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Safety of TVT-O


Authors: P. Hubka;  J. Mašata;  O. Naňka;  A. Martan
Authors‘ workplace: Anatomický ústav 1. LF UK, Ústav patologie 1. LF UK, Praha ;  Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc.
Published in: Ceska Gynekol 2010; 75(5): 471-473

Overview

Objective:
Examine safety of TVT-O.

Design:
Experimental study.

Setting:
Gynekologicko-porodnická klinika 1. LF UK a VFN, Institute of Anatomy, Institute of Pathology LF UK, Praha.

Methods:
We inserted TVT-O in fourteen formalin-embalmed bodies with legs mal-positioned. After dissection distances from the branches of obturator nerve to the inserter were measured.

Results:
In embalmed bodies, the mean distance to the anterior branch of the obturator nerve was 8.6 mm on the left, 7.1 mm on the right. Mean distance to the posterior branch of the obturator nerve was 8.4 mm on the left, 8.9 mm on the right.

Conclusion:
The position of the legs is crucial for correct placement of TVT-O.

Key words:
anatomy, TVT-O, urinary incontinence.


Sources

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2. Cody, J., Wyness, L., Wallace, S., et al. Systematic review of the clinical effectiveness and cost-effectiveness of tension-free vaginal tape for treatment of urinary stress incontinence. Health Technol Assess, 2003, 7, 21, p. 1-189.

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8. Nilsson, CG., Palva, K., Rezapour, M., et al. Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct, 2008, 19, 8, p. 1043-1047.

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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, p. 75-82.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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