TVT compared with TVT-O and TOT: results from the Norwegian National Incontinence Registry.
OBJECTIVE
The aim of this study is to compare the outcome and complication rates of the tension-free vaginal tape (TVT) operations with the transobturator vaginal tape (TVT-O and TOT) operations in the treatment of urinary stress incontinence.


METHODS
This is a multicenter, prospective cohort study. Preoperative and postoperative assessments included a validated Stress and Urge Incontinence Questionnaire, a 24-h pad test, and a standardized stress test.


RESULTS
The study included 5,942 women--4,281 women had a TVT operation and 731 and 373 women had TVT-O and TOT operations, respectively. Median follow-up time was 8 months. Women in the TVT group had less leakage during stress test and fewer subjective stress incontinence symptoms, and were more satisfied with the operation compared with the women in TVT-O and TOT groups, but more complications were reported after TVT operation.


CONCLUSIONS
The TVT operation is more efficient than TVT-O and TOT operations in treating stress incontinent women.
Dyrkorn
Ole A
OA
Department of Obstetrics and Gynecology, Asker and Bærum Hospital, Oslo, Norway. oady@online.no
Kulseng-Hanssen
Sigurd
S
Sandvik
Leiv
L
D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D009664:Norway; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011446:Prospective Studies; D011474:Prosthesis Design; D012042:Registries; D053825:Suburethral Slings / Q000009:adverse effects; D014550:Urinary Incontinence, Stress / Q000601:surgery*