Observational Study on the Implantation of the Tvtsecur Under Local Anesthesia

Gagnon, Louis-Olivier; Tu, Le Mai

doi:10.1016/s0022-5347(08)61514-1

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“…Our study demonstrated a comparable cure rate with the other sling methods, including TVT, the gold standard treatment for female SUI. A few studies have reported unfavorable outcomes for TVT-Secur [ 19 - 21 ]. Recently, however, a prospective study reported a 1-year cure rate as high as 93.5% [ 22 ].…”

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confidence: 99%

Randomized Comparative Study of the U- and H-Type Approaches of the TVT-Secur Procedure for the Treatment of Female Stress Urinary Incontinence: One-Year Follow-Up

Kim

Lee

2010

Korean J Urol

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PurposeWe compared outcomes of the U- and H-type approaches of the tension-free vaginal tape (TVT)-Secur procedure for the treatment of female stress urinary incontinence (SUI).Materials and MethodsFrom March 2007 to July 2008, 115 women with SUI underwent TVT-Secur by a single surgeon. Patients were randomly assigned to either the U- or the H-type approach. After 12 months, postoperative changes in the Sandvik questionnaire, incontinence quality of life questionnaire (I-QoL), Bristol female lower urinary tract symptoms-scored form (BFLUTS-SF), and postoperative patient satisfaction were evaluated. Cure was regarded as no leakage on the Sandvik questionnaire. Complications were also evaluated.ResultsOf 115 women, 53 were treated with the U approach, and 62 women were treated with the H approach. At 12 months, 88.7% of those treated with the U approach and 87.1% of those treated with the H approach were cured (p=0.796). The I-QoL and filling, incontinence, sexual function, and QoL sum (BFLUTS-SF) scores were improved with both approaches, and there were no significant differences in the degree of improvement between approaches. Approximately 83.7% and 82.9% of the women treated with the U and H approaches, respectively, were satisfied with the outcome (p=0.858). There were 3 cases of intra-operative vaginal wall perforation in the H-type group. Immediate postoperative retention was observed in 2 women in the U-type group and 1 woman in the H-type group. One woman in the U-type group underwent tape releasing and cutting procedures for persistent large post-void residuals.ConclusionsThe U- and the H-type approaches of the TVT-Secur procedure provided comparable effectiveness for the treatment of female SUI.

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Section: Discussionmentioning

confidence: 99%