Colposuspension or TVT with anterior repair for urinary incontinence and prolapse: results of and lessons from a pilot randomised patient-preference study (CARPET 1)

BJOG. 2009 Dec;116(13):1809-14. doi: 10.1111/j.1471-0528.2009.02355.x. Epub 2009 Sep 14.


In a multicentre randomised, unblinded patient preference pilot trial to assess the feasibility of a definitive randomised trial comparing colposuspension with tension-free vaginal tape (TVT) plus anterior repair in women with incontinence and prolapse, we found that 31 of 56 eligible women agreed to participate (55%). Recruitment was more successful face to face (87%) than by letter (16%). Only four of our women agreed to be randomised, 21 (68%) chose anterior repair+TVT and six (19%) chose colposuspension. This study demonstrates the importance of pilot work for complex trials to identify issues likely to adversely affect recruitment.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Feasibility Studies
  • Female
  • Humans
  • Patient Preference
  • Patient Selection
  • Pilot Projects
  • Suburethral Slings*
  • Urinary Bladder / surgery*
  • Urinary Incontinence, Stress / surgery*
  • Uterine Prolapse / surgery*