Schanz Pardo Jack, Ricci Arriola Paolo, Solà Dalenz Vicente, Tacla Fernández Ximena
Departamento de Ginecología y Obstetricia, Hospital Barros Luco-Trudeau, Santiago de Chile.
Arch Esp Urol. 2006 Apr;59(3):225-32. doi: 10.4321/s0004-06142006000300002.
To evaluate the safety and efficacy of the TOT surgical technique in the treatment of female stress urinary incontinence (SUI).
Prospective study of 49 patients undergoing TOT at the Gynecology Unit of the Obstetrics and Gynecology Department in Barros Luco-Trudeau Hospital between November 2003 and January 2005. The mesh used was polypropylene, macropore, monofilament (Prolene). Median age was 52 years. The observational phase was completed in November 2005.
Median operative time was 15 minutes. Thirty-two cases (65%) underwent a second gynecologic surgery. One patient had an intraoperative bladder lesion. In the immediate postoperative period there was one case of lower urinary tract infection and another acute pyelonephritis. At the end of the observation phase 47 (96%) patients were cured, 1 (2%) improved, and 1 (2%) had a failure. The failure appeared after a trauma three months after surgery.
The TOT is an effective technique for the correction of SUI. It is easier than TVT. Although rare, it is not free of complications.
评估经闭孔无张力尿道中段悬吊带术（TOT）治疗女性压力性尿失禁（SUI）的安全性和有效性。
对2003年11月至2005年1月期间在巴罗斯·卢科 - 特鲁多医院妇产科妇科接受TOT手术的49例患者进行前瞻性研究。使用的网片为聚丙烯、大孔、单丝（普理灵）。中位年龄为52岁。观察阶段于2005年11月完成。
中位手术时间为15分钟。32例（65%）患者接受了二次妇科手术。1例患者术中出现膀胱损伤。术后即刻有1例发生下尿路感染，另1例发生急性肾盂肾炎。观察阶段结束时，47例（96%）患者治愈，1例（2%）改善，1例（2%）失败。失败发生在术后三个月的一次外伤后。
TOT是一种治疗SUI的有效技术。它比经阴道无张力尿道中段悬吊带术（TVT）更容易。虽然罕见，但并非没有并发症。
