An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence
- 15 August 2009
- journal article
- research article
- Published by Springer Science and Business Media LLC in International Urogynecology Journal
- Vol. 20 (11), 1365-1368
- https://doi.org/10.1007/s00192-009-0961-3
Abstract
Introduction and hypothesis The purpose of this study was to evaluate the safety and efficacy of a modified transobturator vaginal tape inside-out (TVT-O) procedure for stress urinary incontinence (SUI) using custom-tailored polypropylene mesh and helical needles. Methods A 1×15-cm mesh made from the Gynemesh is positioned without tension under the mid-urethra using custom-made helical needles through the obturator. Results The procedure was carried out in 80 consecutive patients (mean age 65.0±13.2 years). The mean operative time was 15 min (range 6–22 min). All patients had a follow-up visit at 1 year after surgery. Of the 80 patients, 75 (93.68%) were cured, and 5 (6.2%) were improved; no failure occurred. No bladder or urethral injuries and no vascular or neurological complications were encountered. Conclusion Our modified TVT-O procedure is a simple, safe, efficacious, and economic surgical procedure for SUI. The technique avoids damage to the urethra and bladder. The promising results are currently under evaluation.Keywords
This publication has 15 references indexed in Scilit:
- A randomized trial comparing TVT with TVT-O: 12-month resultsInternational Urogynecology Journal, 2008
- Prospective comparison of the ‘inside–out’ and ‘outside–in’ transobturator-tape procedures for the treatment of female stress urinary incontinenceInternational Urogynecology Journal, 2007
- Transvaginal vs transobturator approach for synthetic sling placement in patients with stress urinary incontinenceInternational Urogynecology Journal, 2007
- Peri-operative morbidity and early results of a randomised trial comparing TVT and TVT-OInternational Urogynecology Journal, 2007
- [The study on the prevalence and associated risk factors of female urinary incontinence in Beijing women].2006
- Sub-Urethral Tape Treatment of Female Urinary Incontinence—Morbidity Assessment of the Trans-Obturator Route and a New Tape (I-STOP®): A Multi-Centre Experiment Involving 604 CasesEuropean Urology, 2005
- Novel Surgical Technique for the Treatment of Female Stress Urinary Incontinence: Transobturator Vaginal Tape Inside-OutEuropean Urology, 2003
- Suburethral tape via the obturator route: is the TOT a simplification of the TVT?International Urogynecology Journal, 2003
- Trans-obturator urethral support for female stress urinary incontinence: 1 year outcome of a new surgical procedureEuropean Urology Supplements, 2003
- Burch Colposuspension and Tension-Free Vaginal Tape in the Management of Stress Urinary Incontinence in WomenEuropean Urology, 2002