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Acta Médica Peruana

versión On-line ISSN 1728-5917


TAPIA-BERNAL, Segundo. Use of the technique of suburethral sling placement through the obturator holes in hysterectomy vaginal as complementary treatment of female stress urinary incontinence. Acta méd. peruana [online]. 2015, vol.32, n.1, pp.25-35. ISSN 1728-5917.

Objective. This study seeks to describe the experience of the Arzobispo Loayza Hospital with the TOT technique in vaginal hysterectomy as adjunctive treatment of stress urinary incontinence regarding the success rate and complications of that surgical technique. Material and Methods. This is a case series of patients who underwent surgical treatment for stress urinary incontinence using the TOT technique in the Gynecology Service at the Arzobispo Loayza Hospital from April 2009 to February 2010. This technique was applied to those patients who had indication of a vaginal approach. Demographic and clinical characteristics were assessed, as well as the total surgical time, surgical time for the SUI and time of the post-surgical hospitalization. In addition, the frequency of complications and SUI events were determined at the second and fourth weeks after the surgery. The Statistical Package for Social Science 12.0 (SPSS Inc., Chicago, IL. USA) was used to perform the analysis. Results and conclusion. The surgical time for the TOT technique was 13,2 minutes. The total surgical time of the HV + TOT was 106,7 minutes, which is less than the time reported for other techniques for the treatment of SUI. None of the patients experienced symptoms of SUI at the second and forth weeks after the surgery, which suggests a high level of success at that time of follow-up. The rate of complications in the following 4 week after the surgery was less than 4%, mainly urinary infections and urinary retention.

Palabras clave : stress urinary incontinence; TOT.

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