title: Inserting the tunneller during an outside-in transobturator tape procedure by syringe-needle guidance.
abstract: The objective of this study was to determine the feasibility of a novel syringe-needle guidance technique (SNG), and its impact on the perioperative variables and outcomes of patients undergoing an outside-in transobturator tape procedure (TOT). Between November 2006 and May 2008, 48 consecutive women who underwent TOT with SNG were included. Another 25 women without SNG between March 2004 and October 2006 were included as a historical control. There were no significant differences in hospital stays and complication rates between the two groups. However, the operating time was shorter (mean 23.0 vs 28.3 min, p=0.008) in the SNG group than in the control group. The presence of the SNG technique was the sole predictor of the operating time (p=0.003). In conclusion, the SNG technique is a feasible method to provide help in inserting the tunneller of TOT through the transobturator foramen, and did not compromise the outcome.
authors.affiliation: Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei, Taiwan.
authors.forename: S M
authors.initials: SM
authors.lastname: Hsiao
authors.forename: T C
authors.initials: TC
authors.lastname: Chang
authors.forename: W Y
authors.initials: WY
authors.lastname: Wu
authors.forename: C H
authors.initials: CH
authors.lastname: Chen
authors.forename: H H
authors.initials: HH
authors.lastname: Lin
mesh_terms: D016022:Case-Control Studies; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D009339:Needles; D011183:Postoperative Complications; D053825:Suburethral Slings; D013594:Syringes; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*