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

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.

• Authors: Xinliang Chen, Huaifang Li, Bozhen Fan, Xiang Yang, Xiaowen Tong
• Journal: International urogynecology journal and pelvic floor dysfunction (Int Urogynecol J Pelvic Floor Dysfunct) Vol. 20 Issue 11 Pg. 1365-8 (Nov 2009) England
• PMID: 19685195 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Polypropylenes

Topics

• Aged
• China
• Cost-Benefit Analysis
• Female
• Follow-Up Studies
• Gynecologic Surgical Procedures (adverse effects, instrumentation, methods)
• Humans
• Middle Aged
• Polypropylenes
• Suburethral Slings (adverse effects, economics)
• Surgical Mesh (adverse effects, economics)
• Treatment Outcome
• Urinary Incontinence, Stress (surgery)