title: TVT SECUR System: Final results of a prospective, observational, multicentric study.
abstract: OBJECTIVE
  This is an observational multicentre prospective study into the complications and effectiveness of TVT SECUR™.
  
  
  METHODS
  One hundred forty-seven patients with urodynamic or occult Stress Urinary Incontinence (SUI) were enrolled. Outcome measures at 6, 12 and 24 months were: objective cough test; subjective responses to PGI-S questionnaire and Visual Analogue Score.
  
  
  METHODS
  Wilcoxon Test; Monte Carlo Exact Test.
  
  
  RESULTS
  Ninety-five urodynamic SUI and 41 occult SUI patients were treated using transobturator (H-position) or retropubic (U-position) approach (110 vs. 26 patients). Cure rates at 6, 12, and 24 months were 87.5%, 88.6% and 89.5%. Failure rates at all follow-ups were similar for urodynamic and occult SUI. The U-position failure rate was comparable to H-position at short-term but significantly higher at mid-term. Familiarity with the technique brought significantly higher success rates.
  
  
  CONCLUSIONS
  TVT SECUR is safe, effective and versatile, but has an appreciable learning curve.
authors: Department of Obstetrics and Gynaecology, Desio Hospital, Desio, Italy.
authors: Francesco
authors: F
authors: Bernasconi
authors: Valerio
authors: V
authors: Napolitano
authors: Franca
authors: F
authors: Natale
authors: Vincenzo
authors: V
authors: Leone
authors: Davide
authors: D
authors: Lijoi
authors: Mauro
authors: M
authors: Cervigni
mesh_terms: D000368:Aged; D016063:Blood Loss, Surgical; D002983:Clinical Competence; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D059032:Learning Curve; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D009010:Monte Carlo Method; D011446:Prospective Studies; D011475:Prosthesis Failure / Q000209:etiology; D012008:Recurrence; D012086:Reoperation; D018709:Statistics, Nonparametric; D053825:Suburethral Slings / Q000009:adverse effects; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000145:classification / Q000601:surgery*; D016055:Urinary Retention / Q000209:etiology