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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
Web of Science
PubMed
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- Leading authors Med Uni Graz
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Aigmüller Thomas
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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.
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Adult -
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Aged -
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Aged, 80 and over -
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Cohort Studies -
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Female -
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Follow-Up Studies -
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Humans -
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Middle Aged -
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Patient Satisfaction -
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Reoperation -
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Retrospective Studies -
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Suburethral Slings -
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Treatment Outcome -
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Urinary Incontinence, Stress - surgery
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Urologic Surgical Procedures -
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Incontinence surgery
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Mini-sling
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Stress urinary incontinence
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Tape
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TVT
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TVT-Secur