stress urinary incontinence.
Department of Gynecology and Obstetrics, Nykobing Falster Hospital, Fjordvej 15, 4800, Nykobing Falster, Denmark. jcpr@regionsjaelland.dk
Jens Christian
JC
Prien-Larsen
Lars
L
Hemmingsen
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D020878:Device Removal; D005260:Female; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes / Q000627:therapeutic use; D019919:Prosthesis Implantation / Q000009:adverse effects*; D053825:Suburethral Slings / Q000009:adverse effects*; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014623:Vaginal Diseases / Q000209:etiology* / Q000601:surgery
D011126:Polypropylenes