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International Urogynecology Journal

Erschienen in:

01.11.2011 | Original Article

Comparison of three mid-urethral tension-free tapes (TVT, TVT-O, and TVT-Secur) in the treatment of female stress urinary incontinence: 1-year follow-up

verfasst von: Yi-jun Wang, Fei-ping Li, Qian Wang, Sen Yang, Xian-guo Cai, Ying-he Chen

Erschienen in: International Urogynecology Journal | Ausgabe 11/2011

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Abstract

Introduction and hypothesis

The purpose of the study was to evaluate and compare the clinical values of tension-free vaginal tape (TVT), tension-free vaginal tape-transobturator (TVT-O), or tension-free vaginal tape-Secur (TVT-Secur) as treatment for female stress urinary incontinence.

Methods

The pre-operative and 1-year post-operative follow-up protocols for patients who were treated with serial mid-urethral tension-free tape procedures in two hospitals from October 2008 to December 2009 were prospectively studied. These patients were randomly allocated to TVT, TVT-O, or TVT-Secur.

Results

A total of 102 women participated. At the 1-year follow-up, complications were not statistically different across the three groups except for pain in the thigh, which was more common in the TVT-O group. The overall efficacy and cure rate were similar between the TVT and TVT-O groups, but were significantly lower in the TVT-Secur group.

Conclusions

A comparison of the three procedures shows that TVT-O is easy to operate and is as safe as TVT-Secur, and it has similar long-term efficacy to TVT, though, as one of the third-generation mid-urethral tension-free tapes, TVT-Secur is still being evaluated. Basing on the outcome of our study, it had rare complications but unsatisfactory efficacy, and we suggest that TVT-Secur is not fit for severe cases. However, observation and comparison of these groups in a larger sample size on a longer term are needed.

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Titel: Comparison of three mid-urethral tension-free tapes (TVT, TVT-O, and TVT-Secur) in the treatment of female stress urinary incontinence: 1-year follow-up
verfasst von: Yi-jun Wang
Fei-ping Li
Qian Wang
Sen Yang
Xian-guo Cai
Ying-he Chen
Publikationsdatum: 01.11.2011
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 11/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1445-9

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Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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