V494: Transobturator Obtape™: Minimally Invasive Technique for Female Stress Urinary Incontinence

2005 ◽  
Vol 173 (4S) ◽  
pp. 135-135
Author(s):  
Gamal M. Ghoniem ◽  
Joanna Togami ◽  
Usama Khater
2009 ◽  
Vol 9 ◽  
pp. 466-478 ◽  
Author(s):  
Simone Crivellaro ◽  
John J. Smith

The aim of this review is to provide an update on the current status of evolving minimally invasive therapies for stress urinary incontinence. Bioinjectables have been available for some time and their current status is reviewed. The adjustable continence device has been used as a salvage procedure for females for a number of years in clinical trials, yet many are unfamiliar with it. Lastly, radiofrequency via a transurethral route has also been utilized in small numbers and will be updated. These later two emerging technologies need further exposure to better define their role in our clinical practice.


2013 ◽  
Vol 288 (5) ◽  
pp. 995-1001 ◽  
Author(s):  
Theocharis Tantanasis ◽  
Angelos Daniilidis ◽  
Athanasios Pantelis ◽  
Panagiotis Chatzis ◽  
Nikolaos Vrachnis

2011 ◽  
Vol 2011 ◽  
pp. 1-14 ◽  
Author(s):  
G. Willy Davila

Objective. To evaluate long-term effectiveness and safety of conservative and minimally invasive outpatient treatments for female stress urinary incontinence (SUI) through a review of the literature.Methods. PubMed was searched for reports on prospective clinical trials with at least 12-month follow-up of minimally invasive treatments, pelvic floor rehabilitation, or pharmacotherapy in women with SUI. Each report was examined for long-term rates of effectiveness and safety.Results. Thirty-two clinical trial reports were included. Prospective long-term studies of pelvic floor rehabilitation were limited but indicated significant improvements with treatment adherence for at least 12 months. Poor initial tolerability with duloxetine resulted in substantial discontinuation. Most patients receiving transurethral radiofrequency collagen denaturation or urethral bulking agents reported significant long-term improvements, generally good tolerability, and safety.Conclusions. Conservative therapy is an appropriate initial approach for female SUI, but if therapy fails, radiofrequency collagen denaturation or bulking agents may be an attractive intermediate management step or alternative to surgery.


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