title: Efficacy and safety of TVT-O and TVT-Secur in the treatment of female stress urinary incontinence: 1-year follow-up.
abstract: OBJECTIVE
  To reduce complications of transobturator tension-free vaginal tape, single-incision devices were introduced in the last years. We here report a comparison between the tension-free vaginal tape-obturator (TVT-O) and the TVT-Secur techniques in terms of efficacy and safety.
  
  
  METHODS
  Eighty-four patients with stress urinary incontinence (SUI) were scheduled to undergo TVT-O or TVT-Secur. Duration of the procedure, subjective estimate of blood loss, intraoperative and postoperative complications, postoperative postvoidal residue (PVR), time to first voiding, and pain level were recorded. Urodynamic tests, PVR, Incontinence Questionnaire Short Form (ICIQ-SF), King's Health Questionnaire, and a urinary diary were performed before and 12 months after procedure.
  
  
  RESULTS
  No differences in terms of cure rate were observed between the two groups (81.6% vs. 83.8%). Complication rate in the TVT-Secur group was lower (8.1%) than in the TVT-O group (15.8%), but not significant.
  
  
  CONCLUSIONS
  Both techniques seem to be effective and safe, with a low incidence of complications in both groups.
authors.affiliation: Department of Obstetrics and Gynecology, University of Naples Federico II, Via S. Pansini, 5, 80131, Naples, Italy. gtommaselli@yahoo.it
authors.forename: Giovanni A
authors.initials: GA
authors.lastname: Tommaselli
authors.forename: Costantino
authors.initials: C
authors.lastname: Di Carlo
authors.forename: Virginia
authors.initials: V
authors.lastname: Gargano
authors.forename: Carmen
authors.initials: C
authors.lastname: Formisano
authors.forename: Mariamaddalena
authors.initials: M
authors.lastname: Scala
authors.forename: Carmine
authors.initials: C
authors.lastname: Nappi
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D011474:Prosthesis Design; D012074:Remission Induction; D016037:Single-Blind Method; D053825:Suburethral Slings / Q000009:adverse effects; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000601:surgery*