Pardo Schanz J, Ricci Arriola P, Tacla Fernández X, Betancourt Ortiz E
Unidad de Ginecología, Departamento de Obstetricia y Ginecología, Hospital Barros Luco-Trudeau, Santiago de Chile.
Actas Urol Esp. 2007 Nov-Dec;31(10):1141-7. doi: 10.1016/s0210-4806(07)73777-4.
To evaluate the security and effectiveness of the TOT in the female incontinence surgical treatment according to our experience.
Prospective study of 200 patients underwent TOT at Gynecology Unit of the Obstetrics and Gynecology Department in Barros Luco-Trudeau Hospital between January 2003 and October 2006. Polypropilene, macropore, mofilament mesh (Prolene) was used. The mean age was 52 years old, parity 3.
The mean surgical time of TOT was 15 minutes. In 184 (92%) patients obtained cure, 6 (3%) improvement and 10 (5%) fails. Three cases of bladder injury occurred (one perforation with the scissor and two with TOT needle during the learning phase). During the immediately postoperative time: one case of partial urethral obstruction, two cases of urinary infection and three with pain of the legs. During the delayed postoperative time a case of fail was observed after trauma.
According to our experience with 200 cases, the TOT appears as a safe and effective technique in the surgical treatment of the stress urinary incontinence.
根据我们的经验评估经闭孔无张力尿道中段吊带术（TOT）在女性尿失禁外科治疗中的安全性和有效性。
对2003年1月至2006年10月期间在巴罗斯·卢科 - 特鲁多医院妇产科妇科单元接受TOT手术的200例患者进行前瞻性研究。使用聚丙烯大孔单丝网片（普理灵）。平均年龄52岁，平均产次为3次。
TOT的平均手术时间为15分钟。184例（92%）患者治愈，6例（3%）改善，10例（5%）失败。发生3例膀胱损伤（在学习阶段，1例因剪刀穿孔，2例因TOT穿刺针穿孔）。术后即刻：1例部分尿道梗阻，2例泌尿系统感染，3例腿部疼痛。术后延迟期：1例因外伤后失败。
根据我们对200例患者的经验，TOT在压力性尿失禁的外科治疗中是一种安全有效的技术。
