Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Aigmüller, T; Tammaa, A; Tamussino, K; Hanzal, E; Umek, W; Kölle, D; Kropshofer, S; Bjelic-Radisic, V; Haas, J; Giuliani, A; Lang, PF; Preyer, O; Peschers, U; Jundt, K; Ralph, G; Dungl, A; Riss, PA; Austrian TVT vs. TVT-O Study Group.
Retropubic vs. transobturator tension-free vaginal tape for female stress urinary incontinence: 3-month results of a randomized controlled trial.
Int Urogynecol J. 2014; 25(8):1023-1030
Doi: 10.1007/s00192-014-2384-z
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Aigmüller Thomas
- Tammaa Ayman
- Tamussino Karl
- Co-Autor*innen der Med Uni Graz
- Bjelic-Radisic Vesna
- Giuliani Albrecht
- Haas Josef
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- Abstract:
- We conducted a prospective randomized controlled noninferiority trial to compare objective and subjective outcomes of retropubic tension-free vaginal tape (TVT) with those of transobturator tape (TVT-O) as primary treatment for stress urinary incontinence (SUI) in women. The study was conducted at 25 gynecology units in Austria and Germany; regional and academic hospitals participated. A total of 569 patients were randomly assigned to undergo TVT or TVT-O. A total of 480 patients (85%) were examined at 3 months. A negative cough stress test with stable cystometry to 300 ml was seen in 87% of patients after TVT and in 84% after TVT-O; 64% and 59% of patients, respectively, reported no pad use, and 88% of patients in both groups considered themselves much or very much better on the Patient Global Impression of Improvement (PGI-I) scale. Quality of life (QoL) as assessed with the SF-12 Health Survey, Kings' Health Questionnaire, (KHQ), and EuroQol-5D (EQ-5D) was significantly improved in both arms, with no differences between arms. There were no significant differences in postoperative pain or complications. Results of this trial demonstrate noninferiority between TVT and TVT-O with regard to postoperative continence and QoL and suggest little difference in perioperative problems (ClinicalTrials.gov NCT 00441454).
- Find related publications in this database (using NLM MeSH Indexing)
- Absorbent Pads -
- Aged -
- Female -
- Follow-Up Studies -
- Humans -
- Middle Aged -
- Prospective Studies -
- Quality of Life -
- Suburethral Slings - adverse effects
- Surveys and Questionnaires -
- Treatment Outcome -
- Urinary Incontinence, Stress - surgery
- Find related publications in this database (Keywords)
- Stress urinary incontinence
- Tension-free vaginal tape
- Transobturator tape
- Surgical treatment
- Outcomes