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International Urogynecology Journal

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01-07-2010 | Original Article

Experience with TVT-SECUR sling for stress urinary incontinence: a 141-case analysis

Authors: Salil Khandwala, Chaandini Jayachandran, David Sengstock

Published in: International Urogynecology Journal | Issue 7/2010

Abstract

Introduction and hypothesis

The objective of this study was to investigate complications, urinary incontinence symptoms, and overall satisfaction in patients undergoing the tension-free vaginal tape-SECUR (TVT-S) for stress urinary incontinence (SUI).

Methods

We reviewed consecutive patients treated with TVT-S between April, 2006 and August, 2007, in a urogynecology practice. Outcomes assessed included complications, voiding function, change in SUI symptoms on the Medical Epidemiological and Social Aspects of Aging (MESA) questionnaire, and overall satisfaction.

Results

One hundred forty-one women (age, 54.1 ± 12 years; BMI, 31.2 ± 6.6 kg/m²) were treated for SUI with the TVT-S; 34 required concomitant procedures. There were no intra-operative complications. Immediate post-operative voiding function returned in all but one patient; none required sling release. Most patients (90%) reported no pain on a verbal pain scale. On follow-up, 117 patients denied SUI symptoms, 16 reported mild symptoms, and eight required additional treatment. The average MESA “stress” subscore decreased by 79% (13.0 ± 7.8 points, p < 0.0001). Eighty-five percent felt “satisfied” with the procedure.

Conclusion

TVT-S is a safe and effective treatment for SUI.

Fenner DE, Trowbridge ER, Patel DL, Fultz NH, Miller JM, Howard D, DeLancey J (2008) Establishing the prevalence of incontinence study: racial differences in women's patterns of urinary incontinence. J Urol 179(4):1455–1460CrossRefPubMed

Minassian VA, Stewart WF, Wood GC (2008) Urinary incontinence in women: variation in prevalence estimates and risk factors. Obstet Gynecol 111(2, Part 1):324–331PubMed

Nilsson GC, Kuuva N, Falconer C, Rezapour M, Ulmsten U (2001) Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 12(Suppl 2):S5–S8CrossRefPubMed

Boustead GB (2002) The tension-free vaginal tape for treating female stress urinary incontinence. BJU Int 89(7):687–693CrossRefPubMed

Kuuva N, Nilsson CG (2002) A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand 81:72–77CrossRefPubMed

Zilbert AW, Farrell SA (2001) External iliac artery laceration during tension-free vaginal tape procedure. Int Urogynecol J Pelvic Floor Dysfunct 12(2):141–143CrossRefPubMed

Peyrat L, Boutin JM, Bruyere F, Haillot O, Fakfak H, Lanson Y (2001) Intestinal perforation as a complication of tension-free vaginal tape procedure for urinary incontinence. Eur Urol 39(5):603–605CrossRefPubMed

Moran PA, Ward KL, Johnson D, Smirni WE, Hilton P, Bibby J (2000) Tension free vaginal tape for primary genuine stress incontinence: a two-center follow-up study. BJU Int 86(1):39–42CrossRefPubMed

Rezapour M, Novara G, Meier PA, Holste J, Landgrebe S, Artibani W (2007) A 3-month pre-clinical trial to assess the performance of a new TVT-like mesh (TVTx) in a sheep model. Int Urogynecol J Pelvic Floor Dysfunct 18:183–187PubMed

10.

Diokno AC, Brock BM, Brown MB, Herzog AR (1986) Prevalence of urinary incontinence and other urological symptoms in the noninstitutionalized elderly. J Urol 136(5):1022–1025PubMed

11.

Albo ME, Richter HE, Brubaker L, Norton P, Kraus SR, Zimmern PE et al (2007) Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med 356(21):2143–2155CrossRefPubMed

12.

Sivaslioglu AA, Caliskan E, Dolen I, Haberal A (2007) A randomized comparison of transobturator tape and Burch colposuspension in the treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 18(9):1015–1019CrossRefPubMed

Title: Experience with TVT-SECUR sling for stress urinary incontinence: a 141-case analysis
Authors: Salil Khandwala
Chaandini Jayachandran
David Sengstock
Publication date: 01-07-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 7/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1114-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Experience with TVT-SECUR sling for stress urinary incontinence: a 141-case analysis

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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