Transvaginal Obturatriz Tape (TOT)  en el tratamiento de la incontinencia urinaria de esfuerzo femenina

Leonel Briozzo; Gonzalo Vidiella; Fernando Curbelo; Fernando Craviotto; Beatriz Massena; Raúl Varela López; Alma Martínez; Fabián Rodríguez

Authors

Leonel Briozzo Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica "A". Profesor José E. Pons, Profesor Adjunto. Lyon, Francia "Cercle Joseph Récamier", Miembro Asociado
Gonzalo Vidiella Universidad de la República, Facultad de Medicina, Cínica Ginecotocológica "C" Prof. JG. Alonso, Asistente de Clínica
Fernando Curbelo Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica "A" Profesor José E. Pons, Asistente de Clínica
Fernando Craviotto Universidad de la República, Facultad de Medicina, Clínica Urológica, Profesor Adjunto
Beatriz Massena Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica "A" Profesor José E. Pons, Ex Residente
Raúl Varela López Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica "C" Prof. J.G. Alonso, Ex Residente
Alma Martínez Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica "C" Prof. J. G. Alonso, Ex Asistente de Clínica
Fabián Rodríguez Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica "A" Profesor José E. Pons, Ex Asistente de Clínica

Keywords:

URINARY STRESS INCONTINENCE, UROLOGICAL SURGICAL PROCEDURES

Abstract

The use of a suburethral sling via a trans-obturator percutaneous route is a new approach to treat female stress urinary incontinence.
Needles were used to set a suburethral sling made of polypropylene.
The study includes seventy women who underwent surgery from October 2002 to December 2003. In 34 cases, only Transvaginal Obturator Tape (TOT) was performed, while in 36 TOT was performed within another surgery.
At 21.4 months average of follow-up, cure rates (dry patient without protection) were reached by 64 cases (91,4%), recurrent incontinence was seen in 4 cases (5,7%) while improvement without total cure was determined in 2 cases (2,8%).
Mean surgery duration of TOT was 19,5 minutes.
Post-surgical hospital stay was 34 hours for TOT procedures.
No vesicle, urethral or other visceral injuries were reported. Only one case of bleeding over 100 ml was reported.
Medium term results were very satisfactory.
Surgical technique is standard, safe and can be reproduced. The technique might be combined to other corrective surgeries of the pelvis. Surgical costs are very convenient.

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