Mid-term follow-up of the TVT-Secur® midurethral sling for primary stress incontinence
| Autor: | Johannes Angleitner-Flotzinger, T. Aigmueller |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Reoperation medicine.medical_specialty Stress incontinence Sling (implant) Urinary Incontinence Stress media_common.quotation_subject Physical examination Urination Cohort Studies Hematoma medicine Humans Adverse effect Aged Retrospective Studies media_common Aged 80 and over Suburethral Slings medicine.diagnostic_test business.industry Obstetrics and Gynecology Retrospective cohort study Middle Aged medicine.disease Surgery Treatment Outcome Reproductive Medicine Patient Satisfaction Urologic Surgical Procedures Urodynamic testing Female business Follow-Up Studies |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 180:24-27 |
| ISSN: | 0301-2115 |
| DOI: | 10.1016/j.ejogrb.2014.06.015 |
| Popis: | Objective 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. Study design 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. Results 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. Conclusion At 2.4 years, the TVT-Secur appears to have a low adverse events profile but inferior results compared with traditional midurethral slings. |
| Databáze: | OpenAIRE |
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