IMR Press / CEOG / Volume 44 / Issue 1 / DOI: 10.12891/ceog3209.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Long-term results of tension-free vaginal tape and pubovaginal sling in the treatment of stress urinary incontinence in female patients
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1 Urology and Nephrology Research Center, Department of Urology, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Urology, Kerman University of Medical Sciences, Kerman, Iran
3 Department of Urology, Zahedan University of Medical Sciences, Zahedan, Iran
Clin. Exp. Obstet. Gynecol. 2017, 44(1), 44–47; https://doi.org/10.12891/ceog3209.2017
Published: 10 February 2017
Abstract

Objectives: To report the long-term outcome of tension-free vaginal tape (TVT) and pubovaginal sling (PVS) in the treatment of stress urinary incontinence (SUI) in female patients. Materials and Methods: The long-term objective and subjective results of female patients who were previously randomized in a single blind study to two arms, TVT or PVS, between 2000 and 2004, were evaluated. The patients were asked if they were satisfied with the results of the procedure and if they would recommend it to a friend or relative. The assessment included a physical examination and cough-induced stress test. Satis faction levels were assessed by Likert-type scale. Cure was described as absence of urine leakage in any circumstances, while improvement was characterized as subjective improvement of SUI without complete resolution. Results: One hundred women with SUI underwent surgery at the present medical center between 2000 and 2004. A total of 52 patients were followed clinically for objective and subjective assessment. Seventeen were interviewed only by telephone. The objective cure rate was 81.5% and 84%, where as subjective cure rate was 70.3% and 71.9%, for TVT versus PVS, respectively (p > 0.05). After an average follow-up of 10.5 years, there was no difference in clinical outcome, satisfaction scores, and postoperative complications between the two groups. Conclusion: Both TVT and PVS are safe and effective treatments for SUI in female patients, with acceptable success rate in long term follow-up.
Keywords
Tension-free vaginal tape (TVT)
Pubovaginal sling (PVS)
Stress urinary incontinence (SUI)
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