Efficacy and safety of TVT-O and TVT-Secur in the treatment of female stress urinary incontinence: 1-year follow-up.
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.
Tommaselli
Giovanni A
GA
Department of Obstetrics and Gynecology, University of Naples Federico II, Via S. Pansini, 5, 80131, Naples, Italy. gtommaselli@yahoo.it
Di Carlo
Costantino
C
Gargano
Virginia
V
Formisano
Carmen
C
Scala
Mariamaddalena
M
Nappi
Carmine
C
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*