title: Mid-term follow-up of the TVT-Secur midurethral sling for primary stress incontinence.
abstract: OBJECTIVE
  The TVT-Secur was introduced in 2006 as a less invasive alternative to retropubic and transobturator suburethral slings. This retrospective cohort study evaluated objective and subjective results in a series of 158 consecutive patients as well as complications and the reoperation rate after TVT-Secur procedure.
  
  
  METHODS
  Between November 2006 and June 2010 a total of 158 patients underwent a TVT-Secur procedure at a single institution. All patients underwent preoperative urodynamic testing. All patients were invited for follow-up including physical examination, urodynamic studies and subjective evaluation.
  
  
  RESULTS
  A total of 96 patients (61%) were available for follow-up with a mean follow-up of 29.8 months (range 5-50, median 30). At follow-up, eight (8%) of 96 patients had reoperations for stress incontinence. There were no reoperations for bleeding/hematoma, tape erosions or obstructed micturition and there were no tape erosions or exposures. 29 patients (30%) had a negative cough stress test and 44 patients (46%) subjectively considered themselves "cured". Nine of 43 patients (21%) without urgency symptoms preoperatively developed de novo urgency; 24 of 35 patients (69%) with preoperative urgency complaints were free of urgency symptoms.
  
  
  CONCLUSIONS
  At 2.4 years, the TVT-Secur appears to have a low adverse events profile but inferior results compared with traditional midurethral slings.
authors.affiliation: Department of Gynecology, Krankenhaus der Barmherzigen Schwestern, Linz, Austria.
authors.forename: Johannes
authors.initials: J
authors.lastname: Angleitner-Flotzinger
authors.affiliation: Department of Obstetrics & Gynecology, Medical University of Graz, Austria. Electronic address: thomas.aigmueller@medunigraz.at.
authors.forename: Thomas
authors.initials: T
authors.lastname: Aigmueller
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D012086:Reoperation; D012189:Retrospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures
keywords: Incontinence surgery; Mini-sling; Stress urinary incontinence; TVT; TVT-Secur; Tape