Related Experiment Video
Updated: May 29, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
TVT SECUR System: Final results of a prospective, observational, multicentric study
Francesco Bernasconi1, Valerio Napolitano, Franca Natale
1Department of Obstetrics and Gynaecology, Desio Hospital, Desio, Italy.
Introduction And Hypothesis:
This is an observational multicentre prospective study into the complications and effectiveness of TVT SECUR™.
Methods:
One hundred forty-seven patients with urodynamic or occult Stress Urinary Incontinence (SUI) were enrolled. Outcome measures at 6, 12 and 24 months were: objective cough test; subjective responses to PGI-S questionnaire and Visual Analogue Score.
Statistical Analysis:
Wilcoxon Test; Monte Carlo Exact Test.
Results:
Ninety-five urodynamic SUI and 41 occult SUI patients were treated using transobturator (H-position) or retropubic (U-position) approach (110 vs. 26 patients). Cure rates at 6, 12, and 24 months were 87.5%, 88.6% and 89.5%. Failure rates at all follow-ups were similar for urodynamic and occult SUI. The U-position failure rate was comparable to H-position at short-term but significantly higher at mid-term. Familiarity with the technique brought significantly higher success rates.
Conclusions:
TVT SECUR is safe, effective and versatile, but has an appreciable learning curve.
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