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• W2955957100 abstract "Objective Transvaginal tension-free vaginal tape-obturator (TVT-O) is an effective surgical treatment for stress urinary incontinence in women [ 1 Ford AA Rogerson L Cody JD Aluko P Ogah JA Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database System Rev. 2017; 7CD006375 PubMed Google Scholar ]. A correct preoperative urodynamic study has a role in obtaining the best results. However, some complications still occur during and after this surgical procedure. These complications cause a high burden for patients, who frequently have to receive other invasive treatments subsequently. The main objective of this video is the standardization and accurate description of this surgical procedure while adding some tips and tricks. Design Step-by-step description of the technique through a video. Setting A French tertiary care teaching hospital. Interventions `The local institutional review board was consulted and ruled that approval was not required. Patients cannot be identified and they signed a written consent to use video-recording for research, scientific and teaching purposes. We provided this video of TVT-O procedures to identify more delicate steps of this surgical procedure to clarify managing them successfully. We assessed 10 rational steps in the procedure to standardize it. This video presents clearly the standardization of this technique in 10 steps: (1) patient's ergonomy, (2) anesthetic infiltration, (3) single vaginal incision, (4) creation of the pathway for device placement, (5) placement of the device, (6) check flat position of the tape, (7) obtain the correct tension of the mesh, (8) cut both lateral arms of the tape emerging from the skin, (9) urinary drainage to exclude stenosis, and (10) suture vaginal mucosa and skin. Conclusion Together with an appropriate preoperative study, the standardization of this surgical procedure and the application of tips and tricks suggested could make this technique easier to learn for beginners [ 2 Serati M Bogani G Braga A et al. Is there a learning curve for the TVT-O procedure? A prospective single-surgeon study of 372 consecutive cases. Eur J Obstet Gynecol Reprod Biol. 2015; 186: 85-90 Abstract Full Text Full Text PDF PubMed Scopus (9) Google Scholar ] and could help experienced surgeons in reducing, as much as possible, the most frequent complications as well [ 3 Hubka P Doumouchtsis S Berger M DeLancey JO Variation of distances from mid-urethra to the obturator foramen: an MRI study. Int Urogynecol J. 2012; 23: 1075-1080 Crossref PubMed Scopus (10) Google Scholar ]." @default.
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• W2955957100 date "2020-01-01" @default.
• W2955957100 modified "2023-09-30" @default.
• W2955957100 title "Transobturator Vaginal Tape in 10 Steps" @default.
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• W2955957100 doi "https://doi.org/10.1016/j.jmig.2019.06.016" @default.
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