TVT versus TVT-O for minimally invasive surgical correction of stress urinary incontinence
Int. braz. j. urol
;
33(2): 246-253, Mar.-Apr. 2007. tab
Artículo
en Inglés
| LILACS
| ID: lil-455601
ABSTRACT
OBJECTIVE:
The present work describes our experience in surgical correction of stress urinary incontinence, comparing both the TVT and the TVT-O techniques.METHOD:
Between October 2001 and March 2004, 76 patients underwent the TVT procedure. Between January 2004 and January 2005, 98 surgical corrections of urinary incontinence were carried out using the TVT-O technique.RESULTS:
Median operative time was 28 minutes for TVT and 7 minutes for TVT-O. Intraoperative complications for TVT occurred in 4 patients (6.6 percent) urinary bladder perforation in 3 patients (5 percent, p = 0.0228) and parietal peritoneum perforation in 1 case (1.6 percent). No intraoperative complications took place during TVT-O. Immediate postoperative complications transient urinary retention in TVT, 2 cases (2.6 percent) and overcorrection in TVT-O (1 percent) which was readjusted within 24 hours. There were no late complications after TVT. There were 2 cases (2.04 percent) with late complications in TVT-O. TVT and TVT-O resulted in correction of incontinence in 100 percent of the patients.CONCLUSION:
TVT and TVT-O are two effective techniques for the correction of stress urinary incontinence. TVT-O would seem to be a technique much easier to perform resulting in less intraoperative complications.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Incontinencia Urinaria de Esfuerzo
/
Cabestrillo Suburetral
Límite:
Adulto
/
Anciano
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Int. braz. j. urol
Asunto de la revista:
Urología
Año:
2007
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Las Condes Clinic/CL
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