Tension free vaginal tape for urinary incontinence - horizon scanning review

Record ID 32001000028
Authors' objectives:

To summarise the available evidence on the use of tension free vaginal tape (TVT) for stress urinary incontinence.

Authors' recomendations: Clinical impact - There is a large potential patient group for this procedure. Although the procedure has not been fully evaluated it appears to be quicker, less invasive and at least as effective as current surgical therapies. Service impact There may be considerable impact on services for incontinence if TVT is widely adopted. There will be a switch from an in-patient to day-case setting and women currently not considered for major surgery will be referred for TVT. Some retraining will be required for surgeons, although this is not prolonged. There may be an increase in referral from primary care for evaluation of incontinence putting some strain on these diagnostic services. Patient issues - There is likely to be a great deal of interest from patients and carers in the use of TVT. TVT is less invasive than conventional surgery and can be performed as a day case. It is therefore likely to be very acceptable for women. Financial and overall NHS impact If the procedure is restricted to those women currently undergoing colposuspension there will be a cost saving (about 550 per procedure, ceiling of 2.2m GBP). However if TVT is used for women not currently considered or accepting colposuspension costs could escalte with an estimated ceiling of 61m - 77m GBP.
Authors' methods: Overview
Project Status: Completed
URL for project:
Year Published: 2000
URL for published report: http://www.hsric.nihr.ac.uk/search
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Costs and Cost Analysis
  • Polypropylenes
  • Prosthesis Implantation
  • Women
  • Urinary Incontinence, Stress
Organisation Name: NIHR Horizon Scanning Centre
Contact Address: The NIHR Horizon Scanning Centre, Department of Public Health, Epidemiology, and Biostatistics, School of Health and Population Sciences, University of Birmingham, 90 Vincent Drive, Edgbaston, Birmingham, B15 2SP. United Kingdom. Tel: +44 121 414 7831, Fax: +44 121 2269
Contact Name: c.packer@bham.ac.uk
Contact Email: c.packer@bham.ac.uk
Copyright: National Horizon Scanning Centre
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.