To Evaluate Efficacy Of customized Polypropylene Mesh Tape In Trans‐obturator Tape Fixation Surgery In Stress Urinary Incontinence

Indian Journal of Applied Basic Medical Sciences
Year: 2019, Volume: 21(B), Issue. (2)
First page: (302) Last page: (311)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

To Evaluate Efficacy Of  customized Polypropylene Mesh Tape In Trans‐obturator Tape Fixation Surgery In Stress Urinary Incontinence
Yamini Trivedi1, Dhruvil Patel2*,  Mittal Bhabhor3, Chirag Thummar4,
1Professor and Head, 23rd Year Resident,3Assistant Professor ,42nd Year Resident, Department Of Obstetrics and Gynaecology, LG Hospital, AMCMET Medical College, Ahmedabad, Gujarat
Corresponding author email id: dhruvil5532@gmail.com

Online Published on 02-Jul-2019

ABSTRACT

Introduction: International Continence Society defines symptoms of urinary incontinence as complaints of any involuntary loss of urine. Stress Urinary Incontinence(SUI) is involuntary leakage of urine during exertion. SUI can significantly impair the life. Variety of treatments, both medical and surgical have been used to manage it. Various methods for surgical management of SUI is available in which Midurethral sling surgery by Trans‐obturator approach with tape fixation is currently gold standard surgical treatment for SUI which is commonly done. Tapes available commercially is costly and unaffordable for lower economic class patients .Hence it is necessary to evaluate different materials used in terms of efficacy, cost effectiveness, and safety.From Polypropelene mesh tape is made customely and used in same surgery which may be equally effective and less costly. Objective: To evaluate efficacy of Customized Polypropylene mesh Tape in Trans‐obturator tape fixation surgery in Stress Urinary Incontinence. Methodology: Study will be done on 25 cases with SUI. All patients will be examined clinically after history taking and informed consent.Study population will be patients attending L.G.Hospital Gynec OPD and admitted in ward who have complain of involuntary passage of urine on coughing,straining or any other act which increase intra‐abdominal pressure.Patients with urinary tract infection and Mixed incontinence werte ruled out. Results: In Present study, 25 Patients with SUI were treated with customized polypropelene mesh tape by TOT surgery with 100% efficacy and no any major postoperative complication. Conclusion: It is concluded that Midurethral sling surgery by transobturator approach with polypropelene mesh sling is safe and effective surgery for SUI. Customely made polypropelene mesh tape is equally effective and less costly than commercially available tape

Keywords

Stress Urinary Incontinence, Transobturator Midurethral Sling surgery, Polypropelene Mesh.

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