title: TVT-Secur for the treatment of female stress urinary incontinence: a 24-month follow-up retrospective study.
abstract: OBJECTIVE
  To evaluate the mid-term efficacy and safety of the TVT-Secur device in the treatment of stress urinary incontinence.
  
  
  METHODS
  Retrospective study evaluating 68 women affected by stress urinary incontinence treated with TVT-Secur procedure with hammock approach who attended the 24-month follow-up visit. Stress test, urodynamics, patient functional and quality of life questionnaires, visual analog scale pain score, and post-operative complications were evaluated. Data distribution was evaluated using the Shapiro-Wilk's test. Data were analyzed by the Student's t test for parametric variables, the Wilcoxon test for non-parametric variables, and the Chi-squared test for categorized variables.
  
  
  RESULTS
  Objective cure rate 24 months after surgery was 80.8 %. Incontinence-quality of life and patient global impression of severity scores showed significant improvement. The only intra-operative complications were a vaginal wall tear and a case of severe bleeding, while post-operative complications were de novo urgency in five cases (7.3 %), one acute urinary retention (1.4 %), and one tape exposure (1.4 %). The study is limited by the retrospective design and the heterogeneity of patients.
  
  
  CONCLUSIONS
  TVT-Secur seems to be an effective and safe procedure for stress urinary incontinence.
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: Carmen
authors.initials: C
authors.lastname: Formisano
authors.forename: Annamaria
authors.initials: A
authors.lastname: Fabozzi
authors.forename: Carmine
authors.initials: C
authors.lastname: Nappi
mesh_terms: D000208:Acute Disease; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011788:Quality of Life; D012189:Retrospective Studies; D012720:Severity of Illness Index; D053825:Suburethral Slings / Q000009:adverse effects*; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D016055:Urinary Retention / Q000209:etiology; D014563:Urodynamics / Q000502:physiology; D014592:Uterine Hemorrhage / Q000209:etiology; D014621:Vagina / Q000293:injuries