International Urogynecology Journal

, Volume 20, Issue 5, pp 533–539 | Cite as

Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECUR* procedure

  • Alois Martan
  • Kamil Svabík
  • Jaromir Masata
  • Tomas Koleska
  • Rachid El-Haddad
  • Marketa Pavlikova
Original Article


Introduction and hypothesis

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.


Stress urinary incontinence TVT-S System Transperineal ultrasound 



The International Consultation on Incontinence Questionnaire—Short Form




pelvic organ prolapse quantitative


tension-free obturator tape


stress urinary incontinence


tension-free vaginal tape


tension-free vaginal tape-SECUR system




urethrovesical junction



This work was supported by the Grant Agency of the Ministry of Health of the Czech Republic, grant NR/9216-3


The first author is a TVT-SECUR preceptor for Ethicon Women’s Health and Urology.


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Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  • Alois Martan
    • 1
  • Kamil Svabík
    • 1
  • Jaromir Masata
    • 1
  • Tomas Koleska
    • 1
  • Rachid El-Haddad
    • 1
  • Marketa Pavlikova
    • 2
  1. 1.Department of Obstetrics and Gynecology, 1st Medical FacultyCharles University and General Faculty HospitalPragueCzech Republic
  2. 2.EuroMISE Centre, Institute of Computer Science of the Academy of SciencesPragueCzech Republic

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