Skip to main content

Advertisement

SpringerLink
Log in

Comparison of three mid-urethral tension-free tapes (TVT, TVT-O, and TVT-Secur) in the treatment of female stress urinary incontinence: 1-year follow-up

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Introduction and hypothesis

The purpose of the study was to evaluate and compare the clinical values of tension-free vaginal tape (TVT), tension-free vaginal tape-transobturator (TVT-O), or tension-free vaginal tape-Secur (TVT-Secur) as treatment for female stress urinary incontinence.

Methods

The pre-operative and 1-year post-operative follow-up protocols for patients who were treated with serial mid-urethral tension-free tape procedures in two hospitals from October 2008 to December 2009 were prospectively studied. These patients were randomly allocated to TVT, TVT-O, or TVT-Secur.

Results

A total of 102 women participated. At the 1-year follow-up, complications were not statistically different across the three groups except for pain in the thigh, which was more common in the TVT-O group. The overall efficacy and cure rate were similar between the TVT and TVT-O groups, but were significantly lower in the TVT-Secur group.

Conclusions

A comparison of the three procedures shows that TVT-O is easy to operate and is as safe as TVT-Secur, and it has similar long-term efficacy to TVT, though, as one of the third-generation mid-urethral tension-free tapes, TVT-Secur is still being evaluated. Basing on the outcome of our study, it had rare complications but unsatisfactory efficacy, and we suggest that TVT-Secur is not fit for severe cases. However, observation and comparison of these groups in a larger sample size on a longer term are needed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Abbreviations

TVT-Secur:

Tension-free vaginal tape-Secur

SUI:

Stress urinary incontinence

TVT:

Tension-free vaginal tape

TVT-O:

Tension-free vaginal tape-transobturator

BMI:

Body mass index

ALPP:

Abdominal leak point pressure

ICI-Q-SF:

International Consultation on Incontinence Questionnaire-Short Form

UUI:

Urge urinary incontinence

OAB:

Overactive bladder

References

  1. Ulmsten U, Henriksson L, Johnson P et al (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:81–86

    Article  PubMed  CAS  Google Scholar 

  2. Neuman M (2007) TVT-Secur: 100 teaching operations with a novel anti-incontinence procedure. Pelviperineology 26:121–123

    Google Scholar 

  3. Nilsson CG, Falconer C, Rezapour M (2004) Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol 104:1259–1262

    Article  PubMed  Google Scholar 

  4. Novara G, Galfano A, Boscolo-Berto R et al (2008) Complication rates of tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials comparing tension-free midurethral tapes to other surgical procedures and different devices. Eur Urol 53:288–309

    Article  PubMed  Google Scholar 

  5. Neuman M (2004) Tension-free vaginal tape bladder penetration and long-lasting transvesical prolene material. J Pelvic Med Surg 10:307–309

    Article  Google Scholar 

  6. De Leval J (2003) Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 44:724–730

    Article  PubMed  Google Scholar 

  7. Neuman M (2007) TVT-Obturator: short-term data on an operative procedure for the cure of female stress urinary incontinence performed on 300 patients. Eur Urol 51:1083–1087

    Article  PubMed  Google Scholar 

  8. Krofta L, Feyereisl J, Otčenášek M et al (2010) TVT and TVT-O for surgical treatment of primary stress urinary incontinence: prospective randomized trial. Int Urogynecol J 21:141–148

    Article  PubMed  Google Scholar 

  9. Tartaglia E, Delicato G, Baffigo G et al (2009) Third-generation tension-free tape for female stress urinary incontinence. J Urol 182:612–615

    Article  PubMed  Google Scholar 

  10. Molden SM, Lucente VR (2008) New minimally invasive slings: TVT Secur. Curr Urol Rep 9:358–361

    Article  PubMed  Google Scholar 

  11. Neuman M (2008) Perioperative complications and early follow-up with 100 TVT-SECUR procedures. J Minim Invasive Gynecol 15(4):480–484

    Article  PubMed  Google Scholar 

  12. Martan A, Masata J, Svabik K (2007) TVT SECUR system—tension-free support of the urethra in women suffering from stress urinary incontinence—technique and initial experience [in Czech]. Ceská Gynekol 72:42–49

    PubMed  CAS  Google Scholar 

  13. Meschia M, Barbacini P, Ambrogi V et al (2009) TVT-Secur: a minimally invasive procedure for the treatment of primary stress urinary incontinence. One year data from a multicentre prospective trial. Int Urogynecol J Pelvic Floor Dysfunct 20:313–317

    Article  PubMed  Google Scholar 

  14. Lee K-S, Lee Y-S, Seo J-T et al (2010) Prospective multicenter randomized comparative study between the U- and H-type methods of the TVT SECUR procedure for the treatment of female stress urinary incontinence: 1-year follow-up. Eur Urol 57:973–979

    Article  PubMed  Google Scholar 

  15. Cornu J-N, Sebe P, Peyrat L, et al. (2010) Midterm Prospective Evaluation of TVT-Secur Reveals High Failure Rate. Eur Urol. Published online: 21 Apr 2010;DOI:10.1016/j.eururo.2010.04.021

  16. Smith PP, Appell RA (2007) Transobturator tape, bladder perforation, and paravaginal defect: a case report. Int Urogynecol J Pelvic Floor Dysfunct 18(1):99–101

    Article  PubMed  Google Scholar 

  17. Sivanesan K, Sathiyathasan S, Ghani R (2009) Transobturator tension free vaginal tapes and bladder injury. Arch Gynecol Obstet 279(1):5–7

    Article  PubMed  CAS  Google Scholar 

  18. Waltregny D, Leval JD (2009) The TVT-obturator surgical procedure for the treatment of female stress urinary incontinence: a clinical update. Int Urogynecol J 20:337–348

    Article  Google Scholar 

  19. de Leval J, Waltregny D (2005) New surgical technique for treatment of stress urinary incontinence TVT-Obturator: new developments and results. Surg Technol Int 14:212–221

    PubMed  Google Scholar 

  20. Neuman M (2007) TVT and TVT-Obturator: comparison of two operative procedures. Eur J Obstet Gynecol Reprod Biol 131:89–92

    Article  PubMed  Google Scholar 

  21. Debodinance P, Lagrange E, Amblard J et al (2008) TVT-Secur: more and more minimally invasive. Preliminary prospective study of 110 cases. J Gynecol Obstet Biol Reprod (Paris) 37:229–236

    CAS  Google Scholar 

  22. Masata J, Martan A, Svabík K (2008) Severe bleeding from internal obturator muscle following tension-free vaginal tape Secur hammock approach procedure. Int Urogynecol J Pelvic Floor Dysfunct 19(11):1581–1583

    Article  PubMed  Google Scholar 

  23. Long CY, Hsu CS, Lo TS et al (2008) Ultrasonographic assessment of tape location following tension-free vaginal tape and transobturator tape procedure. Acta Obstet Gynecol Scand 87:116–121

    Article  PubMed  Google Scholar 

  24. Hazewinkel MH, Hinoul P, Roovers JP (2009) Persistent groin pain following a trans-obturator sling procedure for stress urinary incontinence: a diagnostic and therapeutic challenge. Int Urogynecol J Pelvic Floor Dysfunct 20(3):363–365

    Article  PubMed  Google Scholar 

  25. Krofta L, Feyereisl J, Velebil P, et al. (2010) TVT-S for surgical treatment of stress urinary incontinence: prospective trial, 1-year follow-up. Int Urogynecol J Pelvic Floor Dysfunct. Published online:1 Apr 2010;DOI: 10.1007/s00192-010-1128-y

  26. Nilsson CG, Palva K, Rezapour M et al (2008) Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:1043–1047

    Article  PubMed  CAS  Google Scholar 

  27. Feng CL, Chin HY, Wang KH (2008) Transobturator vaginal tape inside out procedure for stress urinary incontinence: results of 102 patients. Int Urogynecol J Pelvic Floor Dysfunct 19:1423–1427

    Article  PubMed  Google Scholar 

  28. Rezapour M, Novara G, Meier PA et al (2007) A 3-month preclinical trial to assess the performance of a new TVT-like mesh (TVTx) in a sheep model. Int Urogynecol J 18:183–187

    Article  Google Scholar 

  29. Hubka P, Masata J, Nanka O et al (2009) Anatomical relationship and fixation of tension-free vaginal tape Secur. Int Urogynecol J Pelvic Floor Dysfunct 20(6):681–688

    Article  PubMed  Google Scholar 

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Department of Urology, The Second Affiliated Hospital of Wenzhou Medical College, No. 109, Western Xueyuan Road, Wenzhou, Zhejiang, China, 325027

    Yi-jun Wang, Qian Wang, Sen Yang & Ying-he Chen

  2. Department of Urology, Taizhou Hospital, Zhejiang Province, Taizhou, China

    Fei-ping Li & Xian-guo Cai

Authors
  1. Yi-jun Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Fei-ping Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Qian Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sen Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Xian-guo Cai
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ying-he Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ying-he Chen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wang, Yj., Li, Fp., Wang, Q. et al. Comparison of three mid-urethral tension-free tapes (TVT, TVT-O, and TVT-Secur) in the treatment of female stress urinary incontinence: 1-year follow-up. Int Urogynecol J 22, 1369–1374 (2011). https://doi.org/10.1007/s00192-011-1445-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-011-1445-9

Keywords

Search

Navigation