Comparison of the TVT SECUR System “hammock” and “U” tape positions for management of stress urinary incontinence

ObjectiveTo assess the efficacy and complications associated with use of the TVT SECUR System device with placement of the tape in either a “hammock” or “U” position for management of stress urinary incontinence (SUI).MethodsA prospective study of patients with SUI allocated into one of two groups: “hammock” or “U” tape placement. Preoperative urodynamic results were compared with results at the 6-month and 1-year follow up. Outcome measures were objective cough test assessment and subjective patient responses to a questionnaire at follow up.ResultsOf 82 patients included in the study, 43 comprised the “hammock” group and 39 comprised the “U” group. The objective cure rate at 1-year follow up was 62.8% (n = 27) in the “hammock” group and 71.8% (n = 28) in the “U” group. At 1-year follow up, the subjective cure, improvement, and failure rates for the “hammock” group were 60.5%, 13.9%, and 25.7% respectively, and 69.2%, 12.8%, and 17.9% respectively, for the “U” group.ConclusionThe efficacy of the TVT SECUR System was lower (< 72%) than the cure rates reported for other TVT procedures; further studies are required.