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An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Nov; 20(11):1365-8.IU

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+Show Affiliations

Department of Obstetrics and Gynecology, Tongji Hospital of Tongji University, Shanghai, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19685195

Citation

Chen, Xinliang, et al. "An Inexpensive Modified Transobturator Vaginal Tape Inside-out Procedure for the Surgical Treatment of Female Stress Urinary Incontinence." International Urogynecology Journal and Pelvic Floor Dysfunction, vol. 20, no. 11, 2009, pp. 1365-8.
Chen X, Li H, Fan B, et al. An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(11):1365-8.
Chen, X., Li, H., Fan, B., Yang, X., & Tong, X. (2009). An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence. International Urogynecology Journal and Pelvic Floor Dysfunction, 20(11), 1365-8. https://doi.org/10.1007/s00192-009-0961-3
Chen X, et al. An Inexpensive Modified Transobturator Vaginal Tape Inside-out Procedure for the Surgical Treatment of Female Stress Urinary Incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(11):1365-8. PubMed PMID: 19685195.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence. AU - Chen,Xinliang, AU - Li,Huaifang, AU - Fan,Bozhen, AU - Yang,Xiang, AU - Tong,Xiaowen, Y1 - 2009/08/15/ PY - 2009/03/10/received PY - 2009/07/06/accepted PY - 2009/8/18/entrez PY - 2009/8/18/pubmed PY - 2010/2/2/medline SP - 1365 EP - 8 JF - International urogynecology journal and pelvic floor dysfunction JO - Int Urogynecol J Pelvic Floor Dysfunct VL - 20 IS - 11 N2 - 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. UR - https://www.unboundmedicine.com/medline/citation/19685195/An_inexpensive_modified_transobturator_vaginal_tape_inside_out_procedure_for_the_surgical_treatment_of_female_stress_urinary_incontinence_ L2 - http://www.diseaseinfosearch.org/result/3797 DB - PRIME DP - Unbound Medicine ER -