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NEW ORLEANS -- Tension-free vaginal tape may be the treatment of choice for genuine stress urinary incontinence in obese women, Dr. Maurice K. Chung said at an international congress sponsored by the Society of Laparoendoscopic Surgeons.
In a study of 156 women with stress urinary incontinence, 92 women were treated with the tape, marketed by Gynecare as TVT Tension-Free Support for Incontinence, and 64 women were treated with a pubovaginal sling. A total of 70% of the TVT group and 49% of the sling group were obese. Both procedures were found to be safe and effective, said Dr. Chung, a consultant for Gynecare who received a grant from the company to conduct the study.
During the 24-month follow-up, cough stress testing revealed that 89 of the TVT patients were dry and 3 reported improvement. In the sling group 14 were dry, 41 reported improvement, and 9 failed therapy, said Dr. Chung of the Medical College of Toledo (Ohio) and codirector of the Midwest Regional Center for Chronic Pelvic Pain and Bladder Control in Lima, Ohio.
Operating time for TVT averaged 25 minutes, compared with 95 ...