Retropubic versus transobturator tension‐free vaginal tape (TVT vs TVT‐O): Five‐year results of the Austrian randomized trial |
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| Authors: | Ayman Tammaa Thomas Aigmüller Engelbert Hanzal Wolfgang Umek Stephan Kropshofer Peter F. J. Lang George Ralph Paul Riss Dieter Koelle Katharina Jundt Karl Tamussino Vesna Bjelic‐Radisic for the Austrian Urogynecology Working Group |
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| Affiliation: | 1. Department of Obstetrics and Gynecology, Wilhelminenspital, Vienna, Austria;2. Division of Gynecology, Medical University of Graz, Graz, Austria;3. Division of Gynecology and Gynecologic Oncology, Medical University of Vienna, Vienna, Austria;4. Department of Obstetrics and Gynecology, Medical University of Innsbruck, Innsbruck, Austria;5. Department of Gynecology Krankenhaus der Barmherzigen Brüder Graz, Graz, Austria;6. Department of Obstetrics and Gynecology, Landeskrankenhaus Leoben, Leoben, Austria;7. Department of Obstetrics and Gynecology, Landesklinikum M?dling, M?dling, Austria;8. Department of Obstetrics and Gynecology, Krankenhaus Schwaz, Schwaz, Austria;9. Department of Obstetrics and Gynecology, University of Munich, Munich, Germany |
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| Abstract: | Aims To compare outcomes of the retropubic versus the transobturator tension‐free vaginal tape (TVT vs TVT‐O) at 5 years. Methods A total of 569 women undergoing surgery for primary stress incontinence were randomized to receive a retropubic or a transobturator tensionfree vaginal tape (TVT or TVT‐O). Follow‐up at 5 years included clinical examination, urodynamic studies and quality of life. The primary outcome measure was continence defined as a negative cough stress test at a volume of 300 mL. Secondary outcomes included urodynamic parameters, complications and quality of life. ClinicalTrials.gov (NCT 0041454). Results Three hundred and thirty‐one patients (59%) were evaluated at 5 years (277 were seen, examined and completed questionnaires; 54 only completed questionnaires). No significant differences were seen in rates of a negative cough stress test (83% vs 76%, respectively), urodynamic parameters and complications. Quality‐of‐life improved significantly in both groups, without significant differences between the groups. Erosion rates were 5.2% and 4.5%, and reoperation rates were 4.1% and 3.2% respectively. Conclusions At 5 years, subjective and objective results after TVT and TVT‐O are stable and similar, without statistical significant differences between the procedures. Major long‐term problems appear rare. |
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| Keywords: | tension‐free vaginal tape TVT TVT‐O |
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