TVT-Secur in office sling procedure under local anesthesia: a prospective 2-year analysis

• Published in: Female pelvic medicine & reconstructive surgery Vol. 18; no. 4; p. 233
• Main Authors: Khandwala, Salil, Jayachandran, Chaandini
• Format: Journal Article
• Language: English
• Published: United States 01.07.2012
• Subjects: Adult; Aged; Ambulatory Surgical Procedures; Anesthesia, Local; Feasibility Studies; Female; Follow-Up Studies; Humans; Middle Aged; Patient Satisfaction; Prospective Studies; Recovery of Function; Suburethral Slings; Time Factors; Treatment Outcome; Urinary Incontinence, Stress - surgery
• ISSN: 2151-8378
• DOI: 10.1097/SPV.0b013e318259f6b2

Our objective was to assess long-term safety, feasibility, and success of performing single-incision mini-sling tension-free vaginal tape (TVT)-Secur (TVT-S) procedure in the office under local anesthesia for stress urinary incontinence. Fifty subjects were enrolled from October 2008 to May 2009. The TVT-S procedure (Hammock approach) was performed per strict guidelines. Success was based on a composite score of 7 subjective and objective measures at 24 months. Success per the composite score was 80%. Retreatment for stress urinary incontinence was 9%. There was significant improvement in quality of life and symptom relief scores (P<0.001). Ninety-four percent were satisfied with the surgical outcome, and 98% felt they made the right decision. There were no intraoperative injuries or complications. Two subjects had mesh exposure in the vagina. In-office single-incision mini-sling TVT-S is safe, feasible, and successful with minimal complications; however, strict criteria need to be followed.