Journal article

Effectiveness of Tension-Free Vaginal Tape Compared With Transobturator Tape in Women With Stress Urinary Incontinence and Intrinsic Sphincter Deficiency A Randomized Controlled Trial

Lore Schierlitz, Peter L Dwyer, Anna Rosamilia, Christine Murray, Elizabeth Thomas, Alison De Souza, Yik N Lim, Richard Hiscock

OBSTETRICS AND GYNECOLOGY | LIPPINCOTT WILLIAMS & WILKINS | Published : 2008

Abstract

OBJECTIVE: To compare efficacy of transobturator tape with tension-free vaginal tape (TVT) in the treatment of stress urinary incontinence in women with intrinsic sphincter deficiency. METHODS: One hundred sixty-four women diagnosed with urodynamic stress incontinence and intrinsic sphincter deficiency with or without concomitant pelvic organ prolapse repair were randomized to receive TVT or transobturator tape. The primary outcome was the presence or absence of urodynamic stress incontinence at 6 months postoperatively. Secondary outcomes were the rate of operative complications, symptomatic stress incontinence requiring further surgery, and quality-of-life questionnaires. RESULTS: Of 180 w..

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