Mid-term follow-up of the TVT-Secur® midurethral sling for primary stress incontinence

被引:5
作者
Angleitner-Flotzinger, Johannes [1 ]
Aigmueller, Thomas [2 ]
机构
[1] Krankenhaus Barmherzigen Schwestem, Dept Gynecol, Linz, Austria
[2] Med Univ Graz, Dept Obstet & Gynecol, A-8036 Graz, Austria
关键词
Incontinence surgery; Mini-sling; Stress urinary incontinence; Tape; TVT; TVT-Secur; FREE VAGINAL TAPE; URINARY-INCONTINENCE; TVT-SECUR; COMPARING TVT; MULTICENTER; EFFICACY; HAMMOCK; SAFETY;
D O I
10.1016/j.ejogrb.2014.06.015
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: The TVT-Secur (R) 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. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:24 / 27
页数:4
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