A new technique for surgical treatment of stress urinary incontinence: the TVT-secur

F Gorlero, D Lijoi, M Glorio, E Mistrangelo, A Nicoletti, S Ferrero, N Ragni
Minerva Ginecologica 2008, 60 (6): 459-68

AIM: The aim of this pilot study was to evaluate the surgical feasibility of a new device for the treatment of stress urinary incontinence, named tension-free vaginal tape (TVT)-secur. Fifteen patients underwent the TVT-secur procedure.

METHODS: The mean operation time was 13 minutes (range, 7-21). There was no intraoperative complication. Duration of surgery was shorter in the second half of cases than in the first eight procedures.

RESULTS: The number of technical difficulties experienced by the surgeon was significantly higher in the first 8 procedures than in the following 7 cases; these difficulties included bleeding reducing the identification of anatomical structures, dislocation or removal of the mesh tape during the removal of the inserter, need to repeat the procedure. The cure rate, determined by urodynamic study, was 80% at 3 months follow-up. The cought test was negative in 86.7% of women at 6 months follow-up.

CONCLUSION: The implantation of the TVT-secur is simple, safe, and minimally invasive with a short learning curve.

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