Three-Year Follow-Up of Tension-Free Vaginal Tape Compared With Transobturator Tape in Women With Stress Urinary Incontinence and Intrinsic Sphincter Deficiency

Lore Schierlitz, P L Dwyer, Anna Rosamilia, Christine Murray, Elizabeth Thomas, Alison De Souza, R Hiscock

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83 Citations (Scopus)

Abstract

Objective: To compare the efficacy of tension-free vaginal tape (TVT) to transobturator tape in the treatment of women with stress urinary incontinence (SUI) and intrinsic sphincter deficiency at 3-year follow-up. Methods: One hundred sixty-four women were randomized to either TVT or transobturator tape after diagnosis of urodynamic stress incontinence and intrinsic sphincter deficiency. Concomitant pelvic organ prolapse surgery was not an exclusion criterion. The primary outcome assessed at 3-year follow-up was symptomatic stress incontinence requiring repeat surgery. Secondary outcomes were quality-of-life parameters assessed by validated questionnaires and numerical success score. Results: One hundred sixty-four women were enrolled in the study. At 3 years, 15 of the 75 (20 ) women in the transobturator tape group underwent repeat surgery to correct SUI compared with one of the 72 (1.4 ) in the TVT group. In other words, if TVT had been used exclusively, repeat surgery would have been avoided in one in six patients. The risk ratio of repeat surgery was 15 (95 confidence interval 2-113; P
Original languageEnglish
Pages (from-to)321 - 327
Number of pages7
JournalObstetrics & Gynecology
Volume119
Issue number2
DOIs
Publication statusPublished - 2012

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