ArticleInternational urogynecology journal2025
Tension-Free Vaginal Tape versus Polyacrylamide Hydrogel Bulking Agent for Stress Urinary Incontinence: Patient Choice and Outcomes in Finland.
Article in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 citing papers in PubMed.
- Hydrogel-Based Therapies for Female Stress Urinary Incontinence: From Bulking Agents to Regenerative Platforms-A Narrative Review.Current urology reports · 2026Review
- A Nordic perspective on female stress urinary incontinence care: Lessons for shared clinical practice.Acta obstetricia et gynecologica Scandinavica · 2026Review
- Intraurethral cross-linked hyaluronic acid/dextranomer (DEXSUI®) injection versus mid-urethral sling for stress urinary incontinence: a comparative short-term outcome analysis.The Canadian journal of urology · 2026Article
- Changes of bladder urodynamics after combined pelvic floor muscle training and intravaginal stimulation in women with stress urinary incontinence: a retrospective cohort study.Frontiers in bioengineering and biotechnology · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
introduction and hypothesisSince 2018 we have offered polyacrylamide hydrogel (PAHG) injection as an alternative to tension-free vaginal tape (TVT) for primary stress urinary incontinence (SUI). Our study aim was to investigate patient choice, demographics, re-treatments, and complications for these procedures.
methodsPatient demographics were collected from the Hospital Registry for women with primary SUI treated with TVT or PAHG, including patient age, body mass index, smoking status, obstetric history, and prior pelvic surgeries. Re-treatments and complications were collected at 2-year follow-up after each primary procedure.
resultsAmong 391 primary procedures, 55% (n = 217) of women chose the TVT and 45% (n = 174) the PAHG treatment, with similar patient demographics. Within 2 years, the re-treatment rates were 0.9% (n = 2) for TVT and 27.0% (n = 47) for PAHG (p < 0.001). Among patients undergoing re-treatment after primary PAHG, 57.4% (n = 27) opted for re-injection and 42.6% (n = 20) chose a mid-urethral sling. Three patients received TVT after two PAHG injection treatments. Complications occurred in 14.3% and 9.2% after TVT and PAHG respectively (p = 0.124). Complications after TVT ranged from Clavien-Dindo grades I-IIIb, with 4.1% of patients requiring reoperations, whereas PAHG complications were grades I-II with no reoperations. Including re-treatments, complication rates were 14.3% (TVT) and 10.9% (PAHG; p = 0.322).
conclusionsSimilar clinical profiles in both TVT and PAHG groups suggest no specific demographic factors predict decision making. After a 2-year follow-up, the overall complication rates were similar, with PAHG associated with a higher likelihood of requiring re-treatment, whereas TVT carried a greater risk of severe complications. The re-treatment rates were lower than previously reported, indicating that actual patients are fairly satisfied with their primary choice.
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