Urinary Incontinence,Stress Clinical Trial
Official title:
A Two Paramedian Vaginal Incisions Versus the Standard Longitudinal Incision of Trans-Obturator Tape Procedure for Management of Urinary Incontinence
In trans-obturator tape (TOT), tension and location of the tape in mid urethral zone are directly related to the postoperative clinical outcome. Recurrence of symptoms of stress urinary incontinence has been related to tape migration in previous studies. The study aimed to increase the success rate of TOT procedure through a new surgical technique using a 2 paramedian vaginal incisions.
the investigator innovated a new technique that involves a 2 paramedian vaginal incisions
that allow more tape stabilization with sparing the dissection along the whole urethra
ensuring intact overlying tissues and to create a tunnel in between the 2 incisions to pass
the tape, making it supported proximally and distally with normal undissected tissues.
the study aims to assess the success rate of TOT and tape migration using a new surgical
technique versus the standard procedure using vertical incision.
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