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- W2079586683 abstract "L’incontinence post-prostatectomie reste un problème qui a entraîné le développement des techniques mini-invasives, dont la technique de la bandelette sous-urétrale TOMSTM. Après une incision médiane périnéale, l’espace entre corps caverneux et muscle bulbospongieux est exposé. La ponction transobturatrice est réalisée de dehors en dedans ou de dedans en dehors selon l’ancillaire choisi, puis la bandelette est appliquée sur l’urètre avec une tension nette. Il n’a pas été rapporté de complication postopératoire hormis une douleur minime transitoire et un cas de rétention. Le nombre moyen de garnitures est passé de 4 à 0,9 et la moitié des patients sont secs. Les scores de continence SF 36 et ICIQ ont été améliorés de 50 et 54 % avec un recul d’un an. La bandelette TOMSTM est une technique simple et bien tolérée pour l’incontinence modérée ou mineure post-prostatectomie. Incontinence post-prostatectomy remains a problem and in order to minimize surgical morbidity and costs, minimal invasive procedures have been proposed. The authors present the TOMSTM new procedure. A median perineal incision exposes the space between each ischiocavernous muscle and the bulbospongiosus. The trans-obturator puncture is an outside-inside or inside-outside, then the sling is applied on the uretra with tension. No postoperative complications were reported except minimal pain and one retention. The median number of pads per day decreased significantly from 4 pads before surgery to 0,9 after surgery, and half of the patients were completely dry. The SF 36 and ICIQ continence and quality of life scores improvement were respectively 50 and 54 % with one year follow-up. The TOMSTM is an attractive simple well tolerated sling technique for moderate or minor post-prostatectomy stress incontinence." @default.
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- W2079586683 date "2010-06-01" @default.
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- W2079586683 title "Bandelette sous-urétrale et transobturatrice TOMS™ chez l’homme : indication, technique et résultats" @default.
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- W2079586683 doi "https://doi.org/10.1016/j.fpurol.2009.09.006" @default.
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