title: Transobturator midurethral sling: surgical technique and outcomes.
abstract: Transobturator tape midurethral sling is the latest method for treatment of female urinary incont-inence. The authors describe their technique via an outside-in approach under local anesthetic to ensure proper tightening of the sling. Placement through the obturator foramen is straightforward and virtually eliminates risk of serious intraoperative major organ or vessel injury. Although outcome data lack the long-term follow-up of colposuspension and tension-free vaginal tape, similar short-term continence results are encouraging with less associated operative morbidity.
authors.affiliation: Division of Urology, Department of Surgery, Washington University in Saint Louis, St. Louis, MO 63110, USA. thomm@wudosis.wustl.edu
authors.forename: Matthew R
authors.initials: MR
authors.lastname: Thom
authors.forename: Carl G
authors.initials: CG
authors.lastname: Klutke
mesh_terms: D005260:Female; D006801:Humans; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods