TVT versus TVT-O for minimally invasive surgical correction of stress urinary incontinence

Abstract

Objective: The present work describes our experience in surgical correction of stress urinary incontinence, comparing both the TVT and the TVT-O techniques. Results: Median operative time was 28 minutes for TVT and 7 minutes for TVT-O. Intraoperative complications for TVT occurred in 4 patients (6.6%): urinary bladder perforation in 3 patients (5%, p = 0.0228) and parietal peritoneum perforation in 1 case (1.6%). No intraoperative complications took place during TVT-O. Immediate postoperative complications: transient urinary retention in TVT, 2 cases (2.6%) and overcorrection in TVT-O (1%) which was readjusted within 24 hours. There were no late complications after TVT. There were 2 cases (2.04%) with late complications in TVT-O. TVT and TVT-O resulted in correction of incontinence in 100% of the patients. Conclusion: TVT and TVT-O are two effective techniques for the correction of stress urinary incontinence. TVT-O would seem to be a technique much easier to perform resulting in less intraoperative complications.

Comparison of Transobturator Vaginal Tape and Retropubic Tension-Free Vaginal Tape: Clinical Outcome and Sonographic Results of a Case-Control Study

“…This result is confirmed by several other studies [19,[22][23][24] . Other working groups found a higher rate of residual volume after TVT [17,18,[25][26][27] .…”

“…1.5 2.3 Neuman [26] 150 75 TVT 75 TVT-O n/a n/a 8.0 0 n/a n/a 5.0 0 n/a n/a Sola [24] 174 [35] 239 97 TVT 232 TVT-O n/a n/a n/a n/a 0 0 n/a n/a 3.8 6.6 Long [27] 159 91 TVT 68 TVT-O n/a n/a Hemorrhagic complications are usually caused by the blind passage of the needle. Hematomas were found predominantly in the retropubic space.…”

“…Most studies report no difference in frequency of this disturbance after TVT compared to transobturator tapes [17,[23][24][25]28] . Our own results confirmed these findings.…”

Short‐term clinical and quality‐of‐life outcomes in women treated by the TVT‐Secur procedure

“…Our objective success rate of 58.3% and subjective success rate of 51.3% at six months were not dissimilar to the 62% objective success rate reported by Martan et al 4 This fell well short of the success rates reported for the TVT (81-96%) and TVT-O or similar transobturator tapes (80-90%). [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] In Martan's study, the low success rate of the TVT-Secur was irrespective of tape placement (U or hammock). 4 Despite a subjectively tighter placement of the TVT-Secur tape in our study, failure rates were high.…”

Tension-Free Vaginal Tape Versus Transobturator Tape for Treatment of Female Stress Urinary Incontinence: A 2-Year Follow-Up Investigation

“…These results agreed with those reported by Porena et al [15] in which the mean operative times were 30 minutes for patients receiving TVT and 20 minutes for patients receiving TOT. Sola et al [17] reported a mean operative time of 7 minutes when using TOT. Sola et al [17] reported a mean operative time of 7 minutes when using TOT.…”