Retropubic Approach of Sling Placement Treatment of Stress Urinary Incontinence in Females

  • Amita Jain

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It is estimated that about 10%–55% of females aged 15–64 years have stress urinary incontinence (SUI) and the prevalence increases with age. Retropubic approach of Sling placement or Tension-free vaginal sling procedures or transvaginal tape procedure (TVT) is a surgical option for them with proven long term success rates, even if presenting with severe symptoms showing a component of Intrinsic sphincter deficiency. Also this procedure is a minimally invasive that involves the placement of a strip of polypropylene mesh (tape) around the pubic bones underneath the urethra. The average operative time for TVT ranges from 10 to 20 minutes with the patient under local anesthesia plus intravenous sedation, regional, or general anesthesia. It is a daycare surgery and patient can be discharged after successful trial of void.

This video gives a comprehensive overview of understanding the concept, evaluation and selection of patient, detailed operative technique with clear demonstration of surgical anatomy and tips to avoid potential complications and management of complications. It will be helpful for all those specialists, who are dealing with Female Urology (Urogynecologists, female urologists, minimally invasive pelvic surgeons, reconstructive surgeons, general urologists, general gynecologists, medical students, residents, patients, sonographers, radiologists). It is still included as the first line surgical management for Stress urinary incontinence, in most of the recently published standard guidelines.

Introduction

This video gives a comprehensive overview of understanding the concept, evaluation and selection of patient, detailed operative technique with clear demonstration of surgical anatomy and tips to avoid potential complications and management of complications.

About The Author

Amita Jain

Dr Amita Jain is a graduate from King George Medical College, Lucknow, India and then she obtained her Masters in Obstetrics & Gynaecology from Sarojini Naidu Medical college, Agra, India in 2003. Thereafter she received training in endoscopic surgeries from BEAMS, Mumbai, India followed by fellowship in Urogynaecology from James Cook University, Queensland, Australia in 2009. At present she is the General Secretary of SAFUG (South Asian Federation of Urogynaecology), Executive Committee Member of GIBS (Global IC and Bladder Pain Syndrome Society) and an active member of IUGA (International Urogynecological Association). Also she served as Chairperson of Urogynaecology Subcomittee AOGD ( Association of Obstetricians & Gynaecologists of Delhi) 2017-2019.

She has received many prestigious awards including International Continence Society Travel Award and Appreciation Award from Association of Obstetricians and Gynaecologists of Delhi for her valuable contribution. Besides this, she has written and published extensively on this upcoming field of Urogynecology and has several publications in peer reviewed national and international journals including book chapters. Recently she was also honoured for being nominated for the post of Southern Asia Representative of International Advisory Board at International Urogynaecological Association.

With a vast experience of regularly performing all named surgeries in urogynaecological field vaginal or abdominal (open/ laparoscopic / robotic), she has pioneered several advanced procedures in her country including dynamic MRI pelvis and 2D/3D transperineal USG as diagnostic modalities and first TVT- Abbrevo placement and robotic burch colposuspension for stress urinary incontinence. She has also organized and has been involved as a faculty in many educational conferences, CMEs & workshops, group activities and patient awareness sessions at both national and international forums and is also a part of many national projects like formation of guidelines, fellowship programmes and research. She also continues to be a reviewer of many prestigious journals like Indian Journal of Urology, International Urogynecology Journal, Proceedings in Obstetrics & Gynecology.

 

About this video

Author(s)
Amita Jain
DOI
https://doi.org/10.1007/978-981-15-8738-2
Online ISBN
978-981-15-8738-2
Total duration
14 min
Publisher
Springer, Singapore
Copyright information
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2020

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Video Transcript

[THEME MUSIC]

Introduction to retropubic approach of sling placement. It is estimated that about 10% to 55% of women aged between 15 to 64 years have a stress urinary incontinence, and the prevalence increases with age. Retropubic approach of sling placement, or tension-free vaginal sling procedure, or transvaginal tape procedure, is a surgical option for them with proven long-term success rates, even if presenting with severe symptoms showing a component of intrinsic sphincter deficiency.