https://doi.org/10.4081/uij.2009.3.31

SUI AND TVT IUS ND TVT SECURE SYSTEM: A PROSPECTIVE OBSERVATIONAL MULTICENTRIC STUDY. MORBIDITY AND SHORT-TERM PERCENTAGES OF SUCCESS

Vol. 23 No. 3 (2009)
Submitted: 27 September 2010
Accepted: 27 September 2010
Published: 27 September 2010
Synthetic, biosynthetic meshes, pelvic organ prolapse.
Abstract Views: 374
PDF: 349
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

F. Bernasconi
mikimos@mac.com
V. Napolitano
M. Primicerio
D. Lijoi
E. Leone
F. Armitano
M. Luerti
G.C. Sugliano
D. Vitobello
D. Riva
D. Gregori
The aim of this study was to evaluate perioperative morbidity and shortterm efficacy of TVT-Secur in treating female stress urinary incontinence. Data from 147 patients with urodynamic and/or occult SUI who were treated with TVTsecur in each single centre between 1st March 2007 and 31st December 2007 were collected. In positioning the sling, 74.8% of the surgeons chose the transobturator approach (110/147) and the remaining 25.2% chose the retropubic one. In 64.6% of patients (95/147) with urethral hypermobility and cystocoele =<2° degree according to POP-Q classification system, only isolated urodynamic SUI was treated (Group A); in 52 patients TVTsecur was used to treat an occult SUI associated with complex genital prolapse (Group B). Intra-operative complications were observed in the whole population: 2 slings had to be re-positioned; 1 deep vaginal laceration occurred and a new sling was implanted; 5 patients presented PE >=200ml. Post-operative morbidity was represented by 1 haematoma that disappeared spontaneously; 1 case of temporary pain that stopped within 7 days; 8 patients had urinating difficulties (RV>100ml), 5 of whom were in Group B. At the short-term follow up this technique’s success percentage with respect to the total population was 87.5% (119/136), 85.3% in Group A (81/95) and 90.3% (37/41) in Group B. The data collected show that when treating female stress urinary incontinence, TVTsecur represents an innovative, simpler and safer, therapeutic alternative, and its efficacy equals that of retropubic and/or transobturator traditional midurethral slings.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC

How to Cite

Bernasconi, F., Napolitano, V., Primicerio, M., Lijoi, D., Leone, E., Armitano, F., Luerti, M., Sugliano, G., Vitobello, D., Riva, D., & Gregori, D. (2010). SUI AND TVT IUS ND TVT SECURE SYSTEM: A PROSPECTIVE OBSERVATIONAL MULTICENTRIC STUDY. MORBIDITY AND SHORT-TERM PERCENTAGES OF SUCCESS. Urogynaecologia, 23(3), 31–54. https://doi.org/10.4081/uij.2009.3.31

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.

An Open Access Publication is one that meets the following two conditions:

  1. the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.
  2. a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.