Urinary incontinence, defined as a leakage of small amounts of urine during physical movement (coughing, sneezing, exercising) is rather a common problem. The treatment of this disorder is even more non-uniformed: there have been roundly 100 operations proposed for it. The Burch procedure has become probably the most popular. As traumatic and invasive as it is, this procedure is performed under general anaesthetic, the abdomen is opened, the bladder neck suspended and fixed with clips or sutures to the back of the pubic bone. Some of the advantages with this procedure include safety and reproducibility, direct access to internal organs and possibility of performing this procedure in laparoscopic settings. A recent study by the same group, employing 150 patients treated with this type of procedure showed that the SERASIS TO transobturator sling seems to be very effective, less traumatic, less dangerous and does not require cystoscopy or urethral deviation devices. Although long-term follow-up data are not available for the transobturator approach, short-term results are encouraging. Large comparative studies with other anti-incontinent procedures are needed.
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Efficacy of Tension-Free Vaginal Tape versus Trans-Obturator Transvaginal Tape in the Treatment of Female Stress Urinary Incontinence: A Meta-Analysis.
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Gynecology Department, Ningbo No. 2 Hospital, 315000 Ningbo, Zhejiang, China.
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- * 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.
Transobturator hybrid tape versus synthetic tape in treatment of female stress urinary incontinence: A prospective randomized clinical study.
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Urology Department, Zagazig University, Zagazig, Egypt.
Objective: To compare the clinical and operative outcomes of transobturator hybrid tape versus synthetic tapes during mid-urethral sling in treating female stress urinary incontinence (SUI).
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Effectiveness and Safety of Shorter Incontinence Slings.
Int Urogynecol J
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Department of Gynaecology, Oslo University Hospital, Oslo, Norway.
Introduction And Hypothesis: Traditional slings, tension-free vaginal tape obturator inside-out (TVT-O) and tension-free vaginal tape (TVT), have well-documented continence outcomes but can cause serious complications. This study was aimed at evaluating whether slings with less synthetic material, Ajust™ and TVT-O Abbrevo™ (TVT-A), have comparable 6- to 12-month failure and complication rates, including risk of prolonged postoperative pain, compared with traditional slings.
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Predictors and outcomes of Mid-urethral sling continence surgeries for stress urinary incontinence among Taiwanese women: What works best?
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Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan; Department of Medicine, Mackay Medical College, New Taipei City, Taiwan.
Mid urethral sling (MUS) surgery is a widely accepted and safe procedure performed for stress urinary incontinence (SUI) with excellent cure rate besides its minimal complications. There are various types of MUS which can be offered. In this review we collated published data on MUS surgery performed among Taiwanese women with SUI in search for the best techniques and its outcome.
View Article and Find Full Text PDFOutcomes of primary transobturator mid-urethral sling surgery in women of different ages.
Eur J Obstet Gynecol Reprod Biol
December 2024
Department of Obstetrics and Gynaecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Department of Obstetrics and Gynaecology, Cathay General Hospital, Taipei, Taiwan; Department of Obstetrics and Gynaecology, Sijhih Cathay General Hospital, New Taipei, Taiwan; School of Medicine, National Tsing Hua University, Hsinchu, Taiwan. Electronic address:
Article Synopsis
- Older age is linked to higher rates of urinary incontinence, and this study examines how age affects outcomes of transobturator mid-urethral sling (TOS) surgery in women with stress urinary incontinence.
- A total of 464 women, categorized by age groups, were analyzed for clinical and ultrasound outcomes one year post-surgery, indicating that older women often reported more urinary incontinence issues post-surgery.
- The study concluded that TOS surgery is generally effective and safe for women of all ages, but older women may experience a looser and higher position of the sling post-op.
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