An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence.
OBJECTIVE
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.


CONCLUSIONS
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.
Chen
Xinliang
X
Department of Obstetrics and Gynecology, Tongji Hospital of Tongji University, Shanghai, China.
Li
Huaifang
H
Fan
Bozhen
B
Yang
Xiang
X
Tong
Xiaowen
X
D000368:Aged; D002681:China; D003362:Cost-Benefit Analysis; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D053825:Suburethral Slings / Q000009:adverse effects / Q000191:economics; D013526:Surgical Mesh / Q000009:adverse effects / Q000191:economics; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*
D011126:Polypropylenes
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