Jiménez Calvo J, Hualde Alfaro A, Raigoso Ortega O, Cebrian Lostal J L, Alvarez Bandres S, Jiménez Parra J, Montesino Semper M, Santiago Gonzalez de Garibay A
Servicio de Urología, Hospital Virgen del Camino, Pamplona, Navarra.
Actas Urol Esp. 2008 Nov-Dec;32(10):1013-8. doi: 10.1016/s0210-4806(08)73980-9.
The purpose of this publication is to describe the surgical technique, assess complications and short-term results of TVT secur and MiniArc tapes.
From October 2006 to August 2007 it was carried out the surgical correction with TVT Secur,Women's Health & Urology, Ethicon, Johnson & Johnson, placing the tape as a hammock, to 51 patients, 38 of them with pure stress incontinence and 13 with mixed incontinence and with an average age of 57 years. From September 2007 to February 2008 41 patients, 33 of them with pure stress incontinence and 8 with mixed incontinence, with an average of age of 58 years were operated with AMS Miniarc swing system tape, posted on hammock. All procedures were performed with sedoanalgesia and Ambulatory Surgery regime. Patients were monitored in outpatient visits one month, 3 months and one year after surgical procedure. Medical history and questionnaire and ICIQ-SF, to which we added a question to quantify the degree of satisfaction, as well as physical examination, were done. We compared the results of both technical procedures and statistical survey was conducted by Student test. [Analysis with SPSS software (V14.0)].
The median follow-up in TVT secur group was 328 days (range 163-522 days) and 101 days (range 41-209 days) inthe MiniArc group. We only had one (TVT secur group) surgical complication in all the series (92 patients) being a bladder perforation. Taking into account that we read a negative test effort as an objective cure in the TVT secur group, 80.4% patients are cured and 90.2% inthe MiniArc group without significant difference between both groups (p 0095). To assess the subjective healing we utilized the ICIQ-SF test and the satisfaction extra-question and we noted that there is no significant difference between the first and third month controls. (90% of patients satisfied). 80% of patients were completely satisfied in the first year control that was only performed to TVT secur group.
These new tapes show fewer complications that the TVT-O and TOT tapes and allow the possibility of placement with local anesthesia but further studies are needed.
本出版物的目的是描述TVT Secur和MiniArc吊带的手术技术，评估并发症及短期效果。
2006年10月至2007年8月，对51例患者采用TVT Secur（强生公司Ethicon女性健康与泌尿外科产品）进行手术矫正，将吊带置于膀胱颈下，其中38例为单纯性压力性尿失禁，13例为混合性尿失禁，平均年龄57岁。2007年9月至2008年2月，对41例患者采用AMS Miniarc摆动系统吊带进行手术，将吊带置于膀胱颈下，其中33例为单纯性压力性尿失禁，8例为混合性尿失禁，平均年龄58岁。所有手术均在镇静镇痛及门诊手术模式下进行。术后1个月、3个月及1年对患者进行门诊随访，记录病史、填写问卷及ICIQ-SF量表（我们增加了一个问题以量化满意度），并进行体格检查。我们比较了两种技术的手术效果，并采用学生检验进行统计学分析（使用SPSS软件V14.0）。
TVT Secur组的中位随访时间为328天（范围163 - 522天），MiniArc组为101天（范围41 - 209天）。在所有92例患者中，仅发生1例手术并发症（TVT Secur组），为膀胱穿孔。在TVT Secur组，将阴性试验结果视为客观治愈，80.4%的患者治愈，MiniArc组为90.2%，两组间无显著差异（p = 0.095）。为评估主观治愈情况，我们采用ICIQ-SF量表及满意度附加问题，发现第1个月和第3个月的检查结果无显著差异（90%的患者满意）。仅对TVT Secur组进行了第1年的检查，80%的患者完全满意。
这些新型吊带的并发症少于TVT-O和TOT吊带，且可在局部麻醉下放置，但仍需进一步研究。
