Transobturator vaginal suspension

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Stress incontinence in women can cause frequent involuntary release of urine during activities that put pressure on your bladder, such as coughing or laughing. The tension-free vaginal tape TVT procedure is designed to provide support for a sagging urethra so that when you cough or move vigorously or suddenly, the urethra can remain closed with no accidental release of urine. In TVT surgery, a mesh tape is placed under your urethra like a sling or hammock to keep it in its normal position.

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Skip to search form Skip to main content. Allard Delorme Published in Progres en urologie : journal de l'Association…. Transobturator tape is an artificial tape designed for urethral suspension to treat female stress urinary incontinence.

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If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. During gynecologic surgery, the lower urinary tract may be injured. Thus, diagnostic cystoscopic evaluation is often warranted following procedures in which the bladder and ureters have been placed at risk.

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Vaginal sling procedures are types of surgeries that help control stress urinary incontinence. This is urine leakage that happens when you laugh, cough, sneeze, lift things, or exercise. The procedure helps close your urethra and bladder neck. The urethra is the tube that carries urine from the bladder to the outside.

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Stress incontinence, which involves involuntary leaking of urine on effort, exertion, sneezing, or coughing, affects 17 to 45 percent of adult women. Risk factors include pregnancy especially with vaginal deliverysmoking, and obesity. Pelvic floor muscle exercises improve incontinence symptoms compared with no treatment.

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Study record managers: refer to the Data Element Definitions if submitting registration or results information. This study is a randomized trial in which women with stress incontinence will be allocated to receive either TOT or TVT procedures. Women who elect surgical management of their type II stress incontinence are eligible to participate in the trial.

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If you have severe symptoms of stress urinary incontinence or overactive bladder, surgery may provide a permanent solution to your problems. But surgery isn't for everyone. Find out what procedures may help in treating urinary incontinence.

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Jump to navigation. Stress urinary incontinence leakage of urine on effort or exertion, or on coughing, sneezing or laughing is a common condition that affects up to one in three women worldwide. It is usually the result of weakening of the muscular support of the pipe that conducts urine urethraor weakening of the sphincter circular muscle at the base of the bladder, which maintains continence. It is more common in women who have had children by vaginal delivery and in those who have weakness in the pelvic floor muscles for other reasons.

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Pelosi II is director and Dr. Videotapes and preceptorships are available from the authors. By placing the tension-free sling between the 2 obturator foramens using a perineal approach, surgeons can eliminate complications that stem from passing needle carriers through the retropubic space.

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The transobturator tape procedure attracted more attention due to the lack of major complications, such as intraabdominal organ and vascular injuries, related to the tension-free vaginal tape procedure. Although there are no major or mortality-related complications, more lower urinary complaints, especially vaginal erosion, are reported in transobturator tape surgery. Here we present a rare complication of transobturator tape surgery: the accidental placement of mesh material in the bladder neck.


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