Double opposite tape incision for obstructive sling.


Journal

International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041

Informations de publication

Date de publication:
08 2022
Historique:
received: 12 02 2022
accepted: 26 03 2022
pubmed: 12 4 2022
medline: 4 8 2022
entrez: 11 4 2022
Statut: ppublish

Résumé

Stress urinary incontinence affects about 34% of all adult women. The mid-urethral sling (MUS), considered the gold-standard treatment, has widespread use but also potential complications. This study aims to demonstrate a new surgical technique that releases urethral obstruction caused by MUS with urinary continence maintenance. This video presents a 43-year-old patient with acute urinary retention after a suburethral sling procedure treated with a double opposite tape incision through a "U"-shaped inverted incision at the anterior vaginal wall. The patient resumed her usual activities 1 week later with urinary continence. After 6 weeks, she was allowed to resume physical activities and sexual intercourse. At 3-month follow-up, she is still satisfied without urine leakage recurrence. The double opposite tape incision is feasible and effective for urethral loosening after the MUS procedure. Concerned that this is a unique case, further studies are required to compare this technique to other surgical treatment options.

Identifiants

pubmed: 35403882
doi: 10.1007/s00192-022-05180-y
pii: 10.1007/s00192-022-05180-y
doi:

Types de publication

Case Reports Journal Article Video-Audio Media

Langues

eng

Sous-ensembles de citation

IM

Pagination

2315-2316

Informations de copyright

© 2022. The International Urogynecological Association.

Références

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pubmed: 16985863 pmcid: 1472862
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doi: 10.1007/s00192-017-3509-y
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doi: 10.1007/s11934-016-0639-6
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doi: 10.1038/nrurol.2015.183
Ludwig S, Stumm M, Mallmann P, Jager W. TOT 8/4: A way to standardize the surgical procedure of a transobturator tape. Biomed Res Int. 2016;2016:4941304.
doi: 10.1155/2016/4941304
Patel BN, Kobashi KC, Staskin D. Iatrogenic obstruction after sling surgery. Nat Rev Urol. 2012;9(8):429–34.
doi: 10.1038/nrurol.2012.110
Goldman HB. Simple sling incision for the treatment of iatrogenic urethral obstruction. Urology. 2003;62(4):714–8.
doi: 10.1016/S0090-4295(03)00569-7

Auteurs

Cássio L Z Riccetto (CLZ)

Urology Division, Department of Surgery, University of Campinas Faculty of Medical Sciences - UNICAMP, Campinas, SP, Brazil. cassioriccetto@gmail.com.

Arnold Peter Paul Achermann (APP)

Urology Division, Department of Surgery, University of Campinas Faculty of Medical Sciences - UNICAMP, Campinas, SP, Brazil.
Post-graduate Program in Surgical Sciences, University of Campinas, UNICAMP, Campinas, Brazil.
Urocore - Centro de Urologia e Fisioterapia Pélvica, Londrina, PR, Brazil.

Ivan B Selegatto (IB)

Urology Division, Department of Surgery, University of Campinas Faculty of Medical Sciences - UNICAMP, Campinas, SP, Brazil.

Lucas Mira Gon (LM)

Urology Division, Department of Surgery, University of Campinas Faculty of Medical Sciences - UNICAMP, Campinas, SP, Brazil.

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Classifications MeSH