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An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence

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Abstract

Introduction and hypothesis

The purpose of this study was to evaluate the safety and efficacy of a modified transobturator vaginal tape inside-out (TVT-O) procedure for stress urinary incontinence (SUI) using custom-tailored polypropylene mesh and helical needles.

Methods

A 1×15-cm mesh made from the Gynemesh is positioned without tension under the mid-urethra using custom-made helical needles through the obturator.

Results

The procedure was carried out in 80 consecutive patients (mean age 65.0±13.2 years). The mean operative time was 15 min (range 6–22 min). All patients had a follow-up visit at 1 year after surgery. Of the 80 patients, 75 (93.68%) were cured, and 5 (6.2%) were improved; no failure occurred. No bladder or urethral injuries and no vascular or neurological complications were encountered.

Conclusion

Our modified TVT-O procedure is a simple, safe, efficacious, and economic surgical procedure for SUI. The technique avoids damage to the urethra and bladder. The promising results are currently under evaluation.

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Abbreviations

SUI:

Stress urinary incontinence

TOT:

Transobturator vaginal tape outside-in

TVT:

Tension-free vaginal tape

TVT-O:

Transobturator vaginal tape inside-out

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Acknowledgements

The author wishes to thank colleges in Department of Obstetrics and Gynecology, Tongji Hospital of Tongji University, for cooperation in providing information on patients.

Funding

This study was supported by the National Natural Science Foundation of China (No. 30471815).

Conflicts of interest

None.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Tongji Hospital of Tongji University, Shanghai, 200065, China

    Xinliang Chen, Huaifang Li, Bozhen Fan, Xiang Yang & Xiaowen Tong

Authors
  1. Xinliang Chen
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  2. Huaifang Li
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  3. Bozhen Fan
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  4. Xiang Yang
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  5. Xiaowen Tong
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Corresponding author

Correspondence to Xiaowen Tong.

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Chen, X., Li, H., Fan, B. et al. An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence. Int Urogynecol J 20, 1365–1368 (2009). https://doi.org/10.1007/s00192-009-0961-3

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  • DOI: https://doi.org/10.1007/s00192-009-0961-3

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