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

dc.creatorPalma, P
dc.creatorRiccetto, C
dc.creatorHerrmann, V
dc.creatorDambros, M
dc.creatorFraga, R
dc.creatorGrossi, O
dc.date2007
dc.dateNOV
dc.date2014-11-14T18:52:59Z
dc.date2015-11-26T17:16:28Z
dc.date2014-11-14T18:52:59Z
dc.date2015-11-26T17:16:28Z
dc.date.accessioned2018-03-29T00:04:39Z
dc.date.available2018-03-29T00:04:39Z
dc.identifierInternational Urogynecology Journal. Springer London Ltd, v. 18, n. 11, n. 1277, n. 1282, 2007.
dc.identifier0937-3462
dc.identifierWOS:000249918700005
dc.identifier10.1007/s00192-007-0320-1
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/77215
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/77215
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/77215
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1282293
dc.descriptionWe 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.
dc.description18
dc.description11
dc.description1277
dc.description1282
dc.languageen
dc.publisherSpringer London Ltd
dc.publisherArtington
dc.publisherInglaterra
dc.relationInternational Urogynecology Journal
dc.relationInt. Urogynecol. J.
dc.rightsfechado
dc.rightshttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dc.sourceWeb of Science
dc.subjectsling
dc.subjecturinary incontinence
dc.subjecturethra
dc.subjectintrinsic sphincter deficiency
dc.subjectStress Urinary-incontinence
dc.subjectFree Vaginal Tape
dc.subjectWomen
dc.titleTransobturator crossover readjustable sling for severe female incontinence: technique and preliminary results
dc.typeArtículos de revistas


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