INTRODUCTION AND HYPOTHESIS: Groin @entity158 following a transobturator (TO) midurethral sling is not uncommon and can be difficult to manage. We sought to determine if decreasing the mesh burden in the groin would decrease @entity158 . The primary objective was to compare the incidence of post-operative @entity158 following placement of full-length TVT-Obturator versus the shorter TVT-Abbrevo. Secondarily, we aimed to compare the efficacy between both devices 6  months after surgery. METHODS: This is a retrospective cohort study of all @entity1 who underwent a TO midurethral sling by the division of urogynecology at one institution between 1 January 2007 and 31 October 2013. Charts were reviewed and the incidence of post-operative @entity158 in the two groups dichotomized as present or absent and compared using a Chi-squared test. Validated questionnaire scores of the groups were compared using t tests. RESULTS: There were 125 @entity1 who received a TVT-Obturator and 100 @entity1 who received a TVT-Abbrevo. No differences in demographic data were present between the groups. Twelve @entity1 (9.6  %) in the TVT-Obturator group and 1 @entity1 (1  %) in the TVT-Abbrevo group experienced bothersome @entity158 (P value   =   0.007). The complete pre- and 6-month post-operative ISI, UDI-6 and PFIQ-7 scores were available for 76 (61  %), 47 (38  %), and 45 (36  %) @entity1 following TVT-Obturator and 57 (57  %), 30 (30  %), and 28 (28  %) following TVT-Abbrevo treatment. At 6  months the mean improvement in questionnaire scores for the TVT-Obturator and TVT-Abbrevo groups were as follows: 5.0 and 5.1 for ISI (P value   =   0.9), 8.3 and 7.9 for UDI-6 (P value   =   0.8), and 4.8 and 6.1 for PFIQ-7 (P value   =   0.4). CONCLUSION: Use of TVT-Abbrevo reduces post-operative @entity158 compared with the full-length TVT-Obturator, without any reduction in efficacy.

Decreasing transobturator sling XXXX without decreasing efficacy using TVT-Abbrevo.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'groin pain']
@entity158 :: (MESH:D010146,Disease) :: ['groin pain']
