Third-Generation Tension-Free Tape for Female Stress Urinary Incontinence

Purpose

We reviewed our experience with the TVT-Secur™ tension-free tape for stress urinary incontinence in females. We evaluated operative time, complications, the continence rate and patient satisfaction at followup. Ethics committee approval was not required.

Materials and Methods

A total of 32 hammock-shaped tape interventions were performed between November 2006 and April 2008 at our hospital. All patients had stress urinary incontinence, which was pure in 20 and associated with prolapse of other pelvic organs in 12. Each patient underwent urogynecological assessment with urodynamic evaluation and performed a quality of life questionnaire. We excluded from analysis all patients with intrinsic sphincteric deficiency. Patients were followed for continence and satisfaction. Therapeutic failure was defined as persistent urinary stress incontinence affecting quality of life, as reported by patients and on clinical examination.

Results

None of the 32 women had any surgical complication, postoperative pain or blood loss greater than 100 cc. Some minor complications were recorded and the sling eroded in 1 case. Urinary continence was achieved in all patients after surgery and at assessments 12 to 18 months later. All patients confirmed immediate satisfaction with continence and pain on the questionnaire.

Conclusions

TVT-Secur is a minimally invasive, safe and easy surgical technique for stress urinary incontinence in females. To compare this procedure to other tension-free techniques longer and more detailed followup is necessary in more patients. However, this tape may be associated with fewer complications.

Key Words: urethra, female, urinary incontinence, stress, suburethral slings, prolapse

Abbreviations and Acronyms: ISD, intrinsic sphincter deficiency, SUI, stress UI, TOT, tension-free transobturator tape, UI, urinary incontinence