TVT-S for surgical treatment of stress urinary incontinence: prospective trial, 1-year follow-up.
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.
Krofta
Ladislav
L
Institute for the Care of Mother and Child, Podolske nabrezi 157, 147 00, Prague 4, Czech Republic. ladislav.krofta@post.cz
Feyereisl
Jaroslav
J
Velebil
Petr
P
Otcenásek
Michal
M
Kasíková
Eva
E
Krcmár
Michal
M
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