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Archives of Gynecology and Obstetrics
Published in: Archives of Gynecology and Obstetrics 2/2012

01-08-2012 | General Gynecology

TVT-Secur for the treatment of female stress urinary incontinence: a 24-month follow-up retrospective study

Authors: Giovanni A. Tommaselli, Costantino Di Carlo, Carmen Formisano, Annamaria Fabozzi, Carmine Nappi

Published in: Archives of Gynecology and Obstetrics | Issue 2/2012

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Abstract

Purpose

To evaluate the mid-term efficacy and safety of the TVT-Secur device in the treatment of stress urinary incontinence.

Study design

Retrospective study evaluating 68 women affected by stress urinary incontinence treated with TVT-Secur procedure with hammock approach who attended the 24-month follow-up visit. Stress test, urodynamics, patient functional and quality of life questionnaires, visual analog scale pain score, and post-operative complications were evaluated. Data distribution was evaluated using the Shapiro–Wilk’s test. Data were analyzed by the Student’s t test for parametric variables, the Wilcoxon test for non-parametric variables, and the Chi-squared test for categorized variables.

Results

Objective cure rate 24 months after surgery was 80.8 %. Incontinence-quality of life and patient global impression of severity scores showed significant improvement. The only intra-operative complications were a vaginal wall tear and a case of severe bleeding, while post-operative complications were de novo urgency in five cases (7.3 %), one acute urinary retention (1.4 %), and one tape exposure (1.4 %). The study is limited by the retrospective design and the heterogeneity of patients.

Conclusions

TVT-Secur seems to be an effective and safe procedure for stress urinary incontinence.
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Metadata
Title
TVT-Secur for the treatment of female stress urinary incontinence: a 24-month follow-up retrospective study
Authors
Giovanni A. Tommaselli
Costantino Di Carlo
Carmen Formisano
Annamaria Fabozzi
Carmine Nappi
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 2/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-012-2322-6

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