Revista chilena de obstetricia y ginecología
versión ISSN 0717-7526
KAPLAN D, Francisco et al. TOT ambulatorio con ajuste intraoperatorio de la malla en pacientes con incontinencia urinaria de esfuerzo. Rev. chil. obstet. ginecol. [online]. 2012, vol.77, n.3, pp. 211-215. ISSN 0717-7526. doi: 10.4067/S0717-75262012000300007.
Background: Stress urinary incontinence (SUI) is a common condition and rising among women, with a significant deterioration of quality of life. Objectives: To evaluate the results in the treatment of SUI by ambulatory TOT with intraoperative adjustment of mesh tension. Methods: We performed a prospective descriptive study that evaluated the objective and subjective outcomes of the SUI treatment with ambulatory TOT intraoperative adjustment of mesh tension. Results: Normal continence was obtained 93.3% of patients, 87% were considered cured. There were no major complications or over correction at 24 months follow up. 93.3% were discharged on the day of surgery. Conclusions: The intraoperative adjustment of the mesh would improve continence results published in TOT outpatient surgery, reducing the risk of overcorrection of SUI safely and quickly. We believe it should be a mandatory step in the TOT.
Palabras clave : TOT; intraoperative adjustment of mesh; urinary incontinence.