A randomized trial comparing TVT with TVT-O:: 12-month results

被引:70
作者
Rinne, Kirsi [2 ]
Laurikainen, Eija [3 ]
Kivela, Arre [4 ]
Aukee, Pauliina [5 ]
Takala, Teuvo [6 ]
Valpas, Antti [7 ]
Nilsson, Carl Gustaf [1 ]
机构
[1] Univ Helsinki, Cent Hosp, Dept Obstet & Gynecol, Helsinki 00029, Finland
[2] Kuopio Univ Hosp, Kuopio 70211, Finland
[3] Turku Univ Hosp, Dept Obstet & Gynecol, FIN-20520 Turku, Finland
[4] Oulu Univ Hosp, Dept Obstet & Gynecol, Oulu, Finland
[5] Cent Finland Cent Hosp, Dept Obstet & Gynecol, Jyvaskyla, Finland
[6] Paijat Hame Cent Hosp, Dept Obstet & Gynecol, Lahti, Finland
[7] S Carelian Cent Hosp, Dept Obstet & Gynecol, Lappeenranta, Finland
关键词
stress urinary incontinence; tension-free vaginal tape; tension-free; vaginal tape obturator;
D O I
10.1007/s00192-008-0581-3
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The aim of this randomized clinical trial was to compare the cure rate and the rate of complications of the tension-free vaginal tape (TVT) with those of the tension free vaginal tape obturator (TVT-O) procedure after one year of follow-up. The study was powered to show a ten per cent difference in cure rate and/or rate of complications. Of the initially treated 267 women 134 in the TVT group and 131 in the TVT-O group were evaluated. A cough stress test and a 24 h pad test were used as objective outcome measures. Subjective outcome was assessed by different condition-specific quality of life questionnaires and general health by the EQ-5D questionnaire. Objective cure rate was 95.5% in the TVT patients and 93.1% in TVT-O patients. Subjective cure rates showed significant improvement at one the year follow up in both groups. No significant differences in cure rates between groups were seen. The complication rate was equal in both groups.
引用
收藏
页码:1049 / 1054
页数:6
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