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Short-Term Data Show Benefits, Drawbacks of TVT.
SCOTTSDALE, ARIZ. -- The latest study of tension-free vaginal tape to treat urinary incontinence found that 29 of 34 patients were cured at the end of an 11-month follow-up.
Nevertheless, there have been no published randomized studies of the procedure so far, and its long-term results are unknown, Dr. Paul M. Magtibay said at a urogynecology conference sponsored by the Mayo Clinic Scottsdale.
Long-term cure rates for the standard treatment for genuine stress urinary incontinence--Burch retropubic urethropexy--hover around 85%.
Since February of last year Dr. Magtibay treated 34 patients with genuine stress urinary incontinence with tension-free vaginal tape (TVT). Three had intrinsic sphincter deficiency, and all achieved urinary continence.
Less success was seen among eight patients with occult stress urinary incontinence: only six (75%) were dry after surgery, said Dr. Magtibay of the clinic.
During the same period he performed open Burch urethropexies on five patients with failed sacral colpopexies, a Capio sling on patients with recurrent incontinence, and laparoscopic Burch urethropexies on four patients to provide training for surgical residents.
The 85% cure rate with TVT in his small, nonrandomized study compares well with an 87% objective cure rate reported in a review last year of 14 articles and 14 abstracts on TVT. The review included a total of 1,762 patients, with objective results on 666 patients. Patients were followed for a mean of 18 months.
- New Study Shows GYNECARE TVT Equal to Burch Surgery for Female Incontinence...
- Press release article from: PR Newswire February 26, 2004 700+ words
...63 percent of the TVT group and 51 percent...based on the 245 patients for whom complete...and 81 percent for TVT and colposuspension...coital incontinence. Patient satisfaction remained...with 67 percent of TVT patients and 62 percent of...
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...chemotherapies. ABOUT TVT-DOX The TVT (Tumor Vasculature Targeting...of tumors. In cancer patients, new blood vessels grow...be used to treat cancer patients by very selectively delivering...Research to date has shown TVT-Dox to be a very potent...
- Procyon Biopharma presented its recently acquired TVT-Dox new anti-cancer...
- Press release article from: PR Newswire July 26, 2005 700+ words
...About TVT-Dox The TVT-Dox technology comprises...of tumors. In cancer patients, new blood vessels grow...Hence, in most cancer patients new blood vessels are...used to treat cancer patients by very selectively delivering...not in normal tissues. TVT-Dox shows a broad spectrum...
- Rise of TVT shifts focus from laparoscopic to vaginal surgery. (Less Emphasis...
- Magazine article from: OB GYN News Boschert, Sherry February 15, 2003 700+ words
...cases and TVTs," and "TVT has realigned our approach...Walters compared data on 72 patients who underwent a TVT procedure or a laparoscopic...practitioners because patients seek out laparoscopists...Burch procedures, or TVT procedures, though more...
- LONG-TERM DATA PROVES SAFETY AND EFFICACY OF GYNECARE TVT TENSION-FREE SUPPORT...
- Press release article from: PR Newswire August 30, 2001 700+ words
...procedure to treat SUI. The TVT device uses a mesh sling...found that none of the patients complained of difficulties...Nilsson. "Since the patient is awake, the surgeon...treated with GYNECARE TVT tension-free support...performed in pregnant patients or patients who plan...
- TVT may be as effective as burch colposuspension for stress incontinence....
- Magazine article from: OB GYN News January 1, 2002 700+ words
...Society Gynecare makes the TVT Tension-Free Support...Incontinence. In the trial, 344 patients with genuine stress incontinence...period for 40% of the 175 TVT patients, compared with 100...groups by 6 months. The TVT patients returned to normal activity...
- Study: GYNECARE TVT equal to Burch surgery.
- Newspaper article from: Drug Week March 26, 2004 700+ words
...failures, 63% of the TVT group and 51% of...based on the 245 patients for whom complete...80% and 81% for TVT and colposuspension...coital incontinence. Patient satisfaction remained...groups, with 67% of TVT patients and 62% of colposuspension...
- Data from 2-year follow-up: TVT as effective as colposuspension for...
- Magazine article from: OB GYN News Norton, Patrice G.W. June 1, 2004 700+ words
...transvaginal tape (TVT) procedure can be...minutes, and many patients return home the same...the assumption that patients with missing data...failures, 63% of the TVT group and 51% of...The proportion of patients with examination...unchanged. Women in the TVT group perceived their...
Source: HighBeam Research, Short-Term Data Show Benefits, Drawbacks of TVT.