To evaluate the safety and efficacy of the TVT-Secur procedure in the treatment of stress urinary incontinence in women
Journal Title: Medical Journal Armed Forces - Year 2017, Vol 73, Issue 1
Abstract
Background: The prevalence of stress urinary incontinence (SUI) in the middle-aged Indian women is around 16%. The use of transvaginal tapes (TVTs) has revolutionised the surgical management of SUI. Patients who undergo placement of the tape via the transobturator route often complain of persistent thigh pain at the site of trocar insertion. The use of minimally invasive tapes with a single suburethral incision reduces surgical trauma by eliminating thigh incisions, while maintaining the cure achieved by conventional TVTs. The study was conducted to test the efficacy and safety of minimally invasive TVT-Secur tape placement for treatment of SUI in women. Methods: 20 women with stress incontinence were implanted with TVT-Secur tapes and followed up for a year. Results: The objective cure rate of SUI was 85% at the end of a year. The improvement in the patient satisfaction and Incontinence-specific QOL scores, of both Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire-7 (IIQ-7), was statistically significant at 95% and 99% confidence levels. There were no complaints of thigh pain; however, there were intraoperative complications in the form of bladder perforation in 5% (n = 1), urethral injury in 5% (n = 1) and urethral tape exposure in 10% (n = 2), at 3 months requiring tape sectioning. Conclusions: These cure rates and complications are comparable to the standard TVT implantations at the end of a year, without thigh pain; however, a greater number of patients and a longer follow-up is required to see whether the long-term cure is maintained or not, before recommending the same as a standard of treatment.
Authors and Affiliations
J. S. Sandhu
Keywords
Related Articles
- EP ID EP634955
- DOI 10.1016/j.mjafi.2016.07.010
- Views 68
- Downloads 0
A descriptive study of clinico-hematological profile of megaloblastic anemia in a tertiary care hospital
Background: Megaloblastic Anemia (MA) is a relatively common disease, yet the data on prevalence of MA remains scarce. This study was conducted to study the prevalence and clinico-hematological profile of MA. Methods: Th...
Ocular surface squamous neoplasia
The ocular surface consists of the cornea, limbus and conjunctiva with mucosa of the ocular adnexa (lacrimal gland and lacrimal drainage apparatus). The epitheliumof the cornea and conjunctiva is formed from differential...
Hallermann Streiff syndrome: 'Bird faced' but not 'bird brained'
Hallermann Streiff syndrome or Francois dyscephaly syndrome is a rare condition with approximately 200 reported cases in the world. It is of unknown aetiology but it has been suggested that developmental disturbance of b...
The ethics of peer and editorial requests for self-citation of their work and journal
Peer reviewers are expected to be experts in a field of study and should be versed with the pertinent literature related with the manuscript they are reviewing. Editors might not necessarily be experts in a particular fi...
Scrub typhus strikes back: Are we ready?
Scrub typhus has struck back, albeit with renewed vigour, impacting areas with previously known endemicity as also impressing newer expanses. It is not surprising, therefore, that Scrub typhus has emerged as a leading ca...