Journal
INTERNATIONAL UROGYNECOLOGY JOURNAL
Volume 20, Issue 5, Pages 533-539Publisher
SPRINGER LONDON LTD
DOI: 10.1007/s00192-009-0823-z
Keywords
Stress urinary incontinence; TVT-S System; Transperineal ultrasound
Categories
Funding
- Ministry of Health of the Czech Republic [NR/9216-3]
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The hypotheses of this study were that the TVT-SECUR procedure restricts urethral mobility, which leads to a greater likelihood of curative effect, and that the restriction might change over time. Analyses of the position of the urethra and the tape of 85 patients who underwent the TVT-S procedure were performed using perineal ultrasonography. The efficacy of the TVT-S procedure was evaluated by cough test and by the questionnaire ICIQ-UI SF. Objectively, 53/85 (62%) of patients had a negative cough test, and in 32/85 (38%) of patients leakage of urine persisted. The TVT-S procedure restricts urethral mobility, and a higher degree of obstruction is associated with a higher likelihood of cure. The restriction weakens within the first 3 months after surgery. The objective cure rate of TVT-S procedure is low irrespective of placement technique. This may be due to insufficient restriction of urethral mobility.
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