title: Comparison of the TVT SECUR System "hammock" and "U" tape positions for management of stress urinary incontinence.
abstract: OBJECTIVE
  To assess the efficacy and complications associated with use of the TVT SECUR System device with placement of the tape in either a "hammock" or "U" position for management of stress urinary incontinence (SUI).
  
  
  METHODS
  A prospective study of patients with SUI allocated into one of two groups: "hammock" or "U" tape placement. Preoperative urodynamic results were compared with results at the 6-month and 1-year follow up. Outcome measures were objective cough test assessment and subjective patient responses to a questionnaire at follow up.
  
  
  RESULTS
  Of 82 patients included in the study, 43 comprised the "hammock" group and 39 comprised the "U" group. The objective cure rate at 1-year follow up was 62.8% (n=27) in the "hammock" group and 71.8% (n=28) in the "U" group. At 1-year follow up, the subjective cure, improvement, and failure rates for the "hammock" group were 60.5%, 13.9%, and 25.7% respectively, and 69.2%, 12.8%, and 17.9% respectively, for the "U" group.
  
  
  CONCLUSIONS
  The efficacy of the TVT SECUR System was lower (<72%) than the cure rates reported for other TVT procedures; further studies are required.
authors.affiliation: Second Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Athens, Greece.
authors.forename: Angelos
authors.initials: A
authors.lastname: Liapis
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Bakas
authors.forename: Georgios
authors.initials: G
authors.lastname: Creatsas
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D053825:Suburethral Slings; D017211:Treatment Failure; D014550:Urinary Incontinence, Stress / Q000601:surgery*