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A Comparative Evaluation of Suburethral and Transobturator Sling in 209 Cases with Stress Urinary Incontinence in 8 years
AIMS AND OBJECTIVES: To evaluate the outcome of suburethral and transobturator sling in treatment of female stress urinary incontinence in 209 cases from 2002 to 2010. The criteria evaluated were success, failure, complications, operating time, ease of the procedure, availability and cost effectivit...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3304278/ https://www.ncbi.nlm.nih.gov/pubmed/22442522 http://dx.doi.org/10.4103/0974-1216.71615 |
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author | Trivedi, Prakash D’Costa, Sylvia Shirkande, Preeti Kumar, Shilpi Patil, Mangala |
author_facet | Trivedi, Prakash D’Costa, Sylvia Shirkande, Preeti Kumar, Shilpi Patil, Mangala |
author_sort | Trivedi, Prakash |
collection | PubMed |
description | AIMS AND OBJECTIVES: To evaluate the outcome of suburethral and transobturator sling in treatment of female stress urinary incontinence in 209 cases from 2002 to 2010. The criteria evaluated were success, failure, complications, operating time, ease of the procedure, availability and cost effectivity of the sling. DESIGN AND SETTING: A retrospective comparative study was carried out at a tertiary referral centre for female urinary incontinence. MATERIAL AND METHODS: A total of 209 patients (females from 27 to 79 years of age) with proven stress urinary incontinence were treated by suburethral transvaginal tape (TVT) type of slings in 101 cases and transobturator Monarc type of sling in 108 cases at the National Institute of Endoscopic Surgery and Urinary Incontinence Center, Mumbai, India, from March 2002 to June 2010. The maximum follow up was for 8 years. RESULTS: The TVT type of slings had higher complication rate like needle entering the bladder, retention of urine necessitating to cut the tape in the center and had a success rate of 94.5% compared to Monarc/Trivedi obturator tape (TrOT) type of sling with outside-in technique, which had a negligible complication (less than 1%), pain in groin or leg movement that reduced in 6 weeks and a success rate of 95%. Specially, the Indian design Trivedi’s stress urinary incontinence tape (TSUIT) and TrOT with reusable needles, the cost was only 15–20% of the international brands. |
format | Online Article Text |
id | pubmed-3304278 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-33042782012-03-22 A Comparative Evaluation of Suburethral and Transobturator Sling in 209 Cases with Stress Urinary Incontinence in 8 years Trivedi, Prakash D’Costa, Sylvia Shirkande, Preeti Kumar, Shilpi Patil, Mangala J Gynecol Endosc Surg Original Article AIMS AND OBJECTIVES: To evaluate the outcome of suburethral and transobturator sling in treatment of female stress urinary incontinence in 209 cases from 2002 to 2010. The criteria evaluated were success, failure, complications, operating time, ease of the procedure, availability and cost effectivity of the sling. DESIGN AND SETTING: A retrospective comparative study was carried out at a tertiary referral centre for female urinary incontinence. MATERIAL AND METHODS: A total of 209 patients (females from 27 to 79 years of age) with proven stress urinary incontinence were treated by suburethral transvaginal tape (TVT) type of slings in 101 cases and transobturator Monarc type of sling in 108 cases at the National Institute of Endoscopic Surgery and Urinary Incontinence Center, Mumbai, India, from March 2002 to June 2010. The maximum follow up was for 8 years. RESULTS: The TVT type of slings had higher complication rate like needle entering the bladder, retention of urine necessitating to cut the tape in the center and had a success rate of 94.5% compared to Monarc/Trivedi obturator tape (TrOT) type of sling with outside-in technique, which had a negligible complication (less than 1%), pain in groin or leg movement that reduced in 6 weeks and a success rate of 95%. Specially, the Indian design Trivedi’s stress urinary incontinence tape (TSUIT) and TrOT with reusable needles, the cost was only 15–20% of the international brands. Medknow Publications 2009 /pmc/articles/PMC3304278/ /pubmed/22442522 http://dx.doi.org/10.4103/0974-1216.71615 Text en © Journal of Gynecological Endoscopy and Surgery http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Trivedi, Prakash D’Costa, Sylvia Shirkande, Preeti Kumar, Shilpi Patil, Mangala A Comparative Evaluation of Suburethral and Transobturator Sling in 209 Cases with Stress Urinary Incontinence in 8 years |
title | A Comparative Evaluation of Suburethral and Transobturator Sling in 209 Cases with Stress Urinary Incontinence in 8 years |
title_full | A Comparative Evaluation of Suburethral and Transobturator Sling in 209 Cases with Stress Urinary Incontinence in 8 years |
title_fullStr | A Comparative Evaluation of Suburethral and Transobturator Sling in 209 Cases with Stress Urinary Incontinence in 8 years |
title_full_unstemmed | A Comparative Evaluation of Suburethral and Transobturator Sling in 209 Cases with Stress Urinary Incontinence in 8 years |
title_short | A Comparative Evaluation of Suburethral and Transobturator Sling in 209 Cases with Stress Urinary Incontinence in 8 years |
title_sort | comparative evaluation of suburethral and transobturator sling in 209 cases with stress urinary incontinence in 8 years |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3304278/ https://www.ncbi.nlm.nih.gov/pubmed/22442522 http://dx.doi.org/10.4103/0974-1216.71615 |
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