INTRODUCTION AND HYPOTHESIS: The purpose of this study was to evaluate the safety and efficacy of a modified transobturator vaginal tape inside-out (TVT-O) procedure for stress urinary incontinence (SUI) using custom-tailored polypropylene mesh and helical needles. METHODS: A 1x15-cm mesh made from the Gynemesh is positioned without tension under the mid-urethra using custom-made helical needles through the obturator. RESULTS: The procedure was carried out in 80 consecutive patients (mean age 65.0+/-13.2 years). The mean operative time was 15 min (range 6-22 min). All patients had a follow-up visit at 1 year after surgery. Of the 80 patients, 75 (93.68%) were cured, and 5 (6.2%) were improved; no failure occurred. No bladder or urethral injuries and no vascular or neurological complications were encountered. CONCLUSION: Our modified TVT-O procedure is a simple, safe, efficacious, and economic surgical procedure for SUI. The technique avoids damage to the urethra and bladder. The promising results are currently under evaluation.
INTRODUCTION AND HYPOTHESIS: The purpose of this study was to evaluate the safety and efficacy of a modified transobturator vaginal tape inside-out (TVT-O) procedure for stress urinary incontinence (SUI) using custom-tailored polypropylene mesh and helical needles. METHODS: A 1x15-cm mesh made from the Gynemesh is positioned without tension under the mid-urethra using custom-made helical needles through the obturator. RESULTS: The procedure was carried out in 80 consecutive patients (mean age 65.0+/-13.2 years). The mean operative time was 15 min (range 6-22 min). All patients had a follow-up visit at 1 year after surgery. Of the 80 patients, 75 (93.68%) were cured, and 5 (6.2%) were improved; no failure occurred. No bladder or urethral injuries and no vascular or neurological complications were encountered. CONCLUSION: Our modified TVT-O procedure is a simple, safe, efficacious, and economic surgical procedure for SUI. The technique avoids damage to the urethra and bladder. The promising results are currently under evaluation.
Authors: J S Krauth; H Rasoamiaramanana; H Barletta; P Y Barrier; M Grisard-Anaf; J Lienhart; J Mermet; R Vautherin; J L Frobert Journal: Eur Urol Date: 2005-01 Impact factor: 20.096
Authors: S Charalambous; S Touloupidis; G Fatles; A G Papatsoris; Ch Kalaitzis; S Giannakopoulos; V Rombis Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2007-08-29
Authors: Mohammed S ElSheemy; Hesham Fathy; Hussein A Hussein; Eman A Hussein; Sarah Mohamed Hassan Journal: Int Urol Nephrol Date: 2015-04-22 Impact factor: 2.370
Authors: Mohammed S ElSheemy; Hesham Fathy; Hussein A Hussein; Ragheb Elsergany; Eman A Hussein Journal: Int Urogynecol J Date: 2015-05-09 Impact factor: 2.894
Authors: Jerry G Blaivas; Rajveer S Purohit; Matthew S Benedon; Gabriel Mekel; Michael Stern; Mubashir Billah; Kola Olugbade; Robert Bendavid; Vladimir Iakovlev Journal: Nat Rev Urol Date: 2015-08-18 Impact factor: 14.432
Authors: Mohammed S ElSheemy; Hisham Ghamrawy; Hesham Fathy; Hussein A Hussein; Eman A Hussein; Ahmed Aly; Sherif Abdel Rahman Journal: Arab J Urol Date: 2015-06-14