Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECUR* procedure

Int Urogynecol J Pelvic Floor Dysfunct. 2009 May;20(5):533-9. doi: 10.1007/s00192-009-0823-z. Epub 2009 Feb 14.


Introduction and hypothesis: The hypotheses of this study were that the TVT-SECUR procedure restricts urethral mobility, which leads to a greater likelihood of curative effect, and that the restriction might change over time.

Methods: Analyses of the position of the urethra and the tape of 85 patients who underwent the TVT-S procedure were performed using perineal ultrasonography. The efficacy of the TVT-S procedure was evaluated by cough test and by the questionnaire ICIQ-UI SF.

Results: Objectively, 53/85 (62%) of patients had a negative cough test, and in 32/85 (38%) of patients leakage of urine persisted. The TVT-S procedure restricts urethral mobility, and a higher degree of obstruction is associated with a higher likelihood of cure. The restriction weakens within the first 3 months after surgery.

Conclusions: The objective cure rate of TVT-S procedure is low irrespective of placement technique. This may be due to insufficient restriction of urethral mobility.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Middle Aged
  • Prosthesis Implantation / methods*
  • Statistics, Nonparametric
  • Suburethral Slings*
  • Surveys and Questionnaires
  • Treatment Outcome
  • Ultrasonography
  • Urethra / diagnostic imaging*
  • Urethra / surgery
  • Urinary Incontinence, Stress / surgery*