Top

International Urogynecology Journal

Published in:

01-12-2012 | Original Article

Efficacy of TVT-SECUR and factors affecting cure of female stress urinary incontinence: 3-year follow-up

Authors: Ji-Yeon Han, Junsoo Park, Myung-Soo Choo

Published in: International Urogynecology Journal | Issue 12/2012

Abstract

Introduction and hypothesis

The aim of this study was to evaluate the efficacy of the TVT-SECUR procedure for treating stress urinary incontinence (SUI) and to identify factors affecting cure during 3 years of follow-up.

Methods

We prospectively followed patients until 1 year postoperatively and contacted them to revisit the clinic at 3 years. Ninety-six women who underwent TVT-SECUR (H type: 42, U type: 54) were followed up for at least 3 years. Patients were evaluated using the Severity Index for Urinary Incontinence, the Incontinence Quality of Life questionnaire, and the Bristol Female Lower Urinary Tract Symptom-Short Form questionnaire at baseline and at each postoperative visit. Patient satisfaction and complications were evaluated. Surgical outcome was assessed according to the Severity Index for Urinary Incontinence. Multivariate regression analysis was used to identify preoperative factors independently associated with cure.

Results

The 3-year success rate was 91.7 % (cure 72.9 %, improved 18.8 %). The success rate was maintained from 94.8 % at 1 year to 91.7 % at 3 years, but the cure rate decreased significantly from 85.4 % at 1 year to 72.9 % at 3 years. Patient satisfaction rate was 85.4 %. Cure rates were lower in patients with Valsalva leak point pressure (VLPP) <60 cmH₂0 (79.5 % vs. 52.2 %, p = 0.010). Multivariate analysis showed that only low VLPP was associated with a lower cure rate.

Conclusions

The cure rate of female SUI after the TVT-SECUR procedure was not sustained, but the overall success rate was maintained over time. Low VLPP predicted failure to sustain cure.

Available only for authorised users

Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:81–85, discussion 5–6PubMedCrossRef

Novara G, Galfano A, Boscolo-Berto R, Secco S, Cavalleri S, Ficarra V et al (2008) Complication rates of tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials comparing tension-free midurethral tapes to other surgical procedures and different devices. Eur Urol 53:288–308PubMedCrossRef

Deng DY, Rutman M, Raz S, Rodriguez LV (2007) Presentation and management of major complications of midurethral slings: Are complications under-reported? Neurourol Urodyn 26:46–52PubMedCrossRef

Delorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11:1306–1313PubMed

de Leval J (2003) Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 44:724–730PubMedCrossRef

Richter HE, Albo ME, Zyczynski HM, Kenton K, Norton PA, Sirls LT et al (2010) Retropubic versus transobturator midurethral slings for stress incontinence. N Engl J Med 362:2066–2076PubMedCrossRef

Angioli R, Plotti F, Muzii L, Montera R, Panici PB, Zullo MA (2010) Tension-free vaginal tape versus transobturator suburethral tape: five-year follow-up results of a prospective, randomised trial. Eur Urol 58:671–677PubMedCrossRef

Martan A, Svabik K, Masata J, Koleska T, El-Haddad R, Pavlikova M (2009) Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECUR* procedure. Int Urogynecol J Pelvic Floor Dysfunct

Debodinance P, Amblard J, Lucot JP, Cosson M, Villet R, Jacquetin B (2009) TVT Secur: prospective study and follow up at 1 year about 154 patients. J Gynecol Obstet Biol Reprod (Paris) 38:299–303CrossRef

10.

Neuman M (2008) Perioperative complications and early follow-up with 100 TVT-SECUR procedures. J Minim Invasive Gynecol 15:480–484PubMedCrossRef

11.

Lee KS, Lee YS, Seo JT, Na YG, Choo MS, Kim JC et al (2010) A prospective multicenter randomized comparative study between the U- and H-type methods of the TVT SECUR procedure for the treatment of female stress urinary incontinence: 1-year follow-up. Eur Urol 57:973–979PubMedCrossRef

12.

Meschia M, Barbacini P, Ambrogi V, Pifarotti P, Ricci L, Spreafico L (2009) TVT-secur: a minimally invasive procedure for the treatment of primary stress urinary incontinence. One year data from a multi-centre prospective trial. Int Urogynecol J Pelvic Floor Dysfunct 20:313–317PubMedCrossRef

13.

Coyne KS, Tubaro A, Brubaker L, Bavendam T (2006) Development and validation of patient-reported outcomes measures for overactive bladder: a review of concepts. Urology 68:9–16PubMedCrossRef

14.

Ghoniem G, Stanford E, Kenton K, Achtari C, Goldberg R, Mascarenhas T et al (2008) Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice. Int Urogynecol J Pelvic Floor Dysfunct 19:5–33PubMed

15.

Patrick DL, Martin ML, Bushnell DM, Yalcin I, Wagner TH, Buesching DP (1999) Quality of life of women with urinary incontinence: further development of the incontinence quality of life instrument (I-QOL). Urology 53:71–76PubMedCrossRef

16.

Jackson S, Donovan J, Brookes S, Eckford S, Swithinbank L, Abrams P (1996) The Bristol Female Lower Urinary Tract Symptoms questionnaire: development and psychometric testing. Br J Urol 77:805–812PubMedCrossRef

17.

De Ridder D, Berkers J, Deprest J, Verguts J, Ost D, Hamid D et al (2010) Single incision mini-sling versus a transobutaror sling: a comparative study on MiniArc and Monarc slings. Int Urogynecol J 21:773–778PubMedCrossRef

18.

Oliveira R, Botelho F, Silva P, Resende A, Silva C, Dinis P, et al. (2011) Single-incision sling system as primary treatment of female stress urinary incontinence: prospective 12 months data from a single institution. BJU Int

19.

Deffieux X, Daher N, Mansoor A, Debodinance P, Muhlstein J, Fernandez H (2010) Transobturator TVT-O versus retropubic TVT: results of a multicenter randomized controlled trial at 24 months follow-up. Int Urogynecol J Pelvic Floor Dysfunct 21:1337–1345CrossRef

20.

Palva K, Rinne K, Aukee P, Kivela A, Laurikainen E, Takala T et al (2010) A randomized trial comparing tension-free vaginal tape with tension-free vaginal tape-obturator: 36-month results. Int Urogynecol J Pelvic Floor Dysfunct 21:1049–1055CrossRef

21.

Cornu JN, Sebe P, Peyrat L, Ciofu C, Cussenot O, Haab F (2010) Midterm Prospective Evaluation of TVT-Secur Reveals High Failure Rate. Eur Urol 58:157–161PubMedCrossRef

22.

Hubka P, Masata J, Nanka O, Grim M, Martan A, Zvarova J (2009) Anatomical relationship and fixation of tension-free vaginal tape Secur. Int Urogynecol J Pelvic Floor Dysfunct 20:681–688PubMedCrossRef

23.

Hubka P, Nanka O, Martan A, Grim M, Zvarova J, Masata J (2011) TVT-S in the U position–anatomical study. Int Urogynecol J 22:241–246PubMedCrossRef

24.

McGuire EJ, Lytton B, Pepe V, Kohorn EI (1976) Stress Urinary Incontinence. Obstet Gynecol 47:255–264PubMed

25.

Rodriguez LV, de Almeida F, Dorey F, Raz S (2004) Does Valsalva leak point pressure predict outcome after the distal urethral polypropylene sling? Role of urodynamics in the sling era. J Urol 172:210–214PubMedCrossRef

26.

Schierlitz L, Dwyer PL, Rosamilia A, Murray C, Thomas E, De Souza A et al (2008) Effectiveness of tension-free vaginal tape compared with transobturator tape in women with stress urinary incontinence and intrinsic sphincter deficiency: a randomized controlled trial. Obstet Gynecol 112:1253–1261PubMedCrossRef

27.

Jeon MJ, Jung HJ, Chung SM, Kim SK, Bai SW (2008) Comparison of the treatment outcome of pubovaginal sling, tension-free vaginal tape, and transobturator tape for stress urinary incontinence with intrinsic sphincter deficiency. Am J Obstet Gynecol 199(76):e1–e4PubMed

28.

Doo CK, Hong B, Chung BJ, Kim JY, Jung HC, Lee KS et al (2006) Five-year outcomes of the tension-free vaginal tape procedure for treatment of female stress urinary incontinence. Eur Urol 50:333–338PubMedCrossRef

29.

Houwert RM, Renes-Zijl C, Vos MC, Vervest HA (2009) TVT-O versus Monarc after a 2-4-year follow-up: a prospective comparative study. Int Urogynecol J Pelvic Floor Dysfunct 20:1327–1333PubMedCrossRef

30.

Rezapour M, Ulmsten U (2001) Tension-Free vaginal tape (TVT) in women with mixed urinary incontinence–a long-term follow-up. Int Urogynecol J Pelvic Floor Dysfunct 12(Suppl 2):S15–S18PubMed

Title: Efficacy of TVT-SECUR and factors affecting cure of female stress urinary incontinence: 3-year follow-up
Authors: Ji-Yeon Han
Junsoo Park
Myung-Soo Choo
Publication date: 01-12-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 12/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1809-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Efficacy of TVT-SECUR and factors affecting cure of female stress urinary incontinence: 3-year follow-up

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 12/2012

Does pre-operative traction on the cervix approximate intra-operative uterine prolapse? Comment

Does the G-spot exist? A review of the current literature

Estrogen inhibits vaginal tropoelastin and TGF-β1 production

Vaginal incisional wound healing in a rabbit menopause model: A histologic analysis

Sexual function following outside-in transobturator midurethral sling procedures: a prospective study

Comparison of two classification systems for vesicovaginal fistula