title: TVT-S for surgical treatment of stress urinary incontinence: prospective trial, 1-year follow-up.
abstract: OBJECTIVE
  The aim of this study was to evaluate the effectiveness of and morbidity associated with the tension-free vaginal tape-secur (TVT-S) procedure in women with stress urinary incontinence (SUI).
  
  
  METHODS
  We performed a prospective trial, examining 86 women with primary SUI. Eighty-two patients had a 1-year follow-up (dropout rate = 4.6%). The preoperative evaluation included urinalysis, urodynamic studies, and validated questionnaires. The 1-year outcome evaluation also included a 1-h pad testing.
  
  
  RESULTS
  At the 1-year follow-up, 43 (52.4%) women were objectively cured, and 14 (17.1%) women were objectively improved. Subjectively, 49 (59.7%) patients did not experience urine loss, and 18 (22.2%) women improved in this respect. Postoperative de novo urge incontinence symptoms developed in 24.4% (n = 20) of patients. Vaginal defect healing occurred in 6.1% (n = 5) of patients, and one (1.2%) case of urethral erosion was reported.
  
  
  CONCLUSIONS
  Objective and subjective cure rates following TVT-S are inferior to other tape procedures.
authors.affiliation: Institute for the Care of Mother and Child, Podolske nabrezi 157, 147 00, Prague 4, Czech Republic. ladislav.krofta@post.cz
authors.forename: Ladislav
authors.initials: L
authors.lastname: Krofta
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Feyereisl
authors.forename: Petr
authors.initials: P
authors.lastname: Velebil
authors.forename: Michal
authors.initials: M
authors.lastname: Otcenásek
authors.forename: Eva
authors.initials: E
authors.lastname: Kasíková
authors.forename: Michal
authors.initials: M
authors.lastname: Krcmár
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D053825:Suburethral Slings; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods