[Minimal invasive surgery in female urinary incontinence: TVT-O]. / Cirugía mínimamente invasiva en la incontinencia urinaria femenina: TVT-O.

ABSTRACT

OBJECTIVE: We presented our experience in the application of Tvt-O, a surgical a new technic for SUI. METHOD: Between April and December 2004, 96 patients underwent Tvt-O surgery, in Uroginecology and Vaginal Surgery Unit of the Gynecology and Obstetrics Department, Las Condes Clinic. Median age was 54 years old, weight 65 kgs. Urodinamia test SUI II 80 cases, SUI III 4, SUI 0 in 3, and mixed urinary incontinence 9. Gynecare TVT Obturator System technique was used, Ethicon Johnson & Johnson. It has three specific instruments helical passers, plastic tubes fixed to mesh of prolene, and a guide for the introduction of the needle. RESULTS: Media time was 7 minutes (4 to 15). Other gynecological surgery was associated in 77 (80%). Complications did not appear during the surgical act. No injury to bladder and urethra was observed. We observed in immediate postoperative period only one complication (1.04%). It was urinary retention. One complication appeared (1.04%) in remote postoperative period, corresponding polypropylene tape exposition in the anterior vaginal wall. SUI solution was obtained in 100% of patients. The medium time of observation is 6 months, 51 cases have more than 6 months of observation. DISCUSSION: Tvt-O is a surgical SUI correction technique with promissory results. Like the other types of TOT, their effectiveness will have in the long term to be evaluated.