| Avenida Italia 2364 / 301
|
| Torre Palma de Málaga |
| E-Mail:info@imperine.com |
| |
 |
Montevideo
Uruguay
|
| |
|
Noticias |
| |
 |
|
Manual
de Ginecología y Obstetricia
para pregrados y médicos generales
COORDINADOR
Dr. Edgardo Castillo Pino
Ver
aquí |
|
|
|
Int J Gynaecol Obstet.
2010 Apr 19.
Comparison
of retropubic and transobturator tension-free vaginal
implants for the treatment of stress urinary incontinence.
Castillo-Pino
E, Sasson A, Pons JE.
Urogynecology and Pelvic Floor Unit, Department of Obstetrics
and Gynecology, University of the Republic School of Medicine,
Pereira Rossell Hospital, Montevideo, Uruguay.
Abstract
OBJECTIVE:
To compare the perioperative complications, failure rate,
operating time, and length of hospital stay associated
with 2 minimally invasive suburethral slings in the management
of stress urinary incontinence in women. METHODS: Women
diagnosed with stress urinary incontinence were treated
with tension-free vaginal tape (TVT) or transobturator
tape (TOT). The participants were followed for the next
2years, with scheduled evaluations 6weeks, then 3, 6,
12, and 24months after surgery. RESULTS: Of the 104 participants,
55 were treated with TVT and 49 were treated with TOT.
The condition was classified as "cured" in 81.8%
of cases in the TVT group and 83.7% in the TOT group,
and improvement occurred in 10.9% and 10.2% of cases,
respectively. The mean operating time was shorter for
patients treated with TOT than for those treated with
TVT. There were no significant differences between the
groups in terms of perioperative complications (abnormal
voiding dysfunction, urinary infections, and de novo overactive
bladder).
The temporary and permanent urinary obstruction rates
in the TVT group were approximately twice those in the
TOT group. CONCLUSION: Comparable complications and outcomes
were observed with TVT and TOT. Tension-free vaginal implants
are effective for the treatment of female stress urinary
incontinence.
Copyright © 2010 International Federation of Gynecology
and Obstetrics. Published by Elsevier Ireland Ltd. All
rights reserved. |
|
|
| |
|
| |
| Libro de Urogineco.
SMU. “Comenta Antonio Turnes 2007” |
| |
| Endoscopia. Arturo
Achard “El observador” 2008 |
|
|
