Transobturator surgery for female stress incontinence: a comparative anatomical study of outside-in vs inside-out techniques.

Détails

ID Serval
serval:BIB_C7B48A947D94
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Transobturator surgery for female stress incontinence: a comparative anatomical study of outside-in vs inside-out techniques.
Périodique
BJU International
Auteur(s)
Spinosa J.P., Dubuis P.Y., Riederer B.M.
ISSN
1464-4096 (Print)
ISSN-L
1464-4096
Statut éditorial
Publié
Date de publication
2007
Volume
100
Numéro
5
Pages
1097-1102
Langue
anglais
Résumé
OBJECTIVE To assess the specific risks of injury to neural and vascular structures inherent in two approaches to transobturator surgery for inserting a suburethral sling, i.e. the outside-in (standard technique) and inside-out approaches. MATERIALS AND METHODS The study comprised seven cadavers, providing 14 obturator regions. Five specimens had a tape inserted outside-in on one side, and inside-out on the other; of the remaining two cadavers, one had an inside-out tape and one an outside-in tape, bilaterally. After tape insertion, the cadavers were dissected. Particular attention was paid to the distances between the tape and the deep external pudendal vessels, and between the tape and the posterior branch of the obturator nerve. RESULTS With the inside-out technique, the safety margins were reduced, and the external pudendal vessels and the posterior branch of the obturator nerve were at greater risk of injury. CONCLUSION The two techniques are not equivalent, with a lower risk of injury to vascular and nerve structures with the outside-in technique.
Mots-clé
Cadaver, Female, Humans, Obturator Nerve/anatomy & histology, Obturator Nerve/injuries, Risk Factors, Suburethral Slings, Urinary Incontinence, Stress/surgery, Urologic Surgical Procedures/adverse effects, Urologic Surgical Procedures/methods
Pubmed
Web of science
Open Access
Oui
Création de la notice
24/01/2008 15:34
Dernière modification de la notice
09/05/2019 1:07
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