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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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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. |
format | Online Article Text |
id | pubmed-4770120 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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