{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:21:57Z","timestamp":1761675717774},"reference-count":14,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":1491,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Background.<\/jats:italic> Evaluation of cost\u2010effectiveness of new surgical techniques is important. As the data on incontinence procedures are scarce, we evaluated the cost\u2010effectiveness of tension\u2010free vaginal tape procedure and laparoscopic mesh colposuspension as a primary surgical treatment for female stress urinary incontinence. <jats:italic>Methods.<\/jats:italic> In four university teaching hospitals and two central hospitals 128 stress incontinent women were randomized to tension\u2010free vaginal tape procedure (<jats:italic>n<\/jats:italic> = 70) or laparoscopic mesh colposuspension (<jats:italic>n<\/jats:italic> = 51) in order to investigate the clinical performance of these two procedures. Primary objective clinical outcome measures were: stress test and 48\u2010h pad test. Secondary subjective outcome measures were health\u2010related quality of life measured in terms of visual analogue scale and Urinary Incontinence Severity Score. Alongside the clinical trial, a cost\u2010effectiveness analysis for the main outcome measures was performed. <jats:italic>Results.<\/jats:italic> The changes in the 48\u2010h pad test result did not reach statistical significance (<jats:italic>p<\/jats:italic> = 0.105). When the visual analogue scale or Urinary Incontinence Severity Score are used as the outcome measure, the tension\u2010free vaginal tape is more cost\u2010effective than laparoscopic mesh colposuspension over a follow\u2010up period of one year (<jats:italic>p<\/jats:italic>&lt;0.000). <jats:italic>Conclusion.<\/jats:italic> The clinical and economic data of the present study suggest that over a follow\u2010up period of one year the tension\u2010free vaginal tape procedure is more cost\u2010effective than laparoscopic mesh colposuspension as a primary treatment for female stress urinary incontinence.<\/jats:p>","DOI":"10.1080\/00016340601033584","type":"journal-article","created":{"date-parts":[[2009,12,8]],"date-time":"2009-12-08T17:34:16Z","timestamp":1260293656000},"page":"1485-1490","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["A cost\u2010effectiveness analysis of tension\u2010free vaginal tape versus laparoscopic mesh colposuspension for primary female stress incontinence"],"prefix":"10.1111","volume":"85","author":[{"given":"ANTTI","family":"VALPAS","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PEKKA","family":"RISSANEN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ERKKI","family":"KUJANSUU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CARL\u2010GUSTAF","family":"NILSSON","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,31]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1089\/lps.1991.1.169"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/lps.1993.3.563"},{"issue":"168","key":"e_1_2_6_4_2","first-page":"34","article-title":"The tension\u2010free vaginal tape procedure (TVT) for treatment of female urinary incontinence. 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