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RMU

Uruguayan Medical Journal

ISSN: 1688-0390


Vol.17 - Nº 2 - Ago. 2001

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Tension-free vaginal tape (TVTr): suburethral sling procedure in the treatment of genuine stress incontinence

CASTILLO-PINO E; SASSÓN A; PONS JE
Rev Med Urug 2001; 17: 99-106
Full text (spanish) |  Full text (spanish) (New windows, pdf) | Abstract

Abstract

This paper describes a new microinvasive suburethral sling procedure in the treatment of female stress urinary incontinence is described, an assessment of its efficacy and complications. Twenty patients with clinical and urodynamics diagnosis of stress urinary incontinence due to urethral hypermotility or intrinsic sphinteric deficiency were selected. One patient received epidural anesthesia and 19 patients, local anesthesia. Characteristics of the population are analyzed as well as the efficacy and complications during and after the operation. Twenty percent of the patients presented with recidivist incontinence. The mean surgical length was 36 minutes and hospitalization lasted for two days. Three patients showed complications. Improvement was seen in 95 percent of the patients with negative stress test. Normal postoperatory urodynamics was observed in 69% of the cases, 25% showed detrusor instability and 6% recidivist instalibity. The analyzed serie revealed 94% of cure-relief and 6% of failure.