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TOT 8/4: A Way to Standardize the Surgical Procedure of a Transobturator Tape

Suburethral tapes are placed “tension-free” below the urethra. Several studies reported considerable differences of the distance between urethra and tape. These distances ranged from 1 to 10 mm amongst different patients. This either caused urethral obstruction or had no effect on urinary incontinen...

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Detalles Bibliográficos
Autores principales: Ludwig, Sebastian, Stumm, Martin, Mallmann, Peter, Jager, Wolfram
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770120/
https://www.ncbi.nlm.nih.gov/pubmed/26981532
http://dx.doi.org/10.1155/2016/4941304
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author Ludwig, Sebastian
Stumm, Martin
Mallmann, Peter
Jager, Wolfram
author_facet Ludwig, Sebastian
Stumm, Martin
Mallmann, Peter
Jager, Wolfram
author_sort Ludwig, Sebastian
collection PubMed
description Suburethral tapes are placed “tension-free” below the urethra. Several studies reported considerable differences of the distance between urethra and tape. These distances ranged from 1 to 10 mm amongst different patients. This either caused urethral obstruction or had no effect on urinary incontinence. Therefore, we decided to standardize the procedure by placing a Hegar dilator of 8-millimeter diameter in the urethra and another Hegar dilator of 4-millimeter diameter between the urethra and the tape during transobturator tape placement. Using that simple technique, which we named “TOT 8/4,” we observed that 83% of the tapes were placed in the desired distance between 3 and 5 millimeters below the urethra.
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spelling pubmed-47701202016-03-15 TOT 8/4: A Way to Standardize the Surgical Procedure of a Transobturator Tape Ludwig, Sebastian Stumm, Martin Mallmann, Peter Jager, Wolfram Biomed Res Int Clinical Study Suburethral tapes are placed “tension-free” below the urethra. Several studies reported considerable differences of the distance between urethra and tape. These distances ranged from 1 to 10 mm amongst different patients. This either caused urethral obstruction or had no effect on urinary incontinence. Therefore, we decided to standardize the procedure by placing a Hegar dilator of 8-millimeter diameter in the urethra and another Hegar dilator of 4-millimeter diameter between the urethra and the tape during transobturator tape placement. Using that simple technique, which we named “TOT 8/4,” we observed that 83% of the tapes were placed in the desired distance between 3 and 5 millimeters below the urethra. Hindawi Publishing Corporation 2016 2016-02-15 /pmc/articles/PMC4770120/ /pubmed/26981532 http://dx.doi.org/10.1155/2016/4941304 Text en Copyright © 2016 Sebastian Ludwig et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Ludwig, Sebastian
Stumm, Martin
Mallmann, Peter
Jager, Wolfram
TOT 8/4: A Way to Standardize the Surgical Procedure of a Transobturator Tape
title TOT 8/4: A Way to Standardize the Surgical Procedure of a Transobturator Tape
title_full TOT 8/4: A Way to Standardize the Surgical Procedure of a Transobturator Tape
title_fullStr TOT 8/4: A Way to Standardize the Surgical Procedure of a Transobturator Tape
title_full_unstemmed TOT 8/4: A Way to Standardize the Surgical Procedure of a Transobturator Tape
title_short TOT 8/4: A Way to Standardize the Surgical Procedure of a Transobturator Tape
title_sort tot 8/4: a way to standardize the surgical procedure of a transobturator tape
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770120/
https://www.ncbi.nlm.nih.gov/pubmed/26981532
http://dx.doi.org/10.1155/2016/4941304
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