Surgical results in women with detrusor underactivity and stress urinary incontinence undergoing suburethral sling procedure—Predictive factors for successful outcome

2019 ◽  
Vol 12 (2) ◽  
pp. 143-149 ◽  
Author(s):  
Ching‐Jung Chen ◽  
Soon‐Chin Yeoh ◽  
Hsin‐Tzu Yeh ◽  
Sheng‐Mou Hsiao ◽  
Hann‐Chorng Kuo
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Predictive Factors ◽  
Suburethral Sling ◽  
Successful Outcome ◽  
Detrusor Underactivity ◽  
Surgical Results ◽  
Sling Procedure

scholarly journals Transobturator tension-free “inside-to-out” suburethral sling procedure for the treatment of stress urinary incontinence

2012 ◽  
Vol 140 (1-2) ◽  
pp. 47-50
Author(s):  
Darko Laketic ◽  
Andrej Veljkovic ◽  
Vesna Laketic
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Health Centre ◽  
Suburethral Sling ◽  
Abdominal Pressure ◽  
Sudden Increase ◽  
Voiding Function ◽  
Sling Procedure ◽  
Tension Free ◽  
Significant Difference

Introduction. Stress urinary incontinence is an involuntary leakage of urine on a sudden increase of intra-abdominal pressure by physical activity, exercise, coughing, sneezing or laughing. Objective. To assess symptoms, functional and anatomical status of voiding function, complications and short term success of a novel procedure, tension-free vaginal tape obturator technique (TVT-O) in the treatment of stress urinary incontinence. Methods. A prospective study was performed on 40 female patients who underwent the TVT-O suburethral sling at the Urology Department of the Health Centre in Prokuplje and Urology Hospital in Nis between May 2009 and February 2010. The mean patients? age was 58 years (range 34-84 years). Preoperative evaluation included a detailed history and gynaecologic examination including urodynamic testing and voiding studies.UDI-6 and UIQ-7 score testing was performed before, and six months after surgery. All patients who demonstrated stress urinary incontinence with a Q-tip test-angle during maximal straining were included into the study. Postoperatively, outcomes evaluation included voiding function, anatomical parameters, complications, as well as subjective success rates. Results. In 30 patients surgery was performed under spinal and in ten under general anaesthesia. The average intraoperative blood loss during the TVT-O was minimal (<50 ml). There were no vascular, bladder, bowel, and neurological injuries. Thirty-eight patients (95%) were discharged voiding satisfactorily. There was a statistically significant difference in symptoms between UDI-6 and UIQ-7 before and after surgery. Conclusion. Initial experience with TVT-O suburethral sling is promising. The TVT-O differs from retropubic procedures by resulting in lower postoperative morbidity, intraoperative and postoperative complications.

scholarly journals Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure

2020 ◽  
Vol 42 (11) ◽  
pp. 769-771
Author(s):  
Germano José Ferraz de Arruda ◽  
Miguel Bonfitto ◽  
Jerônimo Ferraz de Arruda Neto ◽  
Luis Cesar Fava Spessoto ◽  
José Germano Ferraz de Arruda ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Standard Treatment ◽  
Hypovolemic Shock ◽  
Hemodynamic Instability ◽  
Suburethral Sling ◽  
Transobturator Sling ◽  
Sling Procedure ◽  
Obturator Artery ◽  
Blind Insertion

AbstractThe placement of a suburethral sling is standard treatment for stress urinary incontinence. The transobturator technique (TOT) emerged as an alternative to minimize the risks of the blind insertion of needles, leading to a lower rate of perforation complications compared with the retropubic approach. We present a case of injury to a branch of the left obturator artery following the placement of a urethral sling using TOT, followed by intense bleeding and hemodynamic instability, which was treated with embolization.

Learning curve for the single-incision suburethral sling procedure for female stress urinary incontinence

2017 ◽  
Vol 139 (3) ◽  
pp. 363-367 ◽  
Author(s):  
Federico Spelzini ◽  
Matteo Frigerio ◽  
Cristina Regini ◽  
Stefania Palmieri ◽  
Stefano Manodoro ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Learning Curve ◽  
Single Incision ◽  
Suburethral Sling ◽  
Female Stress Urinary Incontinence ◽  
Sling Procedure
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