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Revista de Ciencias Médicas de Pinar del Río

versión On-line ISSN 1561-3194


ALVAREZ RIVERAS, Yordanis; GUTIERREZ VALDES, Nersa  y  ZUBIZARRETA VEGA, Yohanys María. Transvaginal obturator-tape to treat stress urinary incontinence in females. Rev Ciencias Médicas [online]. 2012, vol.16, n.2, pp.164-188. ISSN 1561-3194.

Introduction: The emplacement of a sub-urethral sling through the obturator foramens constitutes a new approach to treat stress urinary incontinence in females. Objective: To describe the surgical procedure, measuring the security, results and possible complications at medium term. Material and method: Retrospective analysis of patients suffering from stress urinary incontinence operated in the service by transvaginal obturator-tape. Postoperative continence considering the patients that were cured, who had total continence, together with the analysis of failures of any type of involuntary loss with stress, regardless its severity and checking the onset were included, being the first 120 cases operated at "Abel Santamaria Cuadrado" University Hospital from October 2011 to February 2012. In 21 cases (out of the 120) Transvaginal obturator-tape procedure was used, meanwhile in 99 cases this procedure was performed in the context of another surgical treatment. Results: In 120 cases only 99 surgeries were associated, the major association corresponded to transvaginal obturator-tape and anterior colpoperineorrhaphy. The time of admission for the postoperative period in the cases of transvaginal obturator-tape was 6 hours. Only a vesical lesion was observed, neither the urethra nor viscera were affected. Results at medium term are very satisfactory. Conclusion: The surgical procedure is regulated, safe and it can be reproduced. It is possible to apply this procedure in other surgeries to correct the pelvic floor.

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