Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape

Introduction/aim: Current method in the treatment of female urinary incontinence implies the placement of tension-free suburethral vaginal tape, using a retropubic or transobturator approach. Considering numerous complications related to retropubic approach, we reported the results of transobturator...

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Main Authors: Argirović Rajka, Likić-Lađević Ivana, Bošković Vladan, Berisavac Milica, Milenković Vera, Kadija Saša
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2006-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500608721A.pdf
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author Argirović Rajka
Likić-Lađević Ivana
Bošković Vladan
Berisavac Milica
Milenković Vera
Kadija Saša
author_facet Argirović Rajka
Likić-Lađević Ivana
Bošković Vladan
Berisavac Milica
Milenković Vera
Kadija Saša
author_sort Argirović Rajka
collection DOAJ
description Introduction/aim: Current method in the treatment of female urinary incontinence implies the placement of tension-free suburethral vaginal tape, using a retropubic or transobturator approach. Considering numerous complications related to retropubic approach, we reported the results of transobturator procedure in prospective study. Methods. We used a non-absorbable polypropylene tape with the outside-in (Herniamesh) or in-outside (Johnson & Johnson) transobturator approach. Results. During the period from October 2004 to September 2005 the procedure was carried out in 10 patients. In only 2 cases urinary stress incontinence occurred as isolated problem managed with transoburator tape, whereas in 8 patients this procedure was associated with other operative gynecologic events. No perioperative complication was encountered. In 80% of the patients a satisfactory result was obtained, while one patient failed to demonstrate any amelioration, and the other developed subsequently urge incontinence. Conclusion. Transobturator tension-free vaginal tape represents a very simple, safe and, in the large percent of cases, successful procedure in the management of urinary stress incontinence, with rare perioperative complications.
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spelling doaj.art-f704f6ff0c704373a2fe13b2e930e26a2022-12-22T03:54:56ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502006-01-0163872172410.2298/VSP0608721ANovel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tapeArgirović RajkaLikić-Lađević IvanaBošković VladanBerisavac MilicaMilenković VeraKadija SašaIntroduction/aim: Current method in the treatment of female urinary incontinence implies the placement of tension-free suburethral vaginal tape, using a retropubic or transobturator approach. Considering numerous complications related to retropubic approach, we reported the results of transobturator procedure in prospective study. Methods. We used a non-absorbable polypropylene tape with the outside-in (Herniamesh) or in-outside (Johnson & Johnson) transobturator approach. Results. During the period from October 2004 to September 2005 the procedure was carried out in 10 patients. In only 2 cases urinary stress incontinence occurred as isolated problem managed with transoburator tape, whereas in 8 patients this procedure was associated with other operative gynecologic events. No perioperative complication was encountered. In 80% of the patients a satisfactory result was obtained, while one patient failed to demonstrate any amelioration, and the other developed subsequently urge incontinence. Conclusion. Transobturator tension-free vaginal tape represents a very simple, safe and, in the large percent of cases, successful procedure in the management of urinary stress incontinence, with rare perioperative complications.http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500608721A.pdfurinary incontinencestresswomengynecologic surgical procedures
spellingShingle Argirović Rajka
Likić-Lađević Ivana
Bošković Vladan
Berisavac Milica
Milenković Vera
Kadija Saša
Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape
Vojnosanitetski Pregled
urinary incontinence
stress
women
gynecologic surgical procedures
title Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape
title_full Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape
title_fullStr Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape
title_full_unstemmed Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape
title_short Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape
title_sort novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape
topic urinary incontinence
stress
women
gynecologic surgical procedures
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500608721A.pdf
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