TVT – nová epocha urogynekologické operativy
Současná urogynekologická operativa II

Česká verzia

Authors: I. Huvar
Published in the journal: Urol List 2008; 6(2): 67-70

Summary

At the beginning of 90´s Petros and Ulmsten published their integral theory – the new perception of urinary continence, putting an emphasis on the strong correlation between the minor pelvis organ function and their structure, shape and localization. The middle part of urethra – considered as the focal point of continence – has aroused new interests. This concept has led to the development of new method – self-adhesive tape supporting the middle urethra (Tensio-free Vaginal Tape- TVT). This development has launched new era of anti-incontinence reconstruction techniques. This method has been promptly accepted worldwide – until the end of 2007 there have been more than one million operations. Benefits of this method include minimal invasivity, short operating time, reduction of hospital stay time and prompt recovery of patient allowing an early return to daily routines. There has been recorded short efficiency rate of 90%, during follow-up of 5 years 85% rate. Even seven years after the operation continence persists in 81% patients. Owing to its long-term results this method represents the most efficient strategy for the management of female incontinence

Key words:
urinary incontinence, incontinence surgery, integral theory, TVT

Zdroje

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