International Urogynecology Journal

, Volume 23, Issue 7, pp 907–912 | Cite as

Predictive factors that influence treatment outcomes of innovative single incision sling: comparing TVT-Secur to an established transobturator sling for female stress urinary incontinence

  • Eugene Hwang
  • Ju Hyun Shin
  • Jae Sung Lim
  • Ki Hak Song
  • Chong Koo Sul
  • Yong Gil Na
Original Article
First Online:
Received:
Accepted:

Abstract

Introduction and hypothesis

This study aims to identify independent risk factors for treatment failure of tension-free vaginal tape TVT-Secur (TVT-S) compared to that of the well-established transobturator tape.

Materials and methods

Of a total of 175 consecutive patients with urodynamically confirmed stress urinary incontinence (SUI) identified between July 2007 and March 2010, 89 patients underwent TVT-S, and 86 underwent TOT. Cure was defined using the Urogenital Distress Inventory as no urinary leakage during physical activity, coughing, or sneezing as reported by patients during a telephone survey. To identify predictors of treatment failure, multivariable logistic regression models were used, and odds ratios (ORs) were calculated using variables identified during univariate analysis.

Results

There were more patients with cystocele ≥ grade 2 in the TVT-S group (p = 0.031); otherwise the groups were well matched. After a median follow-up of 32 months (range, 12–44 months), the overall cure rate was 80.6%; it was 70.8% for those treated with TVT-S and 90.7% for those treated with TOT (p = 0.001). In a multivariate model, previous incontinence surgery (OR 27.1, p = 0.005) and a cystocele ≥ grade 2 (OR 3.0, p = 0.020) were independent risk factors influencing the outcome of TVT-S procedures. For the TOT procedures, detrusor overactivity was an independent risk factor in a multivariate model (OR 8.6, p = 0.033).

Conclusions

TVT-S could be performed for selected patients, but conventional TOT procedures are still superior to the novel TVT-S device.

Keywords

Multivariate analysis Risk factors Suburethral sling Urinary stress incontinence 

Abbreviations

MUS

Midurethral sling

ORs

Odds ratios

SUI

Stress urinary incontinence

TOT

Transobturator tape

TVT

Tension-free vaginal tape

TVT-S

TVT-Secur

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Notes

Funding

No funding was received for this publication.

Conflicts of interest

None.

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Copyright information

© The International Urogynecological Association 2012

Authors and Affiliations

  • Eugene Hwang
    • 1
  • Ju Hyun Shin
    • 2
  • Jae Sung Lim
    • 2
  • Ki Hak Song
    • 2
  • Chong Koo Sul
    • 2
  • Yong Gil Na
    • 2
  1. 1.Department of UrologySun General HospitalDaejeonSouth Korea
  2. 2.Department of UrologyChungnam National University School of MedicineDaejeonSouth Korea

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