Complications and Early Follow-Up
Menahem Neuman, MD, Tel–Aviv, Israel,
Walter Artibani, MD, Padova, Italy
evaluate the early outcome of a new minimally invasive
Prospective observational and consecutive data collection with an
urodynamically proven stress urinary incontinence patient series.
The TVT-SECUR requires no skin incisions, bladder catheterization or
Operations, 44.0% had additive pelvic
floor surgery, 5.0% had vaginal hysterectomies.
Complications: Tape loosening - 0.5%, 0.5% - self absorbed
para-vesical hematoma, 16.7% - tape removal, 10.0% - tape
No bowel, bladder, or urethral injuries, intra-operative bleeding or
post-operative infections were evident.
Pain level (0-10 analogue scale) = 2.5.
Pts No. 1- 30 and No. 61 - 90 were compared: failure: 26.7% Vs 10%,
satisfaction (>80%): 66.7% Vs 93.3%.
Operative complications associated with the TVT, such as bladder
penetration and post-operative outlet obstruction as well as the
TVT-Obturator complications such as post operative thigh pain and
bladder outlet obstruction seem to be reduced with the TVT-SECUR,
yet the early therapeutic results seems to be maintained. The TVT
SECUR is potentially and improvement of previous mid urethral tapes.
Source: European Urology Association,
Annual meeting, 2008, Milan, Italy of P-864