INDIRECT ABDOMINAL URETHROCYSTOPEXY AND TRANSOBTURATOR SUBURETHRAL SLING IN THE TREATMENT OF STRESS URINARY INCONTINENCE
Received
09 September 2020
Revised
9 Octomber 2020
Accepted
21 October 2020
Available Online
15 November 2020
Abstract
URINARY INCONTINENCE RESULTS FROM DEFIC IENCY OF URETHRAL CLOSURE OR BLADDER DYSFUNCTION, CREATING A PRESSURE DIFFERENCE BETWEEN THE BLADDER AND THE PROXIMAL URETHRA. CORRECTING OR RESOLVING THE SUI REQUIRES SURGERY, WHOSE OBJECTIVE AND BASIC PRINCIPLE IS TO SUSPEND THE BLADDER NECK AND THE PROX IMAL URETHRA NOT ONLY TO ASCEND THEM BEHIND THE PUBIC SYMPHYSIS AT REST, BUT ESPECIALLY TO AVOID LOWERING OR TILTING THIS PORTION, THE URETHRO -VESIC JUNCTION DURING EFFORTS OF ANY KIND UNDER THE HORIZONTAL PLANE OF THE PUBIC SYMPHYSIS. THE TREATMENT OF SUI IS USUALLY THE LAST THERAPEUTIC PROCEDURE AND MOST OFTEN THE ONLY ONE THAT CAN OFFER A GOOD PERCENTAGE OF LONG -TERM CARE. THE BURCH PROCEDURE OFFERS A CONTINENCE RATE OF OVER 75%, BUT IT MAY BE AFFECTED BY CERTAIN POSTOPERATIVE COMPLICAT IONS THAT WE HAVE ENCOUNTERED (HEMATOMAS, COLLECTIONS OF OVERINFECTION) IN THE RETZIUS AREA, FINALLY RESOLVED BUT STILL PRESENT. THE SUBURETHRAL SLING VARIANTS ARE NEAR, WHEN WE SPEAK ABOUT THE RATE OF CONTINENCE, TO THE MOST IMPORTANT STUDIES PERFORMED IN RENOWNED UROGYNEC OLOGY SCHOOLS IN THE WORLD, OF 90 -95%. THE TOT BAND STABILIZES THE REGION TO SOFT, SOMETIMES LAX STRUCTURES, BASED IN PARTICULAR ON FIBROSIS IN TIME OF THE PERIPRO THETIC TISSUES. BEING THE CASE OF WOMEN WITH ONE OR MORE BIRTHS IN THE BACK GROUND AND WHO REQUIRED SURGERY FOR OLD PERINEAL RUPTURE , CYSTORECTOCELLUM, SUI, WE HAVE ASSOCIATED IN MORE THAN 2/3 OF CASES, THE TECHNIQUES OF CORRECTION OF SUI THE POSTERIOR COLPOPERINEORPHIA WITH HIGH MYORAPHY OF THE LEVATOR ANI.
Keywords
STRESS URINARY INCONTINENCE
INDIRECT ABDO MINAL URETHROCYSTOPEXY
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References
[1]
Abrams P., Blaivas J.G., Stanton S.L .: The Standardization of terminology of lower urinary tract function; Scand J Urol Nephrol, 114 (suppl): 5, 1988
[2]
Petros P.E., Ulmsten U.: An integral theory of female urinary incontinence: Experimental and clinical considerations: Acta Obstet Gynecol Scand; 153:7, 1990
[3]
Doret M., Golfier F., Raudrant F.: La colposuspension (selon Burch) par coelioscopie. Techniques et resultats sur la continence: J. Gynecol Obstet Biol Reprod; 29:650-654, 2000
[4]
Liu C.Y.: Laparoscopie retropubic colposuspension (Burch procedure): A review of 58 cases: J Reprod Med, 526-530, 1993
[5]
Braila M.B., Sabina Berceanu, Lucia Cornea, Anca Patrascu . Tulburarile de statica genitala, capitol 33, pag 323-370, Ginecologie, vol II, Editura Didactica si Pedagogica RA Bucuresti, 2003
[6]
Braila M.B., Oprescu S., Sabina Berceanu, V.Horhoianu . Tratamentul chirurgical in ginecologie, pag 106-162, Editura Medicala, Bucuresti, 2002
[7]
Stoica L.E.: Tratamentul chirurgical minim invaziv al incontinentei urinare de efort la femeie. Slinguri suburetrale TOT. Teza de doctorat, UMF, Craiova, 2011
[8]
Zaharin R.F.: The antomic supports of the female urethra. Obstet Gynecol, 32, 754, 1968
[9]
Mellville J.L., Miller E.A., Fialkow M.F., Lenz G.M., Mil ler J.L., Fenner D.E .: Relationship between patient report and physician assessment of urinary incontinence severity, Am J Obstet Gynecol,189, 76-80, 2003
[10]
Bratila P.: The Anatomy of Urinary Continence in Women. Romanian J of Uro gynecol Oel F loor Disorders1: 5-18, 2003
[11]
HunskaarnG., Lose D., Sykes D., Voss S .: The prevalance of urinary incontinence in women in four European countries: BJU International; 93: 324-330, 2003
[12]
DeLancey J.O.L., Fascial and muscular abdominalities in women with urethral hypermobility and anterior vaginal wall prolapse; Am J Obstet Gynecol 187 :93-8 , 2002
[13]
Goeschen K, Petros PP,: Die Integral -Theorie: Einneuer Weg des Verstehens -Teill 3; Gyn 8 :246 - 266, 2003
[14]
Papa Petros P.E.,Ulmsten U .: An Anatomical Classification - a New Paradigm for Management of Urinary dysfunction in the female: Int Urogynecol J 10: 29-35, 1999
[15]
Quievy A., Couturier F., Prudhon C., Abram F., Al Salli R., Ansieau J.P.: Incontinence urinaire d`effort chez la femme. Physiophathologie et traitement chirurgical par les techniques de Burch et TVT; Presse Med, 31:80-86, 2002
[16]
Rortveit G., Dal tveit A.K., Hannestad Y.S., Hunskaar S .: Urinary incontinence after vaginal delivery or cesarean section. N Engl J Med; 348 (10 ): 900-7 , 2003
[17]
Bhatia N.N., Bergman A., Karram M.; Changes in urethral resistance following incontinence surgery. Urology 34: 200, l989
[18]
Calomfirescu N., Manu -Marin A.V.: Urodinamica si Neurologie. Principii, Tehnici, Aplicatii. Editura Academiei Romane, Bucuresti, 2004
[19]
Blavias J.G.: Multichannel urodynamic studies. Urology, 23-421, 1984
[20]
Delorme E., Droupy S., de Tayrac R., Delmas V .: La ban delette transo bturatrice (Uratape) - Un nouveau precede mini-infasif de traitement de l`incontinence urinaire de la femme; Prog Urol, 13; 656 - 659; 2003
[21]
Miller J -J.R., Botros S.M., Akl M.N., Goldbergr R.P., Aschkenazi S.O., Beaumont J.L., Sand P.K.: Is tran sobturator tap e as effective as tension -free vaginal tape in patients with borderline maximum urethral closure pressure? Am J Obstet Gynecol, 195:1799 -804, 2006
[22]
Rodriguez L.V., Raz S .: Prospective analysis of patients treated with a distal urethral po lypropylene sling for symptoms of stress urinary incontinence: surgical outcome and satisfaction determineed by patient driven questionnaires; J Urol 170 : 857-863,2003
[23]
Luca V. "Limite si interferente in tratamentul medical si chirurgical al incontinentei de urina la femeie ". Medicina moderna, vol . IX ,nr. 2,75-82, 2002