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Angleitner-Flotzinger, J; Aigmueller, T.
Mid-term follow-up of the TVT-Secur midurethral sling for primary stress incontinence.
Eur J Obstet Gynecol Reprod Biol. 2014; 180(4):24-27 Doi: 10.1016/j.ejogrb.2014.06.015
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Leading authors Med Uni Graz
Aigmüller Thomas
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Abstract:
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. 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. 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. At 2.4 years, the TVT-Secur appears to have a low adverse events profile but inferior results compared with traditional midurethral slings. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Aged, 80 and over -
Cohort Studies -
Female -
Follow-Up Studies -
Humans -
Middle Aged -
Patient Satisfaction -
Reoperation -
Retrospective Studies -
Suburethral Slings -
Treatment Outcome -
Urinary Incontinence, Stress - surgery
Urologic Surgical Procedures -

Find related publications in this database (Keywords)
Incontinence surgery
Mini-sling
Stress urinary incontinence
Tape
TVT
TVT-Secur
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