The role of trans-obturator vaginal tape (TVT-O) in the management of female stress urinary incontinence: 2 years follow up, Minia University Experience | ||||
Evidence Based Women's Health Journal | ||||
Article 2, Volume 8, Issue 4, December 2018, Page 273-278 PDF (491.95 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ebwhj.2018.20069 | ||||
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Author | ||||
Ahmed M. Abdel-Ghany | ||||
Department of Obstetrics & Gynecology, Faculty of Medicine, Minia University, Egypt | ||||
Abstract | ||||
Objective: The aim of this study was to evaluate the effectiveness and safety of a new minimally invasive surgical procedure, trans-obturator vaginal tape (TVT-O), in the treatment of female stress urinary incontinence and following-up these cases for 24 months regarding effectiveness, safety and possibility of complications. Type of the Study: with a 24 -months follow-up. Setting: Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Minia, Egypt. Patients: Thirty women with genuine stress urinary incontinence (SUI) demonstrated by history, clinical examination and urodynamic study. Methods: Thirty patients diagnosed with SUI underwent trans-obturator sling (inside-out technique) (TVT-O Gynecare®, Johnsonand Johnson, USA.). Outcome Measures: The patients were followed up for 24 - months regarding subjective and objective cure rates. Results: The mean operative time (min.) was 19.67 (±8.06). The mean intraoperative blood loss (ml) was 80 ± 30.52. There were no cases complicated with intraoperative bleeding (mild or severe), bladder, urethral, vascular injuries and anesthetic complications. Subjective and objective cure rates of these patients were (95%). Conclusion: The results of this study concluded that management of genuine stress urinary incontinence by trans-obturator vaginal tape (TVT-O) is an easy and safe method with low complications and high success rate. | ||||
Keywords | ||||
Stress Urinary Incontinence; Transobturator vaginal tape | ||||
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