Mid-term follow-up of the TVT-Secur midurethral sling for primary stress incontinence.
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.
['Angleitner-Flotzinger|Johannes|J|', 'Aigmueller|Thomas|T|']
D000328:Adult D000368:Aged D000369:Aged, 80 and over D015331:Cohort Studies D005260:Female D005500:Follow-Up Studies D006801:Humans D008875:Middle Aged D017060:Patient Satisfaction D012086:Reoperation D012189:Retrospective Studies D053825:Suburethral Slings D016896:Treatment Outcome D014550:Urinary Incontinence, Stress D013520:Urologic Surgical Procedures
TVT-Secur Tape Incontinence surgery Mini-sling Stress urinary incontinence TVT