Introduction and Objectives

Since the initial description by Ulmsten, the wide use of TVT was associated with per and post operative complications.

ABSTRACT

Introduction and Objectives: Suburethral synthetic sling procedures have become widely used as surgical treatment for female urinary stress incontinence. However synthetic slings are expensive. Since 2002, we have used in a non- randomized fashion, Composix-based slings, tension-free vaginal tapes TVT and transobturator tapes TVT-O. The Composix sling was cut from a large sheet used for ventral hernia repair and resterilized. The Composix sling was fitted with 0 Maxon resorbable sutures on each side and positionned suburethrally with a Raz needle introduced though a small suprapubic incision. The goals of this prospective study are to compare the success rate, the durability, the complications and the cost of the three different approaches.

ABSTRACT

Introduction and Objectives: The objectives of this clinical study were to demonstrate non-inferiority of oral trospium chloride (TC) in comparison to oxybutynin (OXY), and to evaluate efficacy, safety, and quality of life parameters when using either substance in the treatment of patients with urge urinary incontinence.

ABSTRACT

Objective: To evaluate changes in bowel symptoms after sacrocolpopexy (SC).

 ABSTRACT

Introduction and Objectives: Since the initial description by Ulmsten, the wide use of TVT was associated with per and post operative complications. Alternative routes were later described and more recently mini slings procedures without skin exit. We recently developed the Sub Pubic TVT route (TSP) using a small sub urethral sling. Anatomical considerations and short term results are presented.