[Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape].
OBJECTIVE
Current method in the treatment of female urinary incontinence implies the placement of tension-free suburethral vaginal tape, using a retropubic or transobturator approach. Considering numerous complications related to retropubic approach, we reported the results of transobturator procedure in prospective study.


METHODS
We used a non-absorbable polypropylene tape with the outside-in (Herniamesh) or in-outside (Johnson & Johnson) transobturator approach.


RESULTS
During the period from October 2004 to September 2005 the procedure was carried out in 10 patients. In only 2 cases urinary stress incontinence occured as isolated problem managed with transoburator tape, whereas in 8 patients this procedure was associated with other operative gynecologic events. No perioperative complication was encountered. In 80% of the patients a satisfactory result was obtained, while one patient failed to demonstrate any amelioration, and the other developed subsequently urge incontinence.


CONCLUSIONS
Transobturator tesion-free vaginal tape represents a very simple, safe and, in the large percent of cases, successful procedure in the management of urinary stress incontinence, with rare perioperative complications.
Argirović
Rajka
R
Klinicki centar Srbije, Institut za ginekologiju i akuserstvo, Beograd. cvijiceva@yubc.net
Likić-Ladević
Ivana
I
Bosković
Vladan
V
Berisavac
Milica
M
Milenković
Vera
V
Kadija
Sasa
S
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D013526:Surgical Mesh; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000379:methods
D011126:Polypropylenes