TVT - Obturator

TVT-Obturator: preliminary results of the first 100 operations with a novel procedure for the treatment of female urinary stress incontinence

Menahem Neuman, Michal Luria, Achinoam Lev-Sagi, Revital Arbell, Shlomo Shimonowitz, Yuval Lavy


BACKGROUND: Facing the fact that 20% of the parturient women suffer urinary stress incontinence, urogynecologists are constantly searching for simple, safe and effective ways to cure the underlying pelvic floor herniation. A novel surgical technique was reported lately to entail both high therapeutic rates and low complication rates.


AIM: To evaluate preliminary data from the first 100 TVT-Obturator patient series.


METHODS: A total of 100 patients with urodynamically proven USI underwent the TVT-Obturator operations.


RESULTS: The TVT-Obturator procedure did not require bladder catheterization or intra-operative diagnostic cystoscopy. Operative complications were not recorded. Ninety-three patients reported cure, six patients had minimal residual urinary leak and one patient reported therapeutic failure.

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The TVT-Obturator is a novel mid urethral sling, designed to cure female urinary stress incoritinence and reduce peri-operative complications. These results agree with the previously reported efficacy, safety and simplicity of this procedure. However, long-term data is required prior to incorporating this operative technique within the armamentarium of anti-incontinence procedures. Mesh-terms: Adult; Age of Onset; Aged; Aged, 80 and over; English Abstract; Female; Gynecologic Surgical Procedures; Humans; Middle Aged; Surgical Mesh; Urinary Incontinence, Stress :: surgery; Vagina;


Source: Harefuah. 2005 May ;144:314-6, 384


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