Urinary Incontinence, Urge Clinical Trial
Official title:
Tension-free Vaginal Tape Obturator for the Treatment of Urinary Incontinence - Efficacy and Patient Satisfaction in Long-term Follow-up
The efficacy of TVT-O (tension-free vaginal tape obturator) is well established in patients with stress urinary incontinence (SUI). The objective of this study was to evaluate the efficacy, safety and patient satisfaction of TVT-O in patients suffering from primary, mixed (MUI) or recurrent urinary incontinence (UI) in long-term follow-up.
The long-term results after TVT-O have been scarce. At five years no significant differences
were seen between TVT (tension-free vaginal tape) and TVT-O for female SUI in a randomized
trial. In two studies the patients were followed-up for ten years after the TVT-O procedure.
The first randomized study reporting long term outcomes of TVT-O and outside-in TOT
(transobturator tape) in women with urodynamic mixed urinary incontinence (MUI) showed that
transobturator tension-free vaginal tapes are associated with a good and sustained
patient-reported success rate.
The success of the incontinence procedures should be assessed not only with objective
measures but also with methods evaluating subjective satisfaction. The aim of this study was
to evaluate the efficacy, safety and overall patient satisfaction of the TVT-O technique in a
long-term follow-up of patients suffering from primary or recurrent SUI or MUI.
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