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Short-term assessment of a tension-free vaginal tape for treating female stress urinary incontinence.
BJU Int. 2009 Jul; 104(2):225-8.BI

Abstract

OBJECTIVE

To evaluate the short-term surgical complications and results of a tension-free vaginal tape (TVT) system (TVT-Secur, Gynecare, Ethicon, Somerville, NJ, USA) in the treatment of female stress urinary incontinence (SUI).

PATIENTS AND METHODS

TVT-Secur was applied to 107 women with SUI through a vaginal incision and left abutting the urethra. Postoperative pain, complications, de novo lower urinary tract symptoms, incontinence cure rate and the King's Health Questionnaire (KHQ) score were evaluated.

RESULTS

The operative duration was 12 min; the mean pain score was 2.3 and only one patient had transient voiding difficulties. After a mean follow-up of 15 months, 71% of the patients were dry and 14% improved. The KHQ scores decreased significantly for most subscores. Urgency appeared de novo in six patients (5.6%), and vaginal erosion required one TVT-Secur explantation.

CONCLUSION

This study shows that TVT-Secur is a simple and safe treatment for female SUI, but before recommending this sling as a first choice for treating SUI, TVT-Secur must pass the test of time and comparative studies with conventional slings.

Authors+Show Affiliations

Hospital de São João, Serviço de Urologia, Porto, Portugal.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

19154506

Citation

Oliveira, Rui, et al. "Short-term Assessment of a Tension-free Vaginal Tape for Treating Female Stress Urinary Incontinence." BJU International, vol. 104, no. 2, 2009, pp. 225-8.
Oliveira R, Silva A, Pinto R, et al. Short-term assessment of a tension-free vaginal tape for treating female stress urinary incontinence. BJU Int. 2009;104(2):225-8.
Oliveira, R., Silva, A., Pinto, R., Silva, J., Silva, C., Guimarães, M., Dinis, P., & Cruz, F. (2009). Short-term assessment of a tension-free vaginal tape for treating female stress urinary incontinence. BJU International, 104(2), 225-8. https://doi.org/10.1111/j.1464-410X.2008.08330.x
Oliveira R, et al. Short-term Assessment of a Tension-free Vaginal Tape for Treating Female Stress Urinary Incontinence. BJU Int. 2009;104(2):225-8. PubMed PMID: 19154506.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Short-term assessment of a tension-free vaginal tape for treating female stress urinary incontinence. AU - Oliveira,Rui, AU - Silva,André, AU - Pinto,Rui, AU - Silva,João, AU - Silva,Carlos, AU - Guimarães,Miguel, AU - Dinis,Paulo, AU - Cruz,Francisco, Y1 - 2009/01/19/ PY - 2009/1/22/entrez PY - 2009/1/22/pubmed PY - 2009/8/13/medline SP - 225 EP - 8 JF - BJU international JO - BJU Int VL - 104 IS - 2 N2 - OBJECTIVE: To evaluate the short-term surgical complications and results of a tension-free vaginal tape (TVT) system (TVT-Secur, Gynecare, Ethicon, Somerville, NJ, USA) in the treatment of female stress urinary incontinence (SUI). PATIENTS AND METHODS: TVT-Secur was applied to 107 women with SUI through a vaginal incision and left abutting the urethra. Postoperative pain, complications, de novo lower urinary tract symptoms, incontinence cure rate and the King's Health Questionnaire (KHQ) score were evaluated. RESULTS: The operative duration was 12 min; the mean pain score was 2.3 and only one patient had transient voiding difficulties. After a mean follow-up of 15 months, 71% of the patients were dry and 14% improved. The KHQ scores decreased significantly for most subscores. Urgency appeared de novo in six patients (5.6%), and vaginal erosion required one TVT-Secur explantation. CONCLUSION: This study shows that TVT-Secur is a simple and safe treatment for female SUI, but before recommending this sling as a first choice for treating SUI, TVT-Secur must pass the test of time and comparative studies with conventional slings. SN - 1464-410X UR - https://www.unboundmedicine.com/medline/citation/19154506/Short_term_assessment_of_a_tension_free_vaginal_tape_for_treating_female_stress_urinary_incontinence_ L2 - https://doi.org/10.1111/j.1464-410X.2008.08330.x DB - PRIME DP - Unbound Medicine ER -