الفهرس يوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
Urinary incontinence is a major problem that affects a big sector in the female population.
Genuine stress incontinence is one of its causes.
The proper diagnosis of this problem is important. The best way to diagnose and objectively evaluate this problem is by a combination of history, physical examination and the use of some urodynamic studies.
The striking need for less invasive, simpler and cheaper methods for correction of the anatomical conditions causing stress incontinence has led to the development of several minimal invasive methods such as transobturator tape and tension free vaginal tape ( TVT ) & tension free vaginal tape obturator (TVT-O) procedures.
The aim of this study was to evaluate (TVT) & (TVT-O) as new procedures in the treatment of female stress incontinence and to compare the efficacy of them with the conventional Burch colposuspension.
Forty Five women suffering from genuine S.U.I. were included. 15 women underwent (TVT), and 15 women underwent (TVT-O) and, 15 women underwent the classic Burch.
All patients were assessed clinically and by urodynamic studies preoperatively, third day postoperatively, and six months postoperatively.
Results showed that (TVT) & (TVT-O) are a safe and effective, minimally invasive procedures.
Success rate is 86.7%for (TVT) & 93.3% for (TVT-O) after 6 months follow-up.
They have a short operative duration (20.2 + 7.6 min.)for (TVT) & (16.1 + 5.1 min ) for (TVT-O) ,reduced risk of complications and cure rate comparable to the classic Burch colposuspension.