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[TVT Secur: prospective study and follow up at 1 year about 154 patients].
- Source :
-
Journal de gynecologie, obstetrique et biologie de la reproduction [J Gynecol Obstet Biol Reprod (Paris)] 2009 Jun; Vol. 38 (4), pp. 299-303. Date of Electronic Publication: 2009 Apr 28. - Publication Year :
- 2009
-
Abstract
- Objectives: To evaluate the efficacy and complications of this new sub-urethral tape procedure with a follow up of 12 months.<br />Materials and Methods: Prospective, multicenter study of 154 patients operated for stress urinary incontinence with the TVT Secur. Patients were operated between 24 July 2006 and 18 December 2007 and were all controlled at 2 months and 118 at 1 year. No associated surgical procedure was performed.<br />Results: One hundred five patients had pure stress incontinence with 12 of them presenting an intrinsic sphincter deficient. Forty-nine had a mixed urinary incontinence with 12 of them having ISD. Preoperatively, 69 patients complained of urgency and 12 of micturation disorder. Anaesthesia was local for 97 patients (63%). Per operative complications were five hemorrhages, one bladder injury, one vaginal wound, 21 patients had post-void residual volume (100 to 200ml) and one groin pain. We noted two exposed tapes, one granuloma, one ITU and seven lateral vaginal bands. Among the patients with urge at baseline, 61.2% were cured at 2 months and 75.5% at 1 year. De novo urge appeared in 12.8% at 2 months and 12.3% at 1 year. De novo micturation disorder was found in 9.5% at 2 months and 3.7% at 1 year. The cured patients at 1 year were 70.3%, improved 11% and fails 18.7%. The cured rate remains same between 2 months and 1 year. The improved patients (24%) at 2 months remain 11% at 1 year. The recurrence rate was 12,8% at 1 year.<br />Conclusion: The results are inferior to TVT or TVT-O procedures. We probably must selected the patients for this procedure.
- Subjects :
- Adult
Aged
Aged, 80 and over
Equipment Design
Follow-Up Studies
Humans
Hysterectomy statistics & numerical data
Longitudinal Studies
Menopause
Middle Aged
Prosthesis Implantation instrumentation
Time Factors
Treatment Outcome
Prosthesis Implantation methods
Urinary Incontinence, Stress surgery
Subjects
Details
- Language :
- French
- ISSN :
- 0368-2315
- Volume :
- 38
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal de gynecologie, obstetrique et biologie de la reproduction
- Publication Type :
- Academic Journal
- Accession number :
- 19403242
- Full Text :
- https://doi.org/10.1016/j.jgyn.2009.03.011