title: [Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape].
abstract: 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.
authors.affiliation: Klinicki centar Srbije, Institut za ginekologiju i akuserstvo, Beograd. cvijiceva@yubc.net
authors.forename: Rajka
authors.initials: R
authors.lastname: Argirović
authors.forename: Ivana
authors.initials: I
authors.lastname: Likić-Ladević
authors.forename: Vladan
authors.initials: V
authors.lastname: Bosković
authors.forename: Milica
authors.initials: M
authors.lastname: Berisavac
authors.forename: Vera
authors.initials: V
authors.lastname: Milenković
authors.forename: Sasa
authors.initials: S
authors.lastname: Kadija
mesh_terms: 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
chemical_list: D011126:Polypropylenes