Correction of stress urinary incontinence in women using a free suburethral loop

A I Neymark , M V Razdorskaya , B A Neymark

Kazan medical journal ›› 2012, Vol. 93 ›› Issue (3) : 538 -541.

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Kazan medical journal ›› 2012, Vol. 93 ›› Issue (3) : 538 -541. DOI: 10.17816/KMJ1889
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Correction of stress urinary incontinence in women using a free suburethral loop

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Abstract

Aim. To evaluate the efficacy and safety of implantation of a free synthetic loop (Tension-free Vaginal Tape - TVT) in the treatment of stress urinary incontinence in women. Methods. Examined and operated were 80 patients suffering from stress urinary incontinence. Suburethral implantation of a free loop (sling) in 3 patients was performed using standard TVT kit, while in 77 - using the IVS kit (Intravagynal Sling), which has some design differences from the TVT kit. Results. The observation period ranged from 3 months to 5 years. According to a questionnaire survey designed by the authors, which includes 21 questions, the following results were obtained: good - in 72 (90%) patients, satisfactory - in 6 (7.5%), unsatisfactory - in 2 (2.5%) patients. According to uroflowmetry, after the conducted treatment the duration and volume of urination increased, the maximal urine flow rate decreased to the normal values. Conclusion. The operation of implantation of a free synthetic loop serves as a rational and effective treatment method for the correction of stress urinary incontinence in women without prolapse of the vaginal walls; the success of intervention largely depends on the proper selection of patients and on the surgical technique.

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urinary incontinence / surgical treatment

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A I Neymark, M V Razdorskaya, B A Neymark. Correction of stress urinary incontinence in women using a free suburethral loop. Kazan medical journal, 2012, 93(3): 538-541 DOI:10.17816/KMJ1889

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Neymark A.I., Razdorskaya M.V., Neymark B.A.

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