A Randomized Comparison of GYNECARE TVT and Boston Scientific Lynx Suprapubis Mid-Urethral Sling

Agarwala, Neena; Griffin, J. Bradley

doi:10.1097/00006250-200604001-00110

Cited by 1 publication

(4 citation statements)

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“…The study comparing the Gynecare TVT to the Lynx revealed that postoperative voiding dysfunction was more common in the Gynecare TVT ( P <0.001). 23 However, there was no difference between the subjective cure rates of the two sling kits.…”

Section: Resultsmentioning

confidence: 90%

“…The Gynecare TVT sling kit was examined in the majority of studies and was also reported in 2007 as being the most widely used retropubic sling system. 20 There are 20 reports on the Gynecare TVT alone and nine reports comparing the Gynecare TVT to other slings, including the Align, 21 the Advantage, 22 the Lynx, 23 and the SPARC. 24 – 28 Results indicated that 8 (0.2%) to 131 (3%) of 437 women experienced the following side effects immediately resulting from surgery using the Gynecare TVT: bladder perforation (number of patients [n]=10), hematoma (n=2), urinary tract infection (n=9), urinary retention (n=10), de novo overactive bladder symptoms (n=14), voiding dysfunction (n=10), sling erosion (n=7), groin pain (n=2), wound infection (n=3), mixed incontinence (n=1), and worsening urge incontinence (n=1).…”

Section: Resultsmentioning

confidence: 99%

“…To date, there is only one study in which the Lynx has been examined alone, and another study in which the Lynx has been compared to the Gynecare TVT. 23 , 53 Reported side effects of the Lynx included vaginal extrusion (n=5) and de novo overactive bladder symptoms and urge incontinence symptoms (n=6) that were experienced by less than 6% of 103 patients. 53 The reported failure rate associated with the Lynx was 9.8% (n=10).…”

Section: Resultsmentioning

confidence: 99%

“… 21 – 23 Results of the comparison studies show that there were no significant differences in terms of side effects or subjective patient outcomes across the different kits, although users of the Gynecare TVT did report a higher likelihood of postoperative voiding dysfunction than did users of the Lynx. 23 Reported studies on the Advantage, the Align, and the Lynx indicate comparable outcomes to the Gynecare TVT but are limited and hence make it difficult to draw any conclusions on efficacy. Outcomes on the RetroArc, the Desara, and the Supris sling kits have not yet been reported.…”

Section: Discussionmentioning

confidence: 98%

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Transvaginal retropubic sling systems: efficacy and patient acceptability

Moldovan¹,

Marinone²,

Staack³

2015

IJWH

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Stress urinary incontinence is a common, disabling, and costly medical problem that affects approximately 50% of women with urinary incontinence. Suburethral retropubic slings have been developed as a minimally invasive and effective surgical option, and they have been used as a first-line treatment for stress urinary incontinence since 1995. However, complications including vaginal extrusion, erosion, pain, bleeding, infections, lower urinary tract symptoms, urinary retention, and incontinence have been reported with use of the slings. Several companies manufacture sling kits, and the sling kits vary with regard to the composition of the mesh and introducer needle. The aim of this review was to determine which sling kit was most effective for patients, had minimal reported side effects, and was best accepted by patients and surgeons. In a review of the literature, it was found that a total of 38 studies were published between 1995 and 2014 that reported on eight tension-free retropubic sling kits: SPARC, RetroArc, Align, Advantage, Lynx, Desara, Supris, and Gynecare TVT. The Gynecare TVT was the most cited sling kit; the second most cited was the SPARC. This review provides a summary of the studies that have examined positive and negative outcomes of the retropubic tension-free suburethral sling procedure using various sling kits. Overall, the results of the literature review indicated that data from comparisons of the available sling kits are insufficient to make an evidenced-based recommendation. Therefore, the decision regarding which sling kit is appropriate to use in surgery is determined by the medical provider’s preference, training, and past experience, and not by the patient.

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Section: Resultsmentioning

confidence: 90%