OBJECTIVE: The TVT-Secur® was introduced in 2006 as a less invasive alternative to retropubic and transobturator suburethral slings.
This retrospective cohort study evaluated objective and subjective results in a series of 158 consecutive patients as well as complications and the reoperation rate after TVT-Secur procedure.
STUDY DESIGN: Between November 2006 and June 2010 a total of 158 patients underwent a TVT-Secur procedure at a single institution. All patients underwent preoperative urodynamic testing. All patients were invited for follow-up including physical examination, urodynamic studies and subjective evaluation.
RESULTS: A total of 96 patients (61%) were available for follow-up with a mean follow-up of 29.8 months (range 5-50, median 30). At follow-up, eight (8%) of 96 patients had reoperations for stress incontinence. There were no reoperations for bleeding/hematoma, tape erosions or obstructed micturition and there were no tape erosions or exposures. 29 patients (30%) had a negative cough stress test and 44 patients (46%) subjectively considered themselves "cured". Nine of 43 patients (21%) without urgency symptoms preoperatively developed de novo urgency; 24 of 35 patients (69%) with preoperative urgency complaints were free of urgency symptoms.
CONCLUSION: At 2.4 years, the TVT-Secur appears to have a low adverse events profile but inferior results compared with traditional midurethral slings.
Written by:
Angleitner-Flotzinger J, Aigmueller T. Are you the author?
Department of Gynecology, Krankenhaus der Barmherzigen Schwestern, Linz, Austria; Department of Obstetrics & Gynecology, Medical University of Graz, Austria.
Reference: Eur J Obstet Gynecol Reprod Biol. 2014 Jun 28;180C:24-27.
doi: 10.1016/j.ejogrb.2014.06.015
PubMed Abstract
PMID: 25036406
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