title: TVT-Secur in office sling procedure under local anesthesia: a prospective 2-year analysis.
abstract: OBJECTIVE
  Our objective was to assess long-term safety, feasibility, and success of performing single-incision mini-sling tension-free vaginal tape (TVT)-Secur (TVT-S) procedure in the office under local anesthesia for stress urinary incontinence.
  
  
  METHODS
  Fifty subjects were enrolled from October 2008 to May 2009. The TVT-S procedure (Hammock approach) was performed per strict guidelines. Success was based on a composite score of 7 subjective and objective measures at 24 months.
  
  
  RESULTS
  Success per the composite score was 80%. Retreatment for stress urinary incontinence was 9%. There was significant improvement in quality of life and symptom relief scores (P<0.001). Ninety-four percent were satisfied with the surgical outcome, and 98% felt they made the right decision. There were no intraoperative injuries or complications. Two subjects had mesh exposure in the vagina.
  
  
  CONCLUSIONS
  In-office single-incision mini-sling TVT-S is safe, feasible, and successful with minimal complications; however, strict criteria need to be followed.
authors: Oakwood Hospital and Medical Center, Dearborn, MI 48124, USA. admin@augm.org
authors: Salil
authors: S
authors: Khandwala
authors: Chaandini
authors: C
authors: Jayachandran
mesh_terms: D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D000772:Anesthesia, Local; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D020127:Recovery of Function; D053825:Suburethral Slings; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*