title: Postoperative groin pain and success rates following transobturator midurethral sling placement: TVT ABBREVO® system versus TVT™ obturator system.
abstract: OBJECTIVE
  Placement of a transobturator midurethral sling (MUS) is the standard surgical treatment for stress urinary incontinence. Most recent MUS procedures have been poorly evaluated. We compared the results using a "new" device expected to reduce postoperative pain, the TVT ABBREVO® system (TVT-Abb), with those using the TVT™ obturator system (TVT-O).
  
  
  METHODS
  This was a retrospective study comparing the use of the TVT-Abb (in 50 patients) and the TVT-O (in 50 patients). The main outcomes were the amount of postoperative pain, the success rate (no reported urinary leakage and negative cough test) with both MUS procedures, and the prevalence of complications.
  
  
  RESULTS
  The mean follow-up time was 12 months. The preoperative characteristics of the two groups were comparable. There was less postoperative pain (VAS, 0 to 100) in the TVT-Abb group than in the TVT-O group (12.2 vs. 24.4, p < 0.01). However, at 6 weeks after surgery there was no significant difference between the two groups (p = 0.32). The incidence of de novo bladder outlet obstruction symptoms was similar in the TVT-Abb group and the TVT-O group (8 % vs. 12 %, p = 0.74). The prevalences of perioperative and postoperative complications (bladder/urethral injury, haemorrhage) in the two groups were equal. The success rates were similar at 12 months after surgery (88 % vs. 78 %, p = 0.29).
  
  
  CONCLUSIONS
  The success rates with TVT-Abb and TVT-O were equal at 12 months after surgery, but there was less immediate postoperative pain with TVT-Abb.
authors.affiliation: Service de Gynécologie Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, APHP, Hôpitaux Universitaires Paris Sud, 157 rue de la Porte-de-Trivaux, 92140, Clamart, France.
authors.forename: Virginie
authors.initials: V
authors.lastname: Canel
authors.affiliation: Service de Gynécologie Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, APHP, Hôpitaux Universitaires Paris Sud, 157 rue de la Porte-de-Trivaux, 92140, Clamart, France.
authors.forename: Thibault
authors.initials: T
authors.lastname: Thubert
authors.affiliation: Service de Gynécologie Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, APHP, Hôpitaux Universitaires Paris Sud, 157 rue de la Porte-de-Trivaux, 92140, Clamart, France.
authors.forename: Ingrid
authors.initials: I
authors.lastname: Wigniolle
authors.affiliation: Service de Gynécologie Obstétrique, Hôpital Bicêtre, APHP, Hôpitaux Universitaires Paris Sud, Le Kremlin Bicetre, 94275, France.
authors.forename: Hervé
authors.initials: H
authors.lastname: Fernandez
authors.affiliation: Service de Gynécologie Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, APHP, Hôpitaux Universitaires Paris Sud, 157 rue de la Porte-de-Trivaux, 92140, Clamart, France. xavier.deffieux@abc.aphp.fr.
authors.forename: Xavier
authors.initials: X
authors.lastname: Deffieux
mesh_terms: D000328:Adult; D005260:Female; D006119:Groin; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000295:instrumentation* / Q000706:statistics & numerical data; D006801:Humans; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology*; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects* / Q000706:statistics & numerical data
keywords: ABBREVO; Groin pain; Midurethral sling; TVT; TVT-O; Urinary incontinence