الفهرس | Only 14 pages are availabe for public view |
Abstract Stress urinary incontinence is a distressing symptom which affects women in all aspects e.g. Health, quality of life and sexual function and according to many authors it affects high percent of women. A large number of procedures were described for the management of this problem ranging from prevention by avoiding precipitating factors or early management of diseases that eventually end by stress incontinence e.g. Bronchial asthma or by enforcing the pelvic floor muscles after delivery e.g. Kegels exercise after birth or physiotherapy which is used in mild cases as the primary procedure before or awaiting surgical intervention but although conservative treatment for stress incontinence might give temporary relief, definite cure requires surgery. Based on the concept of midurethral support system and the integral theory Ulmsten 1990 introduced his theory about the mechanism of continence, and later he offered a minimally invasive surgery for treating female stress incontinence, namely the tension-free vaginal tape (TVT) procedure, Which achieve continence by placing a vaginal tape underneath the mid-urethra without tension to reinforce the weakened pubourethral ligament. TVT achieves dynamic compression of the urethra at stress. Stress urinary incontinence is a major global health problem. Minimally invasive suburethral sling procedures have become a mainstay for the surgical treatment of women with stress urinary incontinence. The TVT procedure introduced more than 10 years ago is now considered by many surgeons to be the gold standard surgery for female SUI.In this study 100 female patients underwent TVT technique for treatment of SUI and we had success rate 92%. In short period follow up, although preoperative and postoperative urodynamic study showed significant changes toward obstruction, no patient had abnormal flow, pressure or residual volume after the TVT procedure and mild degree of de novo voiding dysfunction which did not persist more than three months after operation. |