TVT – nová epocha urogynekologické operativy
Současná urogynekologická operativa II
Authors:
I. Huvar
Published in:
Urol List 2008; 6(2): 67-70
Overview
At the beginning of 90´s Petros and Ulmsten published their integral theory – the new perception of urinary continence, putting an emphasis on the strong correlation between the minor pelvis organ function and their structure, shape and localization. The middle part of urethra – considered as the focal point of continence – has aroused new interests. This concept has led to the development of new method – self-adhesive tape supporting the middle urethra (Tensio-free Vaginal Tape- TVT). This development has launched new era of anti-incontinence reconstruction techniques. This method has been promptly accepted worldwide – until the end of 2007 there have been more than one million operations. Benefits of this method include minimal invasivity, short operating time, reduction of hospital stay time and prompt recovery of patient allowing an early return to daily routines. There has been recorded short efficiency rate of 90%, during follow-up of 5 years 85% rate. Even seven years after the operation continence persists in 81% patients. Owing to its long-term results this method represents the most efficient strategy for the management of female incontinence
Key words:
urinary incontinence, incontinence surgery, integral theory, TVT
Sources
1. Lapitan MC, Cody DJ, Grant AM. Open retropubic colposuspension for urinary incontinence in women. Cochrane Database of Systematic Reviews 2005, Issue 3. Art. No.: CD002912. DOI: 10.1002/14651858. CD002912.pub2.
2. Nilsson et al. 7 Year Follow-up on the Tension-free Vaginal Tape (TVT) Procedure. International Urology, IUGA Abstract #116 (89): October 2003.
3. Petros P. The Female Pelvic Floor. 2nd ed. New York: Springer 2007.
4. Petros P, Ulmsten U. An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol Suppl 1993; 153: 1–93.
5. Tamussino K, Zivkovic F, Pieber D, Ralph G. 5 years results of incontinence operations. Gynakol Geburtshilfliche Rundsch 1995; 35(3): 175–176.
6. Ulmsten U, Johnson P, Rezapour M. A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Br J Obstet Gynaecol 1999; 106(4): 345–350.
7. Ulmsten U, Falconer C, Johnson P, Jomaa M, Lanner L, Nilsson CG, Olsson I. A multicenter study of tension-free vaginal tape (TVT) for surgical treatment of stress urinary incontinence. Int Urogynecol J 1998; 9(4): 210–213.
8. Ulmsten U. Some reflections and hypotheses on the pathophysiology of female urinary incontinence. Acta Obstet Gynecol Scand Suppl 1997; 166: 3–8.
9. Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 1996; 7(2): 81–86.
10. Ulmsten U, Petros P. Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 1995; 29(1): 75–82.
11. Ulmsten U, Petros P. Surgery for female urinary incontinence. Curr Opin Obstet Gynecol 1992; 4(3): 456–462.
Labels
Paediatric urologist UrologyArticle was published in
Urological Journal
2008 Issue 2
Most read in this issue
- Non-invasive blader cancer carcinoma – when should we start adjuvant intravesical instillation therapy and what to do in case of failure?
- Urinary diversion after cystectomy
- Complications of cystectomy and urinary diversion
- Sexual function sparing radical cystectomy