Comparative Study of the Tension-Free Vaginal Tape (TVT) Procedure and the Suprapubic Arc Sling (SPARC) Procedure for Treating Female Stress Urinary Incontinence: a 1-Year Follow-Up.
10.4111/kju.2006.47.4.397
- Author:
Won Tae KIM
1
;
Kyung Tae KIM
;
Jong Woo KIM
;
Jin Ho CHOE
;
Joong Shik LEE
;
Ju Tae SEO
Author Information
1. Department of Urology, Sungkyunkwan University School of Medicine, Seoul, Korea.
- Publication Type:Comparative Study ; Original Article
- Keywords:
Urinary incontinence;
stress;
Treatment outcome
- MeSH:
Female*;
Follow-Up Studies*;
Humans;
Patient Satisfaction;
Pelvic Organ Prolapse;
Questionnaires;
Suburethral Slings*;
Telephone;
Treatment Outcome;
Urinary Incontinence*;
Urinary Retention;
Urodynamics
- From:Korean Journal of Urology
2006;47(4):397-401
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We wanted to compare the efficacy and outcomes of two retropubic mid-urethral sling procedures, tension-free vaginal tape (TVT) and suprapubic arc sling (SPARC), in the women suffering with stress urinary incontinence (SUI). MATERIALS AND METHODS: A total of 124 women with SUI were assigned to either the TVT group (n=62) or the SPARC group (n=62) within a same period. Only the patients with a follow-up of at least 12 months were included and those patients who underwent conjoined pelvic reconstructive surgeries for coexisting pelvic organ prolapse were excluded from this study. Finally, 90 patients (TVT: 42, SPARC: 48) remained in the study. The objective cure rate was evaluated by clinical and urodynamic examinations; the satisfaction rate was determined by using a questionnaire via the telephone or a self-addressed, stamped envelope. The mean follow-up period was 16.3 months in the TVT group and 16.3 months in the SPARC group. RESULTS: Two groups were similar in their preoperative characteristics and the perioperative parameters. There was no significant difference between the 2 groups in terms of the cure rate: cure (91.7% vs. 100%, p=0.056), improvement (6.2% vs. 0%, p=0.099), and failure (2.1% vs. 0%, p=0.347) for SPARC and TVT, respectively. In addition, the patient satisfaction rate was not different significantly between 2 groups. The main complication was urinary retention, and this was diagnosed in 6 patients; 3 (7.1%) in the TVT group and 3 (6.3%) in the SPARC group. De novo urge symptoms were observed in 3 patients (1 in the TVT group and 2 in the SPARC group). CONCLUSIONS: SPARC sling and TVT appears to be equally effective and safe for the surgical treatment of female SUI at the 1-year follow-up, although further studies are needed to establish the long-term efficacy and safety of these procedures.
