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Safety of TVT-O


Authors: P. Hubka ;  J. Mašata;  O. Naňka;  A. Martan
Authors place of work: Anatomický ústav 1. LF UK, Ústav patologie 1. LF UK, Praha ;  Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc.
Published in the journal: Ceska Gynekol 2010; 75(5): 471-473

Summary

Objective:
Examine safety of TVT-O.

Design:
Experimental study.

Setting:
Gynekologicko-porodnická klinika 1. LF UK a VFN, Institute of Anatomy, Institute of Pathology LF UK, Praha.

Methods:
We inserted TVT-O in fourteen formalin-embalmed bodies with legs mal-positioned. After dissection distances from the branches of obturator nerve to the inserter were measured.

Results:
In embalmed bodies, the mean distance to the anterior branch of the obturator nerve was 8.6 mm on the left, 7.1 mm on the right. Mean distance to the posterior branch of the obturator nerve was 8.4 mm on the left, 8.9 mm on the right.

Conclusion:
The position of the legs is crucial for correct placement of TVT-O.

Key words:
anatomy, TVT-O, urinary incontinence.


Zdroje

1. Achtari, C., McKenzie, BJ., Hiscock, R., et al. Anatomical study of the obturator foramen and dorsal nerve of the clitoris and their relationship to minimally invasive slings. Int Urogynecol J Pelvic Floor Dysfunct, 2006, 17, 4, p. 330-334.

2. Cody, J., Wyness, L., Wallace, S., et al. Systematic review of the clinical effectiveness and cost-effectiveness of tension-free vaginal tape for treatment of urinary stress incontinence. Health Technol Assess, 2003, 7, 21, p. 1-189.

3. de Leval, J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol, 2003, 44, 6, p. 724-730.

4. Delorme, E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol, 2001, 11, 6, p. 1306-1313.

5. Hinoul, P., Vanormelingen, L., Roovers, JP., et al. Anatomical variability in the trajectory of the inside-out transobturator vaginal tape technique (TVT-O). Int Urogynecol J Pelvic Floor Dysfunct, 2007, 18, 10, p. 1201-1206.

6. Karram, MM., Segal, JL., Vassallo, BJ., et al. Complications and untoward effects of the tension-free vaginal tape procedure. Obstet Gynecol, 2003, 101, 5, p. 929-932.

7. Neuman, M. Training TVT Secur: the first 150 teaching operations. Int Urogynecol J Pelvic Floor Dysfunct, 2007, 18, Suppl 1, S27.

8. Nilsson, CG., Palva, K., Rezapour, M., et al. Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct, 2008, 19, 8, p. 1043-1047.

9. Novara, G., Ficarra, V., Boscolo-Berto, R., et al. Tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials of effectiveness. Eur Urol, 2007, 52, 3, p. 663-678.

10. Ulmsten, U., Petros, P. Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol, 1995, 29, 1, p. 75-82.

Štítky
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Článok vyšiel v časopise

Czech Gynaecology

Číslo 5

2010 Číslo 5
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