title: An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Tongji Hospital of Tongji University, Shanghai, China.
authors.forename: Xinliang
authors.initials: X
authors.lastname: Chen
authors.forename: Huaifang
authors.initials: H
authors.lastname: Li
authors.forename: Bozhen
authors.initials: B
authors.lastname: Fan
authors.forename: Xiang
authors.initials: X
authors.lastname: Yang
authors.forename: Xiaowen
authors.initials: X
authors.lastname: Tong
mesh_terms: 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*
chemical_list: D011126:Polypropylenes
references.citation: Prog Urol. 2003 Feb;13(1):115-7
references.pmid: 12703365
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2008 Apr;19(4):577-82
references.pmid: 17940717
references.citation: Eur Urol. 2002 Apr;41(4):469-73
references.pmid: 12074820
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2008 Mar;19(3):357-60
references.pmid: 17726565
references.citation: Prog Urol. 2001 Dec;11(6):1306-13
references.pmid: 11859672
references.citation: Obstet Gynecol. 2003 Jan;101(1):149-56
references.pmid: 12517660
references.citation: Eur Urol. 2005 Jan;47(1):102-6; discussion 106-7
references.pmid: 15582257
references.citation: BJU Int. 2002 May;89(7):687-93
references.pmid: 11966625
references.citation: Eur Urol. 2003 Dec;44(6):724-30
references.pmid: 14644127
references.citation: BMJ. 2002 Jul 13;325(7355):67
references.pmid: 12114234
references.citation: Zhonghua Yi Xue Za Zhi. 2006 Mar 21;86(11):728-31
references.pmid: 16681943
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2007 Nov;18(11):1257-61
references.pmid: 17345002
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2008 Aug;19(8):1049-54
references.pmid: 18373046
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2004 Jul-Aug;15(4):227-32
references.pmid: 15517665