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Erschienen in:
01.07.2010 | Original Article
Experience with TVT-SECUR sling for stress urinary incontinence: a 141-case analysis
Erschienen in: International Urogynecology Journal | Ausgabe 7/2010
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Introduction and hypothesis
The objective of this study was to investigate complications, urinary incontinence symptoms, and overall satisfaction in patients undergoing the tension-free vaginal tape-SECUR (TVT-S) for stress urinary incontinence (SUI).
Methods
We reviewed consecutive patients treated with TVT-S between April, 2006 and August, 2007, in a urogynecology practice. Outcomes assessed included complications, voiding function, change in SUI symptoms on the Medical Epidemiological and Social Aspects of Aging (MESA) questionnaire, and overall satisfaction.
Results
One hundred forty-one women (age, 54.1 ± 12 years; BMI, 31.2 ± 6.6 kg/m2) were treated for SUI with the TVT-S; 34 required concomitant procedures. There were no intra-operative complications. Immediate post-operative voiding function returned in all but one patient; none required sling release. Most patients (90%) reported no pain on a verbal pain scale. On follow-up, 117 patients denied SUI symptoms, 16 reported mild symptoms, and eight required additional treatment. The average MESA “stress” subscore decreased by 79% (13.0 ± 7.8 points, p < 0.0001). Eighty-five percent felt “satisfied” with the procedure.
Conclusion
TVT-S is a safe and effective treatment for SUI.