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The original versus a modified inside-out transobturator procedure: 1-year results of a prospective randomized trial

The original versus a modified inside-out transobturator procedure: 1-year results of a prospective randomized trial,10.1007/s00192-010-1264-4,Interna

The original versus a modified inside-out transobturator procedure: 1-year results of a prospective randomized trial   (Citations: 3)
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Introduction and hypothesis  The aim of this study is to compare a modified inside-out transobturator procedure with its original counterpart [inside-out transobturator (TVT-O)] for the treatment of female stress urinary incontinence (SUI). Methods  A prospective, randomized trial in women suffering from SUI was used. The modified procedure consisted of a shorter tape whilst the scissors or guide no longer perforated the obturator membrane. The primary outcome was the resolution of subjective and objective SUI at 1 year. Secondary outcome measures included adverse events, quality of life measures, and groin pain. Results  One hundred seventy-five patients were randomized. No intraoperative complications were recorded. The SUI cure rate was 91.7% versus 90.7% (original versus modified, respectively; p = 0.824). Incidence and intensity of groin pain was higher in the original TVT-O group on day 0 and 1 (p p = 0.015) but not thereafter. Conclusions  At 1 year follow-up, the modified inside-out transobturator tape procedure was as efficient and safe as the original technique but associated with less immediate postoperative groin pain.
Journal: International Urogynecology Journal - INT UROGYNECOL J , vol. 22, no. 2, pp. 145-156, 2011
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    • ...Secondly, the study sought to investigate whether the modifications influenced the distance between the tape and the peripheral obturator nerve branches, and to quantify the length of tape inserted in the obturator and adductor muscles after the modified procedure as compared with its original counterpart, both described by J. de Leval et al. [16, 17]...
    • ...The hypotheses generated in this study could be confirmed in a prospective randomized clinical trial demonstrating that both procedures were equally efficient and safe at 1 year follow-up and that the modified procedure was associated with less frequent and less severe immediate postoperative thigh pain [17]...

    Piet Hinoulet al. An anatomic comparison of the original versus a modified inside-out tr...

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