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TVT SECUR System: Final results of a prospective, observational, multicentric study.

作者信息

Bernasconi Francesco, Napolitano Valerio, Natale Franca, Leone Vincenzo, Lijoi Davide, Cervigni Mauro

机构信息

Department of Obstetrics and Gynaecology, Desio Hospital, Desio, Italy.

出版信息

Int Urogynecol J. 2012 Jan;23(1):93-8. doi: 10.1007/s00192-011-1520-2. Epub 2011 Sep 2.

DOI:10.1007/s00192-011-1520-2
PMID:21887551
Abstract

INTRODUCTION AND HYPOTHESIS

This is an observational multicentre prospective study into the complications and effectiveness of TVT SECUR™.

METHODS

One hundred forty-seven patients with urodynamic or occult Stress Urinary Incontinence (SUI) were enrolled. Outcome measures at 6, 12 and 24 months were: objective cough test; subjective responses to PGI-S questionnaire and Visual Analogue Score.

STATISTICAL ANALYSIS

Wilcoxon Test; Monte Carlo Exact Test.

RESULTS

Ninety-five urodynamic SUI and 41 occult SUI patients were treated using transobturator (H-position) or retropubic (U-position) approach (110 vs. 26 patients). Cure rates at 6, 12, and 24 months were 87.5%, 88.6% and 89.5%. Failure rates at all follow-ups were similar for urodynamic and occult SUI. The U-position failure rate was comparable to H-position at short-term but significantly higher at mid-term. Familiarity with the technique brought significantly higher success rates.

CONCLUSIONS

TVT SECUR is safe, effective and versatile, but has an appreciable learning curve.

摘要

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