[TVT-Obturator: preliminary results of the first 100 operations with a novel procedure for the treatment of female urinary stress incontinence].
BACKGROUND
Facing the fact that 20% of the parturient women suffer urinary stress incontinence, urogynecologists are constantly searching for simple, safe and effective ways to cure the underlying pelvic floor herniation. A novel surgical technique was reported lately to entail both high therapeutic rates and low complication rates.


OBJECTIVE
To evaluate preliminary data from the first 100 TVT-Obturator patient series.


METHODS
A total of 100 patients with urodynamically proven USI underwent the TVT-Obturator operations.


RESULTS
The TVT-Obturator procedure did not require bladder catheterization or intra-operative diagnostic cystoscopy. Operative complications were not recorded. Ninety-three patients reported cure, six patients had minimal residual urinary leak and one patient reported therapeutic failure.


CONCLUSIONS
The TVT-Obturator is a novel mid urethral sling, designed to cure female urinary stress incoritinence and reduce peri-operative complications. These results agree with the previously reported efficacy, safety and simplicity of this procedure. However, long-term data is required prior to incorporating this operative technique within the armamentarium of anti-incontinence procedures.
Neuman
Menahem
M
Urogynecology, Department of Gynecology: Shaare Zedek--The Ben-Gurion University of the Negev. neuman@szwc.org.il
Luria
Michal
M
Lev-Sagi
Achinoam
A
Arbell
Revital
R
Shimonowitz
Shlomo
S
Lavy
Yuval
Y
D000328:Adult; D017668:Age of Onset; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D013526:Surgical Mesh; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014621:Vagina