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Experience with TVT-SECUR sling for stress urinary incontinence: a 141-case analysis.

Abstract：

INTRODUCTION AND HYPOTHESIS:The objective of this study was to investigate complications, urinary incontinence symptoms, and overall satisfaction in patients undergoing the tension-free vaginal tape-SECUR (TVT-S) for stress urinary incontinence (SUI). METHODS:We reviewed consecutive patients treated with TVT-S between April, 2006 and August, 2007, in a urogynecology practice. Outcomes assessed included complications, voiding function, change in SUI symptoms on the Medical Epidemiological and Social Aspects of Aging (MESA) questionnaire, and overall satisfaction. RESULTS:One hundred forty-one women (age, 54.1 +/- 12 years; BMI, 31.2 +/- 6.6 kg/m(2)) were treated for SUI with the TVT-S; 34 required concomitant procedures. There were no intra-operative complications. Immediate post-operative voiding function returned in all but one patient; none required sling release. Most patients (90%) reported no pain on a verbal pain scale. On follow-up, 117 patients denied SUI symptoms, 16 reported mild symptoms, and eight required additional treatment. The average MESA "stress" subscore decreased by 79% (13.0 +/- 7.8 points, p < 0.0001). Eighty-five percent felt "satisfied" with the procedure. CONCLUSION:TVT-S is a safe and effective treatment for SUI.

journal_name

Int Urogynecol J

journal_title

International urogynecology journal

authors

Khandwala S,Jayachandran C,Sengstock D

doi

10.1007/s00192-010-1114-4

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

767-72

issue

7

eissn

0937-3462

issn

1433-3023

journal_volume

21

pub_type

杂志文章

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