Abstract

SOLA DALENZ, V. et al. Minimal invasive surgery in female urinary incontinence: TVT-O. Actas Urol Esp [online]. 2006, vol.30, n.1, pp.61-66. ISSN 0210-4806.

Objective: We presented our experience in the application of Tvt-O, a surgical a new technic for SUI. Method: Between April and December 2004, 96 patients underwent Tvt-O surgery, in Uroginecology and Vaginal Surgery Unit of the Gynecology and Obstetrics Department, Las Condes Clinic. Median age was 54 years old, weight 65 kgs. Urodinamia test: SUI II 80 cases, SUI III 4, SUI 0 in 3, and mixed urinary incontinence 9. Gynecare TVT Obturator System technique was used, Ethicon Johnson & Johnson. It has three specific instruments: helical passers, plastic tubes fixed to mesh of prolene, and a guide for the introduction of the needle. Results: Media time was 7 minutes (4 to 15). Other gynecological surgery was associated in 77 (80%). Complications did not appear during the surgical act. No injury to bladder and urethra was observed. We observed in immediate postoperative period only one complication (1.04%). It was urinary retention. One complication appeared (1.04%) in remote postoperative period, corresponding polypropylene tape exposition in the anterior vaginal wall. SUI solution was obtained in 100% of patients. The medium time of observation is 6 months, 51 cases have more than 6 months of observation. Discussion: Tvt-O is a surgical SUI correction technique with promissory results. Like the other types of TOT, their effectiveness will have in the long term to be evaluated.

Keywords : Minimal invasive surgery; Urinary incontinence; TVT-O (tension free vaginal tape obturator); Combined gynecological surgery with TVT-O; TVT-O associated complications.

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