title: To evaluate the safety and efficacy of the TVT-Secur procedure in the treatment of stress urinary incontinence in women.
abstract: BACKGROUND
  The prevalence of stress urinary incontinence (SUI) in the middle-aged Indian women is around 16%. The use of transvaginal tapes (TVTs) has revolutionised the surgical management of SUI. Patients who undergo placement of the tape via the transobturator route often complain of persistent thigh pain at the site of trocar insertion. The use of minimally invasive tapes with a single suburethral incision reduces surgical trauma by eliminating thigh incisions, while maintaining the cure achieved by conventional TVTs. The study was conducted to test the efficacy and safety of minimally invasive TVT-Secur tape placement for treatment of SUI in women.
  
  
  METHODS
  20 women with stress incontinence were implanted with TVT-Secur tapes and followed up for a year.
  
  
  RESULTS
  The objective cure rate of SUI was 85% at the end of a year. The improvement in the patient satisfaction and Incontinence-specific QOL scores, of both Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire-7 (IIQ-7), was statistically significant at 95% and 99% confidence levels. There were no complaints of thigh pain; however, there were intraoperative complications in the form of bladder perforation in 5% (n= 1), urethral injury in 5% (n= 1) and urethral tape exposure in 10% (n= 2), at 3 months requiring tape sectioning.
  
  
  CONCLUSIONS
  These cure rates and complications are comparable to the standard TVT implantations at the end of a year, without thigh pain; however, a greater number of patients and a longer follow-up is required to see whether the long-term cure is maintained or not, before recommending the same as a standard of treatment.
authors.affiliation: Senior Advisor (Surgery and Urology), Command Hospital (Central Command), Lucknow, India.
authors.forename: J S
authors.initials: JS
authors.lastname: Sandhu
authors.affiliation: Consultant (Surgery and Urology), Army Hospital (Research and Referral), New Delhi 110001, India.
authors.forename: S C
authors.initials: SC
authors.lastname: Karan
authors.affiliation: Senior Advisor (Obstetrics & Gynaecology) and Trained in Laparoscopy, INHS Kalyani, Visakhapatnam, India.
authors.forename: G D
authors.initials: GD
authors.lastname: Maiti
authors.affiliation: Assistant Professor, Department of Community Medicine, Armed Forces Medical College, Pune 411040, India.
authors.forename: Puja
authors.initials: P
authors.lastname: Dudeja
keywords: Mid-urethral sling; Mini-slings; Single-incision tapes; Stress urinary incontinence; Tension-free vaginal tapes