Long-term outcomes of TVT and IVS operations for treatment of female stress urinary incontinence: Monofilament vs. multifilament polypropylene tape

Jens Christian Prien-Larsen*, Lars Hemmingsen

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftArtikelForskningpeer review

Abstract

Introduction and hypothesis: We compared cure rates of tension-free vaginal tape (TVT) with intravaginal slingplasty (IVS) and evaluated changes in cure rates over time. Methods: One hundred three underwent TVT and 213 underwent IVS. Follow-ups were done at 3 months, 1 year, and 5 years. Results: The following results were found: objective cure for TVT 98-95-94% vs. IVS 86-86-80% (p<0.03); subjective cure for TVT 82-79-74% vs. IVS 79-81-71% (NS). In IVS, a significant decline in subjective cure took place. Vaginal erosions were found in 11.8% of women in the IVS group and none in the TVT group. Conclusions: TVT is an effective and stable treatment, whereas IVS has a significant inferior objective cure rate, and a significant decline in subjective cure rate occurred over time. A high rate of vaginal erosions was found in the IVS group. We cannot recommend the use of multifilament polypropylene tape (IVS) for surgical treatment of stress urinary incontinence.

OriginalsprogEngelsk
Sider (fra-til)703-709
Antal sider7
TidsskriftInternational Urogynecology Journal
Vol/bind20
Udgave nummer6
DOI
StatusUdgivet - 1 jan. 2009

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