E-Posters-Intraoperative Variations of the Retropubic TVT-Procedure and their Immediate and mid-term Effects on Patients' Outcome. A Prospective Randomized Controlled Multicenter Trial

Intraoperative Variations of the Retropubic TVT-Procedure and their Immediate and mid-term Effects on Patients' Outcome. A Prospective Randomized Controlled Multicenter Trial - Markus Huebner, MD

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This document summarizes the findings of a randomized controlled multicenter trial on the intraoperative variations of the retropubic tension-free vaginal tape (TVT) procedure and their effects on patients' outcomes. The TVT procedure is a surgical treatment for stress urinary incontinence in women. The study aimed to analyze variations in surgical techniques as well as two different types of polypropylene tapes used in the procedure.<br /><br />The results showed that both the TVT and RetroArc procedures are safe and successful in treating stress urinary incontinence. However, there were differences in outcomes between the two methods. The TVT procedure achieved significantly better results in subjective parameters, according to questionnaire analysis. The RetroArc procedure had a higher rate of postoperative outlet obstruction and reoperation compared to the TVT procedure.<br /><br />The study also found that the different materials used in the procedures can influence the surgical process and outcomes. Surgeons should be aware of the potential impact of using different products. Additionally, new materials should be evaluated before routine use.<br /><br />The study included 303 women who were followed up at three months and one year after surgery. Overall, the findings suggest that the variations in the methodology and characteristics of the retropubic TVT procedure can affect patients' outcomes.<br /><br />In conclusion, the study highlights the importance of evaluating and considering the implications of intraoperative variations in surgical techniques and materials used in the retropubic TVT procedure for stress urinary incontinence. The findings suggest that the choice of tape texture and procedure variations can impact surgical outcomes.

Keywords

randomized controlled multicenter trial

retropubic tension-free vaginal tape

TVT procedure

surgical treatment

stress urinary incontinence

surgical techniques

polypropylene tapes

subjective parameters

postoperative outlet obstruction

surgical outcomes