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Randomized Controlled Trial
. 2010 Dec;39(8):614-23.
doi: 10.1016/j.jgyn.2010.09.007. Epub 2010 Oct 30.

[Functional results following transobturator and retropubic mid-urethral sling]

[Article in French]
C Trichot  1 , D Salet-Lizee, P Descamps, B Deval, C Hocke, B Fatton, R de Tayrac, K Desseaux, J Leveque, P-L Giacalone, H Fernandez, X Deffieux
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Free article
Randomized Controlled Trial

[Functional results following transobturator and retropubic mid-urethral sling]

[Article in French]
C Trichot et al. J Gynecol Obstet Biol Reprod (Paris). 2010 Dec.
Free article

Abstract

Objective: To compare functional results following retropubic and transobturator mid-urethral sling procedures.

Methods: Multicenter randomized controlled trial. Power calculation was based on the rate of bladder injury. The current study concerns an analysis of secondary judgment criteria.

Results: One hundred and forty-nine patients were randomly allocated to either TVT (n=75) or TVT-O (n=74). Among them, 132 women completed a 24-month follow-up. There was no significant difference between the two groups, concerning urodynamics data (excluding uroflowmetry) at 12 months follow-up, functional and sexual results at 6, 12 and 24 months follow-up. Concerning sexual results, an improvement in visual analogue scale scores was observed in both groups at 24 months follow-up with no difference between the two groups: median score increased from 70 (IQR: 50-80) pre-operatively to 90 (IQR: 70-100) at 24 months follow-up (P=0,0004) in TVT-O group and from 70 (IQR: 50-80) to 85 (IQR: 70-100) (P=0,0009) in TVT group.

Conclusion: TVT and TVT-O procedures are both associated with an increase in quality of life with no significant differences in functional results at 2 years follow-up.

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