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A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: Two-year follow-up

Lookup NU author(s): Dr Karen Ward, Paul Hilton

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Abstract

Objective: This study was undertaken to compare tension-free vaginal tape (TVT) with colposuspension as the primary treatment for stress incontinence. Study design: The trial was conducted in gynecology or urology departments in 14 centers in the United Kingdom and Ireland. Three hundred forty-four women with urodynamic stress incontinence were randomly assigned to groups: 175 to TVT and 169 to colposuspension. Patients were assessed using the Short Form-36 health status questionnaire, the Bristol Female Lower Urinary Tract Symptoms questionnaire, clinical examination, and a 1-hour perineal pad test. Unpaired and paired data were analyzed with the Wilcoxon rank sum and matched pairs tests, respectively, and proportions were compared with the Fisher exact test. Results: When data were analyzed on an intention-to-treat basis, assuming patients with missing data to be treatment failures, 63% of the TVT group and 51% of the colposuspension group were objectively cured at 2 years (odds ratio 1.67, 95% CI 1.09-2.58). Conclusion: The TVT procedure appears to be as effective as colposuspension for the treatment of urodynamic stress incontinence at 2 years. © 2004 Elsevier Inc. All rights reserved.

Publication metadata

Author(s): Ward KL, Hilton P

Publication type: Article

Publication status: Published

Journal: American Journal of Obstetrics and Gynecology

Year: 2004

Volume: 190

Issue: 2

Pages: 324-331

ISSN (print): 0002-9378

ISSN (electronic): 1097-6868

Publisher: Mosby, Inc.

URL: http://dx.doi.org/10.1016/j.ajog.2003.07.029

DOI: 10.1016/j.ajog.2003.07.029

PubMed id: 14981369

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