%0 Journal Article
%T Malla sub-medio uretral de tercera generaci¨®n: Experiencia con 110 TVT-Secur
%A Sol¨¤
%A Vicente
%A Ricci
%A Paolo
%A Pardo
%A Jack
%J Archivos Espa£¿oles de Urolog¨ªa (Ed. impresa)
%D 2009
%I Scientific Electronic Library Online
%R 10.4321/S0004-06142009000500007
%X objectives: to review the effectiveness and security of the tvt-secur system in the surgical treatment of stress urinary incontinence (sui). methods: prospective analysis of 110 patients undergoing sui surgical treatment in the urogynecology and vaginal surgery unit of cl¨ªnica las condes, between january 2007 and may 2008. the patients must have stress urinary incontinence over one year or more. they must not have history of a previous surgery for urinary incontinence or prolapse. they must not have mixed urinary incontinence or urge incontinence, only sui demonstrated by clinical symptoms and non-multichannel urodynamic study. results: mean surgical time was 8 minutes (6 to 16 mi-nutes). the observational period was between 2 months (4 cases) and 19 months, mean 8 months. during the intraoperative time 2 cases of bladder perforation were registered. in the immediate postoperative time 2 cases of obstruction were observed. in 97 (88,2%) of the 110 patients some concomitant gynecological surgery was performed. in 105 (95,5%) of the 110 cases cure of the sui was registered. in 4 (3,6%) cases improvement was observed and 1 (0,9%) case was a failure. in 2 (1,8%) patients de novo urge incontinence was registered. conclusions: the tvt-secur system corresponds to a third generation tape effective and safe in the surgical treatment of stress urinary incontinence. this technique has potential advantages when compared with the preceding operations. only the long time follow-up and incorporation of new patients will allow to determine the permanence of these good results in the time.
%K stress urinary incontinence (sui)
%K tension-free vaginal tape (tvt-secur)
%K sub-mid urethral tape.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0004-06142009000500007&lng=en&nrm=iso&tlng=en