TVT and TVT-O for surgical treatment of primary stress urinary incontinence: prospective randomized trial.
OBJECTIVE
A study was conducted to compare the efficacy and complications of TVT and TVT-O.


METHODS
This study is a prospective randomized trial involving 300 women with primary SUI; 149 received TVT, and 151 patients were treated with TVT-O. At the 1 year follow-up, 141 TVT patients and 147 TVT-O patients (dropout, 5.3% and 2.6%) were evaluated using urodynamic studies, validated questionnaires, and a 1-h pad test.


RESULTS
The mean operating time was shorter in the TVT-O group (p < 0.001). Urinary retention was not significantly different (p > 0.05). Inner thigh discomfort was reported by 5.4% of TVT-O patients. In the TVT and the TVT-O groups, respectively, 90.1% and 88.4% women were objectively cured. The satisfaction with the surgical outcome reflects the significant decrease in the questionnaire mean symptom scores in both groups. Postoperative de novo urgency was significantly more common in the TVT-O patients (p = 0.015).


CONCLUSIONS
The groups showed comparable objective and subjective cure rates.
Krofta
Ladislav
L
Institute for the Care of Mother and Child, Podolske nabrezi 157, 147 00, Prague 4, Czech Republic. ladislav.krofta@post.cz
Feyereisl
Jaroslav
J
Otcenásek
Michal
M
Velebil
Petr
P
Kasíková
Eva
E
Krcmár
Michal
M
D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D053825:Suburethral Slings / Q000009:adverse effects; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*