Abstract

SOLA DALENZ, V.; RICCI ARRIOLA, P.  and  PARDO SCHANZ, J.. Stress urinary incontinence surgical correction with third generation sub-mid-urethra sling: TVT-Secur. Actas Urol Esp [online]. 2008, vol.32, n.5, pp.522-529. ISSN 0210-4806.

Objective: To review our initial experience with the new system TVT-Secur for the stress urinary incontinence. To evaluate the feasibility, efficacy and main advantages of the surgical correction with the new device. Method: Between january and may of 2007, 16 TVT-Secur (Women’s Health & Urology, Ethicon, Johnson & Johnson) were made in patients of the Urogynecology Unit, of Clínica Las Condes. Six TVT-Secur were applied in "V" and 10 in "U". The median age was 52 years old, BMI 29, parity of 3. All patients were studied with urodynamic before surgery. All must have the urinary incontinence by more of one year and no must have previous surgical correction. Results: The media surgical time was 10 minutes (8-15 minutes). Complications were not registered during intraoperative and immediate, early or delayed postoperative time. The visual analogue scale of pain was 1 to 2 at 12 hours. All patients were cured. The follow-up was between 1 and 4 months, 2 month media. All patients expressed satisfaction with the surgical results and they would recommend it to other patients in the same conditions. Conclusion: According to our initial experience, the new system TVT-Secur is feasible, safe and effective in the surgical correction of the SUI. However, only the long follow-up and the incorporation of new patients to the study, will allow to determine the permanence of these good results in the time.

Keywords : TVT-Secur; Sub-mid-urethral Sling; Stress urinary incontinence; Minimal invasive surgery.

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