Efficacy and postoperative complication of tension-free vaginal tape-Secur for female stress urinary incontinence.
- Author:
Ying-he CHEN
1
;
Yi-jun WANG
;
Fei-ping LI
;
Qian WANG
Author Information
- Publication Type:Journal Article
- MeSH: Female; Humans; Middle Aged; Postoperative Complications; Suburethral Slings; adverse effects; Treatment Outcome; Urinary Incontinence, Stress; surgery
- From: Chinese Medical Journal 2011;124(9):1296-1299
- CountryChina
- Language:English
-
Abstract:
BACKGROUNDAs the third-generation tension-free tape for female stress urinary incontinence (SUI), tension-free vaginal tape (TVT)-Secur has decreased the common complications associated with TVT and tension-free vaginal tape-transobturator (TVT-O), such as bladder perforation and obstruction of the bladder outlet; but its efficacy and persistence were still controversial. The aim of this study was to prospectively evaluate and compare the postoperative efficacy and complication at different follow-up time.
METHODSPatients with SUI, who underwent TVT-Secur treatment in two hospitals from October 2008 to October 2009, were selected. By analyzing preoperative and intraoperative data and postoperative complications, the therapeutic effect and satisfaction at different follow-up stages were evaluated.
RESULTSA total of 30 female patients participated in this study. Patients were scheduled for follow-up at the 1st month, 3rd month, 6th month and 12th month, while the cure rate was 83.3% (25 patients), 66.7% (20 patients), 63.3% (19 patients) and 60.0% (18 patients) respectively and the overactive bladder (OAB) symptoms appeared in 11 patients (36.7%), 10 patients (33.3%), 6 patients (20%) and 7 patients (23.3%) respectively.
CONCLUSIONWith the follow-up time becoming longer, TVT-Secur has a high recurrence rate of SUI, the therapeutic effect from the 3rd month to the 12th month is relatively persistent.