Tension-free vaginal tape-Abbrevo procedure for female stress urinary incontinence: a prospective analysis over 22 months

Kurien, Alice; Narang, Sarita; Han, How Chuan

doi:10.11622/smedj.2016149

Cited by 14 publications

(9 citation statements)

References 14 publications

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“…These findings could be explained by similar anatomical changes and adverse event rates. Kurien et al . prospectively evaluated 76 patients who underwent the ABBREVO procedure and found similar rates for recurrent UTI and patient satisfaction.…”

Section: Discussionmentioning

confidence: 96%

Prevalence and risk factors for urinary tract infection following stress urinary incontinence surgery with two midurethral sling procedures

Paz-Levy

Weintraub

Reuven

et al. 2018

Intl J Gynecology & Obste

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Section: Discussionmentioning

confidence: 96%

Prevalence and risk factors for urinary tract infection following stress urinary incontinence surgery with two midurethral sling procedures

Paz-Levy

Weintraub

Reuven

et al. 2018

Intl J Gynecology & Obste

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“…The use of the approach of middle urethral suspension (MUS) is considered to be the gold-standard procedure for the treatment of female patients afflicted by SUI. A recent systematic review and meta-analysis had results that indicated that retropubic MUS and transobturator MUS have objectively similar cure rates for long-and mediumterm assessments, however, transobturator tapes have a subjectively lower cure rate than has been observed for TVT based treatments (10)(11)(12). In the results for our study, TVT based surgery has been found to have a cure rate of nearly 90% for SUI patients and has been found to have had a low incidence of complications for all two treatment groups.…”

Section: Discussionmentioning

confidence: 99%

Nomogram for preoperative estimation of prognosis after retropubic tension free vaginal tape in female patients with stress urinary incontinence

Chen¹,

Pan²,

Deng³

et al. 2021

Ann Palliat Med

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Background: To identify risk factors by developing a nomogram for predicting surgical outcomes for female patients who underwent tension free vaginal tape (TVT) for stress urinary incontinence (SUI).Methods: Data on 365 patients with pure SUI who underwent TVT at the Shanghai General Hospital between February, 2017 and July, 2018, were retrospectively collected. Within this group, symptoms of patients who were found to have disappeared or have been improved (subjective success group) were compared with symptoms of those patients who were found to have no change or recurrence (subjective failure group). We evaluated the effect of treatment after TVT surgery on SUI patients based upon patient prognosis.Results: During the study period, 327 women underwent TVT surgery and met the qualifications for inclusion in six-month follow-up consultations and 38 patients were lost. Multivariable logistic regression analysis of risk factors that were important in relation to the failure of surgery indicated two independent predictors: total cholesterol (TC) (P=0.005) and maximal urethral closure pressure (MUCP) (P=0.028). We developed a nomogram to predict prognosis after TVT in female patients with SUI using these parameters. Conclusions:We developed a predictive model for preoperative estimation of prognosis in female patients who underwent TVT based treatment for SUI. This model could select patients who were found to have successful postoperative outcomes, which can lead to a rational therapeutic choice.

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“…The TVT-abbrevo ® (TVT-A) method, which uses a small polypropylene mesh (12 cm), has been widely used since its introduction [ 13 ]. Because the mesh is shorter in length, surgical complications can be reduced due to reduced dissection and a minimal length of mesh passing through the adductor muscles [ 14 , 15 ]. At the same time, the mesh is still placed between the obturator membrane and under the mid-urethra, allowing the mid-urethra to maintain the same tension-free support as with TVT-O [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical outcomes of tension-free vaginal tape (TVT)- abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study

Kim¹,

Kim²,

Chae

et al. 2021

Obstet Gynecol Sci

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ObjectiveWe compared the efficacy and postoperative complications of tension-free vaginal tape (TVT)-abbrevo® (TVT-A) and TVT-obturator® (TVT-O) surgeries for the treatment of stress urinary incontinence (SUI).MethodsWe retrospectively analyzed the medical records of 143 female patients with SUI who underwent TVT-A or TVT-O surgery between January 2010 and December 2019 at the Asan Medical Center in Seoul. We evaluated intra- and postoperative complications such as bladder injury, groin pain, urinary retention, and mesh exposure. We also checked the success rate at 6 months after surgery.ResultsThere were no complications, including fever, hematuria, hematoma of the vulva, or bladder injury, immediately after surgery in either group. Postoperative complications 2 weeks post-surgery were groin pain (11.3%), urinary retention (4.9%), and mesh exposure (0.7%). Groin pain was not significantly different between the two groups at 2 weeks, 3 months, and 6 months after surgery (TVT-O vs. TVT-A after 2 weeks: 12.5% vs. 10.3%, P=0.791; 3 months: 0.0% vs. 1.4%, P=0.999; and 6 months: 0.0% vs. 0.0%, P=0.999). Over 90% of the patients reported cure or improved symptoms in both groups. In the univariate logistic analysis, the type of TVT (TVT-O or TVT-A) was not associated with the success rate (odds ratio, 3.21; 95% confidence interval, 0.59-17.40; P=0.175).ConclusionTVT-A surgery is comparable with TVT-O in terms of high success rate and low frequency of complications, including bladder injury and groin pain.

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Tension-free vaginal tape-Abbrevo procedure for female stress urinary incontinence: a prospective analysis over 22 months

Cited by 14 publications

References 14 publications

Prevalence and risk factors for urinary tract infection following stress urinary incontinence surgery with two midurethral sling procedures

Prevalence and risk factors for urinary tract infection following stress urinary incontinence surgery with two midurethral sling procedures

Nomogram for preoperative estimation of prognosis after retropubic tension free vaginal tape in female patients with stress urinary incontinence

Surgical outcomes of tension-free vaginal tape (TVT)- abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study

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