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  • 标题:Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape
  • 本地全文:下载
  • 作者:Argirović Rajka ; Likić-Lađević Ivana ; Bošković Vladan
  • 期刊名称:Vojnosanitetski pregled
  • 印刷版ISSN:0042-8450
  • 出版年度:2006
  • 卷号:63
  • 期号:8
  • 页码:721-724
  • DOI:10.2298/VSP0608721A
  • 出版社:Military Medical Academy, INI
  • 摘要:

    Introduction/aim: Current method in the treatment of female urinary incontinence implies the placement of tension-free suburethral vaginal tape, using a retropubic or transobturator approach. Considering numerous complications related to retropubic approach, we reported the results of transobturator procedure in prospective study. Methods. We used a non-absorbable polypropylene tape with the outside-in (Herniamesh) or in-outside (Johnson & Johnson) transobturator approach. Results. During the period from October 2004 to September 2005 the procedure was carried out in 10 patients. In only 2 cases urinary stress incontinence occurred as isolated problem managed with transoburator tape, whereas in 8 patients this procedure was associated with other operative gynecologic events. No perioperative complication was encountered. In 80% of the patients a satisfactory result was obtained, while one patient failed to demonstrate any amelioration, and the other developed subsequently urge incontinence. Conclusion. Transobturator tension-free vaginal tape represents a very simple, safe and, in the large percent of cases, successful procedure in the management of urinary stress incontinence, with rare perioperative complications.

  • 关键词:urinary incontinence; stress; women; gynecologic surgical procedures
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