An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence.

Xinliang Chen, Huaifang Li, Bozhen Fan, Xiang Yang, Xiaowen Tong
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引用次数: 13

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 1x15-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.

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一种廉价的改良阴道带内翻式阴道插管手术治疗女性压力性尿失禁。
简介和假设:本研究的目的是评估使用定制聚丙烯网片和螺旋针的改良阴道内翻带(TVT-O)手术治疗压力性尿失禁(SUI)的安全性和有效性。方法:将Gynemesh制成的1 × 15 cm的网片,用特制的螺旋针穿过尿道闭孔,在尿道中部无张力定位。结果:该手术在80例连续患者中进行(平均年龄65.0±13.2岁)。平均手术时间15分钟(6-22分钟)。所有患者术后1年随访。80例患者中,治愈75例(93.68%),好转5例(6.2%);未发生故障。无膀胱或尿道损伤,无血管或神经系统并发症。结论:我们改良的TVT-O手术是一种简单、安全、有效、经济的治疗SUI的手术方法。该技术避免了对尿道和膀胱的损伤。目前正在评价这些有希望的结果。
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