Tot fixation using customized polypropylene mesh - Safe and effective approach for SUI repair
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 3
Abstract
Introduction: Stress urinary incontinence (SUI) is defined as involuntary loss of urine due to increased intraabdominal pressure and intravesical pressure, which exceeds the pressure that the urethral closure mechanism can withstand and urinary loss results. SUI prevalence increases with age and becoming popular day by day. The tot fixation in SUI repair is a common operation done in Gynaecology Department. Hence it is necessary to evaluate this technique in terms of safety and feasibility in our set up and also to evaluate the feasibility, simplicity, cost effectiveness of trans obturator fixation procedure using propylene mesh of adequate size was placed loose at midurethral level, extending from one paraurethral gutter to the other and was fixed with No.1-0 Vicryl on lateral sides in the management of female stress urinary incontinence (SUI). Aim and objectives: The objective was to assess safety, efficacy, complication and cost-effectiveness of polypropylene mesh in patients with SUI undergoing tot fixation and to analyze functional results. Materials and methods: This study included about 25 cases. All of them were examined and investigated after taking their informed consent. This was a retroprospective experimental study to see the outcome measures in patients of SUI treated with transobturator sling. It was an experimental design to assess safety, efficacy, complication, and cost-effectiveness of polypropylene mesh in patients with SUI undergoing tot fixation and study intra-operative parameters like mean operative time, intra- and postoperative complications like bladder injury postoperative urinary retention, and patient satisfaction. Results: 60% of women were in age group of 51 to 60 years and all were multigravida. Duration of procedure was significantly shorter in patients undergoing Tot fixation with polypropylene mesh for SUI repair. Conclusion: To conclude, the suburethral transobturator polypropylene mesh sling is a safe, efficient, reproducible and low cost technique for treating SUI. The polypropylene mesh commonly available in the markets with the proprietary brands is very costly and unaffordable for lower socioeconomic groups. Thus an attempt was made to design a technique to make this mesh economical in which we slit the mesh on both sides which prevents the rolling of the upper edge of the central portion of the mesh. The use of this custom-made polypropylene mesh in this way makes the procedure very cost-effective and affordable.
Authors and Affiliations
Monika Kochar, Uday Patel, Bakul Leuva, Krupa Thakkar, Neha Patel, Suraj Patel
Keywords
Related Articles
- EP ID EP418306
- DOI -
- Views 100
- Downloads 0
Role of CT imaging to evaluate osteomeatal complex in inflammatory lesions of PNS
Background: The Paranasal sinuses are hollow, air-filled spaces located within the bones of the Face and surrounding the nasal cavity, a system of air channels connecting the nose with the back of the throat. Aim and obj...
Clinical outcome of Gullian-Barre Syndrome in a tertiary care teaching hospital – A prospective observational study
Background: Gullian-Barre Syndrome (GBS) is an acute inflammatory demyelinating polyneuropathy (AIDP) with autoimmune background. The clinical management of GBS is by nerve conduction velocity (NCV) and supportive care,...
Identification of synthetic food colors adulteration by paper chromatography and spectrophotometric methods
Synthetic food colors are widely used in different types of food stuffs in India as well as in the world. Changing lifestyles across the globe have transformed food habit patterns. The instant and processed foods (junk f...
Clinical Outcomes of Renal Transplantation in Hepatitis C Virus Positive Recipients
Background: Hepatitis C virus infection confers 1.62-2.39 fold increase in risk of death for hemodialysis patients. The quality of life, morbidity and mortality of chronic kidney disease patients on maintenance hemodialy...
Study of serum magnesium levels and its correlation with febrile convulsions in children aged 6 months to 5 years of age
Background: Various studies have shown the correlation between Magnesium, Zinc and Copper levels in Serum and Cerebrospinal fluid (CSF) and occurrence of Febrile Convulsions. Hypomagnesaemia is characterized by hyper exc...