[Insertion of a sub-urethral sling through the obturating membrane for treatment of female urinary incontinence].
OBJECTIVE
The use of a TVT device has been for a few years the operation most often performed to treat female urinary incontinence. One of the most frequent complications of this surgery is bladder perforation.


METHODS
To prevent this complication we use the way initially suggested by Delorme, in which the two ends of the sling were passed through the obturating membrane and the muscles which cover it, by circumventing the ischiopubic bone with Emmet needle introduced from outside to inside.


RESULTS
No bladder perforation was noted among the first 71 operated patients. For the first 68 patients re-examined 6 to 12 weeks after the surgery, two patients had improved and 64 were totally cured.


CONCLUSIONS
The effectiveness of this method is the same as that of the traditional method.
Fédération femme, mère, nouveau-né, hôpital Edouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France. daniel.dargent@chu-lyon.fr
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Dargent
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Bretones
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George
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Mellier
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome; D014521:Urethra; D014549:Urinary Incontinence / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*