Complications and Early Follow-Up

Menahem Neuman, MD, Tel–Aviv, Israel, Walter Artibani, MD, Padova, Italy


To evaluate the early outcome of a new minimally invasive anti-incontinence operation.


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 intra-operative cystoscopy.

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 protrusion.
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



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