TRANS-OBTURATOR TAPE FOR SURGICAL TREATMENT OF URINARY INCONTINENCE

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GHANBARI Z.; DAHAGHIN M.; SHARIAT MAMAK; EFTEKHAR T.; ASHRAFI M.

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Journal: Tehran University Medical Journal Year:2008 | Volume:66 | Issue:2 Page(s): 85-89

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Title

TRANS-OBTURATOR TAPE FOR SURGICAL TREATMENT OF URINARY INCONTINENCE

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Keywords

STRESS URINARY INCONTINENCEQ3

TOTQ3

Abstract

Background: The aim of this study was to assess the efficacy and safety of a new minimally-invasive surgical procedure using trans-obturator Tape (TOT) to treat female STRESS URINARY INCONTINENCE.Methods: This clinical trial study was performed from 2003 to 2004 in the Gynecology Department of Imam Hospital, Vali-e-Asr, Tehran, Iran. A TOTal of 35 women with STRESS URINARY INCONTINENCE underwent the TOT procedure. All patients underwent pre-operative clinical examination, cough-stress test (full bladder), uroflowmetry and post-voiding residual volume assessment.Results: The mean age of patients was 50 years, ranging from 26 to 74 years, with average urinary stress incontinence duration of six years. The mean time of follow-up was 14 months (at 1, 6, 12 and 24 months) and the average duration of surgery was about 20 minutes. The perioperative complication rate was 9% with no vascular, nerve or bowel injuries. The rate of hemorrhagic side effects (spontaneously-absorbed hematoma and blood loss not requiring blood transfusion) was 2.9%. Post-operative urinary retention and vaginal erosion occurred in one case each; the former was treated by intermittent selfcatheterization.In TOTal, 91.4% of patients were completely cured and 8.6% were improved without failure of treatment.Conclusions: The present study confirms the results obtained by Delorme and coworkers, and allows us to consider TOT as a safe, minimally invasive and efficient short-term surgical technique for the treatment of female STRESS URINARY INCONTINENCE, alone or in combination with prolapse repair. Following this study, a randomized control trial is recommended to compare TOT with the gold standard surgery for women with urinary incontinence.

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APA: Copy

GHANBARI, Z., DAHAGHIN, M., SHARIAT, MAMAK, EFTEKHAR, T., & ASHRAFI, M.. (2008). TRANS-OBTURATOR TAPE FOR SURGICAL TREATMENT OF URINARY INCONTINENCE. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 66(2), 85-89. SID. https://sid.ir/paper/38868/en

Vancouver: Copy

GHANBARI Z., DAHAGHIN M., SHARIAT MAMAK, EFTEKHAR T., ASHRAFI M.. TRANS-OBTURATOR TAPE FOR SURGICAL TREATMENT OF URINARY INCONTINENCE. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2008;66(2):85-89. Available from: https://sid.ir/paper/38868/en

IEEE: Copy

Z. GHANBARI, M. DAHAGHIN, MAMAK SHARIAT, T. EFTEKHAR, and M. ASHRAFI, “TRANS-OBTURATOR TAPE FOR SURGICAL TREATMENT OF URINARY INCONTINENCE,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 66, no. 2, pp. 85–89, 2008, [Online]. Available: https://sid.ir/paper/38868/en

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