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Robotic-assisted treatment of obturator nerve entrapment 5 years after retropubic tension-free vaginal tape insertion.
Facts Views Vis Obgyn
December 2024
Background: Stress urinary incontinence is a frequent condition in female patients. Surgical treatment with tension-free vaginal tape (TVT) insertion is a minimally invasive option with immediate improvement of symptoms. Different possible complications have been described in the literature.
View Article and Find Full Text PDFEfficacy of Tension-Free Vaginal Tape versus Trans-Obturator Transvaginal Tape in the Treatment of Female Stress Urinary Incontinence: A Meta-Analysis.
Arch Esp Urol
November 2024
Gynecology Department, Ningbo No. 2 Hospital, 315000 Ningbo, Zhejiang, China.
Article Synopsis
- * A comprehensive search across multiple databases identified 13 high-quality randomized controlled trials to assess cure rates and complications associated with both surgical methods.
- * Results showed that both TVT and TVT-O had similar mid- to long-term cure rates for SUI, but TVT was linked to a higher risk of hematoma and a lower risk of thigh/groin pain compared to TVT-O.
Comparative Analysis of the Efficacy of Different Surgical Modalities for the Treatment of Female Stress Urinary Incontinence: A Multicenter Retrospective Study.
Int J Womens Health
November 2024
Department of Gynecology, Minda Hospital of Hubei Minzu University, Enshi, Enshi Tujia and Miao Autonomous Prefecture, Hubei, People's Republic of China.
Article Synopsis
- The study aimed to compare the effectiveness of four surgical techniques for treating female stress urinary incontinence (SUI) using a sample of 243 patients divided into four groups based on the method used: AFS, TVT-O, epithelial flap suspension, and ASIS.
- Results showed no significant differences in treatment outcomes across the groups, but the ASIS group had better metrics in terms of reduced intraoperative bleeding and shorter hospital stays compared to others.
- The TVT-O technique was associated with a higher occurrence of postoperative medial thigh pain, while the AFS group had more cases of urine retention, highlighting the different risk profiles of each surgical method despite overall effectiveness.
Role of Preoperative and Postoperative Endovaginal Ultrasound and 24 h Pad Test in Evaluation of Efficacy of Various Treatment Modalities for Stress Urinary Incontinence.
J Midlife Health
October 2024
Departments of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Background: Stress urinary incontinence (SUI) is a common problem affecting the quality of life of women.
Materials And Methods: It is a prospective study conducted over 40 women of SUI by endovaginal ultrasound on rest and Valsalva preoperatively and 6 months postoperatively for levator hiatus (LH), pubovisceral thickness, urethral length, and bladder neck (BN) position. A 24 h pad test was also performed on all women at the same time for grading of SUI.
Sonographic Sling Position and the Outcome of the Tension-Free Vaginal Tape-Obturator in Asian Chinese.
Int Urogynecol J
November 2024
Department of Obstetrics and Gynecology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong.
Introduction And Hypothesis: The objective was to assess the sonographic tension-free vaginal tape-obturator (TVT-O) position and the outcome in Asian Chinese women.
Methods: A prospective cohort study of 254 patients who underwent TVT-O surgery between 2013 and 2022. The sonographic position of the TVT-O was recorded and correlated with the outcomes, including the subjective cure rates, Incontinence Impact Questionnaire 7 (IIQ-7), and retention of urine.
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