Transobturator crossover readjustable sling for severe female incontinence: technique and preliminary results

Página do item simplificado
dc.contributor.authorPalma, Paulo
dc.contributor.authorRiccetto, Cassio
dc.contributor.authorHerrmann, Viviane
dc.contributor.authorDambros, Miriam
dc.contributor.authorFraga, Rogerio
dc.contributor.authorGrossi, Omar
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionLujan Univ
dc.date.accessioned2016-01-24T13:49:10Z
dc.date.available2016-01-24T13:49:10Z
dc.date.issued2007-11-01
dc.description.abstractWe present a technique that provides circumferential coaptation of the urethra as a salvage procedure for severe subset of patients. We prospectively evaluated 16 patients who had a transobturator crossover sling. Adjustable hybrid slings were used, and silicone washers were used over the anchoring columns to keep them in place and to facilitate any posterior readjustment. Mean age was 58 years and mean follow-up was 12 months. At presentation, patients had undergone at least two anti-incontinence procedures and wore a mean of six pads daily. There was a mean 93.7% overall cure in symptoms. There was one intraoperative complication (urethra perforation) that was resolved by closing the urethral wall. de novo urge incontinence developed in 2/16 patients. All patients (3/16) who had preoperative urge incontinence achieved resolution after the procedure. the transobturator crossover sling is an effective salvage procedure that may be considered in a selected subset of female patients with a nonfunctional urethra.en
dc.description.affiliationUniv Estadual Campinas, Cidade Univ Zeferino Vaz, BR-13083970 Campinas, SP, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, BR-13023191 Campinas, SP, Brazil
dc.description.affiliationLujan Univ, Lujan, Argentina
dc.description.affiliationUnifespUniversidade Federal de São Paulo, BR-13023191 Campinas, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent1277-1282
dc.identifierhttp://dx.doi.org/10.1007/s00192-007-0320-1
dc.identifier.citationInternational Urogynecology Journal. Artington: Springer London Ltd, v. 18, n. 11, p. 1277-1282, 2007.
dc.identifier.doi10.1007/s00192-007-0320-1
dc.identifier.issn0937-3462
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/30112
dc.identifier.wosWOS:000249918700005
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofInternational Urogynecology Journal
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dc.subjectslingen
dc.subjecturinary incontinenceen
dc.subjecturethraen
dc.subjectintrinsic sphincter deficiencyen
dc.titleTransobturator crossover readjustable sling for severe female incontinence: technique and preliminary resultsen
dc.typeinfo:eu-repo/semantics/article
Arquivos
Coleções
Em verificação - Geral