Objective: To study the safety and efficacy of both tensionfree
vaginal tape (TVT) and secur tension-free vaginal tape
(TVT secur) in treatment of female stress urinary incontinence.
Patients and Methods: Sixty female patients diagnosed
as stress urinary incontinence were evaluated in the
urogynecology clinic of the Benha Faculty of Medicine. All
patients completed the impact of Incontinence on Quality
of Life Questionnaire. They were randomly divided into
2 equal groups: group I (n = 30) underwent TVT procedure
and group II (n = 30) underwent TVT secur procedure. The 2
techniques were compared regarding operative time, intraoperative
bleeding, duration of catheterization, intra- and
post-operative complications and hospital stay. All patients
were followed up for 9 months and subjected to evaluation
by history, examination, and urodynamics pre- and post-operatively.
Results: Operative time and intra-operative morbidity
were significantly lower in the TVT secur group than in
the TVT group. No significant difference could be detected
regarding catheterization period and success rate. The cure
rate was 90.1% in group I and 93.4% in group II and this difference
was statistically insignificant. Patients with a Valsalva
leak point pressure lower than 60 cm H2O had poor outcome
in both groups. Conclusion: TVT secur could be considered
as a safe, easy and effective alternative to TVT with less morbidity. |
