Number №1, 2015 - page 82-87

Comparative analysis of the efficacy and safety of suburethral slings TVT-O and TVT-Abbrevo in female incontinence treatment

Gvozdev M.Yu., Tupikina N.V., Kasyan G.R., Ivanova Yu.V., Glotov A.V., Deryagina D.M., Pushkar' D.Yu.

Introduction. Transobturator approach to the sling placement for female incontinence is linked to some risks: vaginal wall perforation, damage of the adductor muscles of the thigh and obturator nerves, which could lead to the development of chronic pelvic pain syndrome. New surgical device TVT-Abbrevo, shortened version of TVT-O, could minimize the tissue traumatization. Aim of the study was to compare treatment outcomes with regard to urinary continence for two surgical devices – TVT-O and TVT-Abbrevo.

Materials and methods. The study included 74 patients with stress urinary incontinence, which were randomized using the block principle. TVT-O was implanted in 36 patients, modified TVT-Abbrevo implantation was done in 38 patients.

Results. Groups were similar concerning the preoperative characteristics. Intraand postoperative complications were few. Cough test was negative in most patients at 1 month after operation and during the extended follow up with an insignificant trend to better results in TVT-Abbrevo group. Significant differences in the pain intensity and analgesics use were also absent.

Conclusions. TVT-Abbrevo has the similar efficacy and safety profile as TVT-O operation.

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