Pérez FLA, Cristerna JO, Hernández GH, Naranjo A, Sánchez ZA

Language: Spanish
References: 14
Page: 12-19
PDF size: 203.65 Kb.

ABSTRACT

Objective: Seeking a better treatment for Effort Urinary Incontinence (EUI). Announce the advantages and disadvantages of this technique.
Material and methods: descriptive, observational prospective study. The clinical records of patients treated with TVTO for EUI with were reviewed. From December 2004 to December 2008 (N=108). Nonabsorbable polypropylene TVTO, Gynecare Jhonson & Jhonson, was used. The following data were assessed: age, number of pregnancies, diagnosis, body mass index, anesthesia, surgical bleeding, surgical time, complications, hospital stay, assessing continence; using percentages, averages, and measures of central tendency.
Results: We studied 108 patients from 39 to 74 years of age, average 48 years-old. Average number of pregnancies: 3. 52 diagnosed with EUI (48.1%), EUI and cystocele 33 (30.5%), recurrent EUI 23 (21.2%), 46 with normal body weight (42.5%), overweight 39 (36.1%), obesity 23 (21.2%). Epidural anesthesia was applied to the 100% of patients. Average surgical time 24 minutes; average surgical bleeding 30 ml. Complications: urinary retention 1 (0.9%), thigh ecchymosis 1 (0.9%), urethral perforation 1 (0.9%); hospital stay 1 day. Follow-up at 7 and 30 days, urinary continence 100%, 3-month continence 100%; 6-and 12-month continence 99.07%. Currently, continence is 99.07%.
Conclusion: TVTO technique reduces morbidity, surgical time, hospital stay, disability, promoting a faster return of the patient to normal activities, improving quality of life, compared with the gold standard treatment for EUI. In expert´s hands, the surgical time is 12 minutes.

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