TY - JOUR
T1 - De novo urgency after tension-free vaginal tape versus transobturator tape procedure for stress urinary incontinence
AU - Lleberia-Juanós, Judith
AU - Bataller-Sánchez, Eduardo
AU - Pubill-Soler, Josep
AU - Mestre-Costa, Montse
AU - Ribot-Luna, Laia
AU - Vizcaíno, Miguel A.Checa
PY - 2011/1/1
Y1 - 2011/1/1
N2 - Objective: To determine the frequency of de novo urgency after tension-free vaginal tape (TVT) compared with the transobturator tape (TOT) procedure in women with stress urinary incontinence (SUI). Study design: Prospective study of all consecutive women with urodynamically confirmed SUI undergoing anti-incontinence surgery between January 2000 and January 2008. All procedures were performed by experienced urogynaecologists well trained in TVT and TOT surgery. Assessments were carried out at 1, 6, 12 and, 36 months after surgery. Results: The study population included 366 women (mean age 59.5 years), 243 in the TVT group and 123 in the TOT group. The groups were similar in terms of demographics, preoperative data, and cure rates. De novo urgency occurred in 13.4% of patients at 6 months after surgery, in 19.3% at 12 months, and in 22.1% at 36 months. De novo urgency was significantly more frequent in the TVT group than in the TOT group at 12 (22.2% vs 11.2%, P = 0.025), 24 (24.8% vs 12.3%, P = 0.033), and 36 (0% vs 24.7%, P = 0.034) months. Cure rates were similar in both groups. The final adjusted cure rate was 87.3% (319/366). Conclusion: Treatment of SUI using the TOT procedure was associated with a lower rate of de novo urgency. © 2011 Elsevier Ireland Ltd.
AB - Objective: To determine the frequency of de novo urgency after tension-free vaginal tape (TVT) compared with the transobturator tape (TOT) procedure in women with stress urinary incontinence (SUI). Study design: Prospective study of all consecutive women with urodynamically confirmed SUI undergoing anti-incontinence surgery between January 2000 and January 2008. All procedures were performed by experienced urogynaecologists well trained in TVT and TOT surgery. Assessments were carried out at 1, 6, 12 and, 36 months after surgery. Results: The study population included 366 women (mean age 59.5 years), 243 in the TVT group and 123 in the TOT group. The groups were similar in terms of demographics, preoperative data, and cure rates. De novo urgency occurred in 13.4% of patients at 6 months after surgery, in 19.3% at 12 months, and in 22.1% at 36 months. De novo urgency was significantly more frequent in the TVT group than in the TOT group at 12 (22.2% vs 11.2%, P = 0.025), 24 (24.8% vs 12.3%, P = 0.033), and 36 (0% vs 24.7%, P = 0.034) months. Cure rates were similar in both groups. The final adjusted cure rate was 87.3% (319/366). Conclusion: Treatment of SUI using the TOT procedure was associated with a lower rate of de novo urgency. © 2011 Elsevier Ireland Ltd.
KW - De novo urgency
KW - Stress urinary incontinence
KW - Tension-free vaginal tape
KW - Transobturator tape
U2 - 10.1016/j.ejogrb.2010.12.026
DO - 10.1016/j.ejogrb.2010.12.026
M3 - Article
VL - 155
SP - 229
EP - 232
JO - European Journal of Obstetrics, Gynecology and Reproductive Biology
JF - European Journal of Obstetrics, Gynecology and Reproductive Biology
SN - 0028-2243
IS - 2
ER -