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vol.75 número4CONCORDANCIA ENTRE ECOCARDIOGRAFÍA PRENATAL Y POSNATAL EN PACIENTES CON CARDIOPATÍAS CONGÉNITAS: HOSPITAL DE NIÑOS DR. ROBERTO DEL RÍOEVALUACIÓN DE LA FUNCIÓN SEXUAL EN MUJERES SOMETIDAS A HISTERECTOMÍA TOTAL Y SUPRACERVICAL POR VÍA LAPAROSCÓPICA índice de autoresíndice de assuntospesquisa de artigos
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Revista chilena de obstetricia y ginecología

versão impressa ISSN 0048-766Xversão On-line ISSN 0717-7526

Resumo

VELOSO M, Daniel et al. CINTA SUBURETRAL TRANSOBTURATRIZ LIBRE DE TENSIÓN PARA EL TRATAMIENTO DE LA INCONTINENCIA DE ORINA DE ESFUERZO: 3 AÑOS DE SEGUIMIENTO. Rev. chil. obstet. ginecol. [online]. 2010, vol.75, n.4, pp.240-246. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262010000400005.

Objective: To review our results in the correction of stress urinary incontinence (SUI) with a modified TOT technique using polypropylene mesh and local anesthesia, measuring effectiveness, quality of life and degree of satisfaction during 3 years of follow-up. Method: Prospective evaluation of 56 patients operated between 2003 and 2005, with modérate or severe SUI, or mixed urinary incontinence with effort predominance, according to clinical diagnosis and simple cystometry. A follow-up of 87% of the patients over a period of 37.9 months (19-51 months) was achieved. A physical examination was realized and a survey of satisfaction was applied by a team of independent interviewers on home visits. Results: On physical examination, 88% of patients are without SUI. In the survey of satisfaction, the patients manifested feeling better or much better in terms of daytime voiding frequency (79%), voiding dysfunction (69%), groin pain (58%), urge incontinence (84%) and sexual function (53%); 90% manifested feeling better or much better about their SUI than before the operation. De novo urgency or urge incontinence appeared in 6%. Conclusions: The modified TOT technique used by our group obtains results that are comparable to those of the original TOT techniques, with a significant improvement in the quality of life of patients.

Palavras-chave : Stress urinary incontinence; TOT; sub-mid-urethral sling.

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