Tension Free Vaginal Tape and Transobturator Suburethral Tape for Surgical Treatment of Stress Urinary Incontinence

Czech version

Authors: L. Krofta ^1,2; J. Feyereisl ^1,2; M. Otčenášek ^1,2; E. Kašíková ¹; M. Pán ^1,2
Authors‘ workplace: Ústav pro péči o matku a dítě, Praha-Podolí, ředitel doc. MUDr. J. Feyereisl, CSc. ¹; Katedra gynekologie-porodnictví IPVZ, Praha, vedoucí katedry doc. MUDr. J. Feyereisl, CSc. ²
Published in: Ceska Gynekol 2008; 73(4): 231-239

Overview

Objective:
The purpose of this study was to prospectively and randomly compare tension free vaginal tape (TVT) with transobturator suburethral tape (TVT O) for the surgical treatment of stress urinary incontinence (SUI) in women.

Study design:
288 women with SUI were randomly assigned to either TVT (n-141) or TVT O (n-147). The preoperative evaluation included QoL questionare and a comprehensive urodynamic examination. The 1-year outcome included a urodynamic study.

Results:
Patients characteristics, preoperative QoL were similar in the 2 groups. Mean operative time was significant shorter in TOT group. The rates of cure were similar rot the TVT and TVT O groups, respectively (obj.: 90.1% vs. 88.4%, subj.: 84.7 vs. 80.9%).

Conclusion:
TOT appears to be equally efficient as TVT for surgical treatment of stress urinary incontinence in women.

Key words:
tension free vaginal tape, TVT, TVT O, stress urinary incontinence.

Sources

1. Petros P, Ulmsten U. An integral theory on female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand 1190;69:153.

2. Petros P, Ulmsten U. An integral theory and its method for the diagnosis and management of female urinary incontinence. Scan J Urol Nephrol 1993;153:1-93.

3. Ulmsten U, Henriksson L, Johnson P et al. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 19967:81-6.

4. Ulmsten U, Falconer C, Johnson P et al. A multicenter study of tension-free vaginal tape (TVT) for surgical treatment of stress urinary incontinence. Int Urogynecol J 19989:210-3.

5. Nilsson CG, Kuuva N. The tension-free vaginal tape procedure is successful in the majority of women with indications for surgical treatment of stress urinary incontinence. BJOG 2001108:414-9.

6. Kuuva N, Nilsson CG. Tension-free vaginal tape procedure: an effectivemininally invasive operation for treatment of recurrent stress urinary incontinence. Gynecol Obstet Invest 200356:93-8.

7. Lo TS, Horning SG, Chang CL et al. Tension-free vaginal tape procedure after previous failure in incontinence surgery. Urology 200260:57-61.

8. Rezapour M, Ulmsten U. Tension-free vaginal tape (TVT) procedurein women with mixed urinary incontinence – a long-term follow up. Int Urogynecol J 200112:18-8.

9. Liapis A, Bakas P, Lazaris D et al. Tension-free vaginal tape in the management of recurrent stress incontinence. Arch Gynecol Obstet 2004269:205-7.

10. Rezapour M, Ulmsten U. Tension-free vaginal tape (TVT) procedure in women with recurrent stress urinary incontinence – a long –term follow up. Int Urogynecol J 200112:9-11.

11. Rezapour M, Ulmsten U. Tension-free vaginal tape (TVT) procedure in stress incontinent women with intrinsic sphincter deficiency (ISD) – a long-term follow up. Int Urogynecol J 200112:12-4.

12. Delorme E. La bandelette transobturatricae: un procedere mini-invasif pour traiter l’incontinence de la femme. Prog Urol 2001;11:1306-13.

13. Zilbert AW, Farrell SA. External iliac artery laceration during tension-free vaginal tape procedure. Int Urogynecol J Pelvic Floor Dysfunct 200112:141-3.

14. Muir TW, Tulikangas PK, Fidela Paraiso W et al. The relationship of tension-free vaginal tape insertion and the vascular anatomy. Obstet Gynecol 2003101:933-6.

15. Peyrat L, Boitin JM, Bruyere F et al. Intestinal perforation as a complication of tension-free vaginal tape procedure for urinary incontinence. Eur Urol 2001;39:603-5.

16. De Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 2003;44:724-30.

17. Delorme E, Droupy S, de Tayrac R et al. Transobturator tape (UraTape): a new minimally invasive procedure to treat female urinary incontinence. Eur Urology 2004;45:203-7.

18. de Tayrac R, Madelenat P. Evolution of surgical routes in female stress urinary incontinence. Gynecol Obstet Fertil 2004;32:1031-8.

19. Mellier G, Benayed B, Bretones S et al. Suburethral tape via the obturator route: is the TOT a simplification of the TVT?. Int Urogynecol J Pelvic Floor Dysfunct 2004;15:227-32.

20. Queimadelos MA, Cimadevilla GA, Lema GJ et al. Monarc transobturator suburethral sling: eighteen monts’ experience. ICS/IUGA, France, 2004; Abstract 559.

21. Krauth JS, Rasoamiaramanana H, Barletta H et al. Suburethral tape treatment of female of female urinary incontinence – morbidity assessment of the trans-obturator route and a new tape (I-STOP): a multicentre experiment involving 604 cases. Eur Urol 2005;47:102-6.

22. Mahajan ST, Kenton K, Bova DA et al. Transobturator tape erosion associated with leg pain. Int Urogynecol J Pelvic Floor Dysfunct 2005;18:365-9.

23. Lukacz ES, Lawrence JM, Burchette RJ et al. The use of VisualAnalog Scale in urogynecologic research: A psychometric evaluation. Am J Obstet Gynecol 2004;191:165-70.

24. Bo K, Talseth T, Holme I. Single blindt, randomised controlled trial of pelvic floor exercise, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence. Brit Med J 1999;318:487-93.

25. Amarenco G, Arnould B, Carita P et al. European psychometric validation of the Contilife: a quality of life questionnaire for urinary incontinence. Eur Urol 2003;43:391-404.

26. Rogers RG, Coates KW, Kammerer-Doak D et al. A short form of the Pelvic Organ Prolapse /Urinary Incontinence Sexual Questionaire (PISQ-12). Intern Urogynecol J 2004;14:164-68.

27. Avery K, Donovan J, Peters J et al. ICIQ: A brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodynamics 2004;23:322-30.

28. de Tayrac R, Deffieux X, Droupy S et al. A prospective trial comparing tension-free vaginal tape and transobturator suburethral tape for surgica treatment of stress urinary incontinence. AJOG 2004;190:602-8.

29. Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? BJOG 2002;109:402-12.

30. Dietz HP, Wilson PD. Colposuspension success and failure: a long term objective follow-up study. Int Urogynecol J Pelvic Floor Dysfunct 2000;11:346-51.

31. Soulie M, Cuvilliier X, Benaissa X et al. The Tension-free transvaginal tape procedure in the treatment of female stress urinary incontinence: a French prospective multicentre study. Eur Urol 2001;39:709-14.

32. Klutke C, Siegel S, Carlin B et al. Urinary retention after Tension-free transvaginal tape procedure: incidence and treatment . Urology 2001;58:697-701.

33. Rardin CR, Rosenblatt PL, Kohli N et al. Release of tension-free transvaginal tape for the treatment of refractory postoperative voiding dysfunction. Obstet Gynecol 2002;100:898-902.

34. Lee K, Han D, Choi Y et al. A prospective trial comparing Tension free Tension-free vaginal tape and transobturator vaginal tape inside-out for the surgical treatment of female stress urinary incontinence: 1-Year follow up. J Urol 2007;177:214-18.

35. Zhu L, Lang J, Hai N et al. Comparing vaginal tape and transobturator tape for the treatment of mild and moderate stress incontinence. Int J Gynecol Obstet 2007;99:14-7.

36. Meschina M, Bertozzi R, Pifarotti P et al. Peri-operative morbidity and early results of a randomised trial comparing TVT and TVT-O. Int Urogynecol J 2007;18:1257-61.

37. Murphy M, van Raalte H, Mercurio E et al. Incontinence –related quality of life and sexual function following the tension-free vaginal tape versus the inside-out tension-free vaginal tape obturator. Int Urogynecol J 2007;77:118-21.