Unfavorable Immediate Outcome Of The TVT Secur Sling In Twenty Consecutive Women With Stress Urinary Incontinence

ORLANDO, FL (UroToday) - Dr. Fabio Bacarat from Sao Paolo, Brazil reported on an unfavorable early outcome of the new TVT Secur ™ in twenty consecutive women with stress urinary incontinence (SUI).


TVT Secur ™ was reportedly placed into the obturator internus muscle in a "tension free" fashion. Preoperative Valsalva leak point pressure (VLPP) was 38-115 cm H20, but did not predict outcome in this small cohort of patients. At 3 months follow up 8 (40%) were cured (no leakage), 4 (20%) were improved (persistent SUI, but VLPP higher than preoperatively), and 8 (40%) failed (no change).


The sling appeared to be safe, but because of the high immediate failure rate, the group discontinued their use of the sling.


Presented by Fabio Baracat, MD, et al., at the Annual Meeting of the American Urological Association (AUA) - May 17 - 22, 2008. Orange County Convention Center - Orlando, Florida, USA.


Reported by UroToday Contributing Editor Kathleen C. Kobashi, MD


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