Zusammenfassung
Seit der Einführung der spannungsfreien mitturethalen Bänder ist in der operativen Inkontinenztherapie ein Paradigmenwechsel eingetreten. Die klassischen Operationsverfahren wie die Kolposuspension nach Burch und die Faszienzügelplastik sind in den Hintergrund getreten, jedoch sollten sie nicht in Vergessenheit geraten. Nach wie vor gibt es bei Kontraindikation zur Bandimplantation, in Kombination mit offenen Operationen oder in der Rezidivchirurgie eine Indikation für diese Verfahren. Neben den retropubisch verlegten Bändern (TVT) mit den besten Langzeitdaten haben sich vor allem die transobturatorisch geführten Bänder (TOT) aufgrund des günstigeren Risikoprofils etabliert. Nach zunächst ernüchternden Ergebnissen der „Mini-Schlingen“ kommen diese mit verbesserten Verankerungssystemen wieder vermehrt in den klinischen Gebrauch. Die Indikationen zur mitturethralen Schlingenoperation mit den unterschiedlichen Operationsvarianten und Ergebnissen sind in diesem Kapitel ausführlich in Text und Bild dargestellt.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Amid P (1997) Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1: 15–21
Cornu JN, Sebe P, Peyrat L, Ciofu C, Cussenot O, Haab F (2010) Midterm prospective evaluation of TVT-Secur reveals high failure rate. Eur Urol 58 (1):157–61
Delorme E (2001) Transobturator urethral suspension: miniinvasiv procedure in the treatment of stress urinary incontinence in women. Prog Urol 11: 1306–13
Deng DY, Rutman M, Raz S, Rodriguez LV (2007) Presentation and Management of Major Complications of Midurethral Slings: Are Complications Under-reported? Neurourol Urodyn 26: 46–52
Duckett RA, Grapsas P, Eaton M, Basu M (2008) The effect of spinal anaesthesia on urethral function. Int Urogynecol J Pelvic Floor Dysfunct 19 (2): 257–60
Ghezzi F, Cromi A, Raio L, Bergamini V, Triacca P, Serati M, Kuhn A (2005) Influence of the type of anesthesia and hydrodissection on the complication rate after tension-free vaginal tape procedure. Eur J Obstet Gynecol Reprod Biol 118 (1): 96–100
Hinoul P, Vervest HA, den Boon J, Venema PL, Lakeman MM, Milani AL, Roovers JP (2011) A randomized, controlled trial comparing an innovative single incision sling with an established transobturator sling to treat female stress urinary incontinence. J Urol 185 (4): 1356–62
Hogewoning CRC, Ruhe MC, Bekker MD, Hogewoning CJA, Putter H, DeRuiter MC, Pelger RCM, Elzevier HW (2012) The MiniArc sling for female stress urinary incontinence: clinical results after 1-year follow-up. Int Urogynecol J 23: 589–595
Kang J, Gou X, Zhao Q, He W, Xiao M, Wang M, Deng Y (2013) Cough Test during Tension-Free Vaginal Tape Procedure in Preventing Postoperative Urinary Retention. Advances in Urology Article ID 797854, http://dx.doi.org/10.1155/2013/797854
Klutke C, Siegel S, Carlin B, Paszkiewicz E, Kirkemo A, Klutke J (2001) Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology 58 (5): 697–701
de Leval J (2003) Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 44 (6): 724–30
Liapis A, Bakas P, Creatsas G (2008) Monarc vs TVT-O for the treatment of primary stress incontinence: a randomized study. Int Urogynecol J Pelvic Floor Dysfunct 19 (2): 185–90
Moore KH. Shahab RB, Walsh CA, Kuteesa WM, Sarma S, Cebola M, Allen W, Wang YA, Karantanis E (2012) Randomited controlled trial of cough test versus no cough test in the tension-free vaginal tape procedure: effect upon voiding dysfunction and 12-month efficacy. Int Urogynecol J 23 (4): 435–41
Nilsson CG, Palva K, Rezapour M, Falconer C (2008) Eleven-year follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Urogynecol J 19: 1043–7
Novara G, Artibani W, Barber MD, Chapple CR, Costantini E, Ficarra V, Hilton P, Nilsson CG, Waltregny D (2010) Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol 58 (2): 218–38
Ogah J, Cody DJ, Rogerson L (2011) Minimaly invasive synthetic suburethral sling operations for stress urinary incontinence in women: a short version Cochrane review. Neurourol Urodyn 30 (3): 284–91
Petros PE, Ulmsten UI (1990) An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand Suppl 153: 7–31
Roth CC, Holley TD, Winters JC (2006) Synthetic slings: which material, which approach. Curr Opin Urol 16 (4): 234–9
Sahai A, Khan M, Fowler CJ, Dasgupta P (2005) Botulinum Toxin for the treatment of lower urinary tract symptoms: a review. Neurourol Urodyn 24 (1): 2–12
Tanner J, Woodings D, Moncaster K (2006) Preoperative hair removal to reduce surgical site infection. Cochrane Database Syst Rev 3: CD004122
Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29 (1): 75–82
Walsh CA (2011) TVT-Secur mini-sling for stress urinary incontinence: a review of outcomes at 12 months. BJU Int 108 (5): 657–7
Whiteside JL, Walters MD (2004) Anatomy of the obturator region: relations to a trans-obturator sling. Int Urogynecol J 15: 223–6
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Varga, Z. (2015). Spannungsfreie mitturethrale Vaginalschlingen. In: Hofmann, R., Wagner, U. (eds) Inkontinenz- und Deszensuschirurgie der Frau. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43671-4_10
Download citation
DOI: https://doi.org/10.1007/978-3-662-43671-4_10
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-43670-7
Online ISBN: 978-3-662-43671-4
eBook Packages: Medicine (German Language)