Abstract
Single-incision slings are now approved by the US Food and Drug Administration. TVT Secur (Ethicon, Somerville, NJ), the first mini sling available for use, offers a minimally invasive approach to the surgical treatment of stress incontinence, with its greatest benefit being reduced patient discomfort in the immediate postoperative period. Although little data are available regarding the safety and efficacy of this new generation of slings, TVT Secur appears to be relatively safe. Long-term efficacy has not yet been determined, but short-term efficacy rates seem to compare with traditional midurethral mesh slings. Long-term follow-up is warranted and comparative studies are needed to determine its true efficacy.
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References and Recommended Reading
de Leval J: Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 2003, 44:724–730.
Ulmsten U, Henriksson L, Johnson P, Varhos G: An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 1996, 7:81–86.
DeLorme E: Transobturator sling: a minimally invasive procedure to treat female stress incontinence. Prog Urol 2001, 11:1306–1313.
De Leval J, Waltregny D: New surgical technique for treatment of stress urinary incontinence TVT-Obturator: new developments and results. Surg Technol Int 2005, 14:212–221.
Barber MD, Kleeman S, Karram MM, et al.: Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence. Obstet Gynecol 2008, 111:611–621.
Jeon MJ, Jung HJ, Chung SM, et al.: Comparison of the treatment outcome of pubovaginal sling, tension-free vaginal tape, and transobturator tape for stress urinary incontinence with intrinsic sphincter deficiency. Am J Obstet Gynecol 2008 Jan 24 (Epub ahead of print).
Ward KL, Hilton P: A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow-up. Am J Obstet Gynecol 2004, 190:324–331.
Rezapour M, Falconer C, Ulmsten U: Tension-free vaginal tape (TVT) in stress incontinent women with intrinsic sphincter deficiency (ISD)—a long-term follow-up. Int Urogynecol J 2001, 12(Suppl 2):512–514.
Patrtoll LM: Efficacy of tension-free vaginal tape with other pelvic reconstructive surgery. Am J Obstet Gynecol 2002, 186:1292–1295.
Karram M, Lucente V, Khandwala S, et al.: An evaluation of the Gynecare TVT Secur System (tension-free support for incontinence) for the treatment of stress urinary incontinence [abstract]. Int Urogyn J 2007, 18(Suppl 1):004.
Albrich S, Naumann G, Sakala C, Koelbl H: TVT-Secur: a novel approach for the treatment of female genuine stress urinary incontinence [abstract]. Int Urogyn J 2007, 18(Suppl 1):042.
Marsh FA, Assassa P: An audit of the introduction of TVT Secur in clinical practice [abstract]. Int Urogyn J 2007, 18(Suppl 1):043.
Martan A, Masata J, Svabik K: Initial experience with TVT-Secur System procedure and the reason for persistent stress urinary incontinence [abstract]. Int Urogyn J 2007, 18(Suppl 1):044.
Neuman M, Shaare-Zedek MC: Training TVT Secur: the first 150 teaching operations [abstract]. Int Urogyn J 2007, 18(Suppl 1):045.
Saltz SM, Haff RE, Lucente VR: Short-term assessment of patients undergoing the new tension free vaginal tape Secur procedure for treatment of stress urinary incontinence [abstract]. Int Urogyn J 2007, 18(Suppl 1):046.
Masata J, Martan A, Svabík K: Severe bleeding from internal obturator muscle following tension-free vaginal tape Secur hammock approach procedure. Int Urogynecol J Pelvic Floor Dysfunct 2008 Apr 17 (Epub ahead of print).
Davis T, Lukacz E, Luber K, Nager C: Determinants of patient satisfaction after the tension-free vaginal tape procedure. Am J Obstet Gynecol 2004, 191:176–181.
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Molden, S.M., Lucente, V.R. New minimally invasive slings: TVT Secur. Curr Urol Rep 9, 358–361 (2008). https://doi.org/10.1007/s11934-008-0062-8
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DOI: https://doi.org/10.1007/s11934-008-0062-8