title: Initial experience with a short, tension-free vaginal tape (the tension-free vaginal tape secur system).
abstract: OBJECTIVE
  The aim of this study is to present our first experience with a novel modification of the tension-free sling idea and to evaluate the safety and efficacy of this new procedure for the treatment of stress urinary incontinence in women.
  
  
  METHODS
  Eighty-five women with previously untreated stress urinary incontinence were recruited to participate in a clinical study. The efficacy of this surgical procedure was evaluated perioperatively and 3 months (+/-1 week) after operation--objectively by cough test and subjectively by the questionnaires Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire and the International Consultation on Incontinence Questionnaire-Short Form. All data were processed and statistical analyses performed in statistical environment R, version 2.5.1.
  
  
  RESULTS
  From our results we conclude that there were no perioperative complications, objectively 62% of these patients were completely dry and 25% of patients improved. We observed a higher proportion of vaginal wall erosion (7/85) and urgency de novo (5/85) in the learning period group with respect to the routine period group.
  
  
  CONCLUSIONS
  Our first experience with the tension-free vaginal tape secur system procedure is that it has a low percentage of perioperative complications. The learning curve has to be taken in account with reference to postoperative complications.
authors.affiliation: Department of Obstetrics and Gynaecology, 1st Faculty od Medicine, Charles University and General University Hospital in Prague, 12800 Prague, Czech Republic. martan@vfn.cz
authors.forename: Alois
authors.initials: A
authors.lastname: Martan
authors.forename: Kamil
authors.initials: K
authors.lastname: Svabík
authors.forename: Jaromir
authors.initials: J
authors.lastname: Masata
authors.forename: Tomas
authors.initials: T
authors.lastname: Koleska
authors.forename: Rachid
authors.initials: R
authors.lastname: El-Haddad
authors.forename: Marketa
authors.initials: M
authors.lastname: Pavlikova
mesh_terms: D000368:Aged; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*