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Randomized Controlled Trial
. 2006 Nov;195(5):1338-42.
doi: 10.1016/j.ajog.2006.03.067. Epub 2006 Jun 12.

Tension-free vaginal tape (TVT) and intravaginal slingplasty (IVS) for stress urinary incontinence: a multicenter randomized trial

Michele Meschia  1 , Paola Pifarotti, Francesco Bernasconi, Fabio Magatti, Riccardo Viganò, Rosanna Bertozzi, Pietro Barbacini
Affiliations
Randomized Controlled Trial

Tension-free vaginal tape (TVT) and intravaginal slingplasty (IVS) for stress urinary incontinence: a multicenter randomized trial

Michele Meschia et al. Am J Obstet Gynecol. 2006 Nov.

Abstract

Objective: This study was undertaken to compare the efficacy and morbidity of 2 minimally invasive procedures for stress urinary incontinence.

Study design: This was a prospective randomized multicenter trial; 190 women with primary urodynamic stress incontinence were randomly assigned to tension-free vaginal tape (TVT) (n = 95) or intravaginal slingplasty (IVS) (n = 95). The primary and secondary outcome measures were rates of success and complications. SPSS software was used for data analysis.

Results: At 2 years 92 and 87 patients were available in the TVT and IVS group for outcomes analysis. Subjectively, 80 (87%) and 68 (78%) women were cured, respectively. Objectively, a 1-hour pad test was negative in 78 (85%) and 63 (72%) patients. Eight of the patients assigned to IVS (9%) had vaginal erosion/infection, compared with none in the TVT group (P < .01).

Conclusion: Both procedures were effective for stress incontinence, but 9% of women treated with the IVS required removal of the tape for erosions.

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