TOT ambulatorio con ajuste intraoperatorio de la malla en pacientes con incontinencia urinaria de esfuerzo
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Fecha
2012
Profesor/a Guía
Facultad/escuela
Idioma
es
Título de la revista
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Sociedad Chilena de Obstetricia y Ginecología
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Licencia CC
Licencia CC
Resumen
Antecedentes: La Incontinencia Urinaria de Esfuerzo (IUE) es una patología frecuente y en ascenso entre las mujeres, produce un deterioro significativo en la calidad de vida de ellas. Objetivos: Evaluar los resultados en el tratamiento de la IUE mediante un TOT ambulatorio con ajuste intraoperatorio de la tensión de la malla. Método: Se realizó un estudio prospectivo, descriptivo en el que se evaluaron los resultados objetivos y subjetivos en el tratamiento de la IUE con TOT ambulatorio, con ajuste intraoperatorio de la tensión de la malla. Resultados: Se obtuvo continencia normal en el 93,3% de las pacientes, 87% se consideró "sana". No se presentaron complicaciones mayores ni sobrecorrección a los 24 meses de seguimiento. El 93% de las pacientes abandonó el hospital el mismo día de la cirugía. Conclusiones: El ajuste de la malla intraoperatorio permitiría mejorar los resultados publicados de continencia en la cirugía de TOT ambulatorio, disminuyendo el riesgo de sobrecorrección de la IUE en forma segura y rápida. Consideramos que debiera ser un paso obligatorio en el TOT.
Background: Stress urinary incontinence (SUI) is a common condition and rising among women, with a significant deterioration of quality of life. Objectives: To evaluate the results in the treatment of SUI by ambulatory TOT with intraoperative adjustment of mesh tension. Methods: We performed a prospective descriptive study that evaluated the objective and subjective outcomes of the SUI treatment with ambulatory TOT intraoperative adjustment of mesh tension. Results: Normal continence was obtained 93.3% of patients, 87% were considered cured. There were no major complications or over correction at 24 months follow up. 93.3% were discharged on the day of surgery. Conclusions: The intraoperative adjustment of the mesh would improve continence results published in TOT outpatient surgery, reducing the risk of overcorrection of SUI safely and quickly. We believe it should be a mandatory step in the TOT.
Background: Stress urinary incontinence (SUI) is a common condition and rising among women, with a significant deterioration of quality of life. Objectives: To evaluate the results in the treatment of SUI by ambulatory TOT with intraoperative adjustment of mesh tension. Methods: We performed a prospective descriptive study that evaluated the objective and subjective outcomes of the SUI treatment with ambulatory TOT intraoperative adjustment of mesh tension. Results: Normal continence was obtained 93.3% of patients, 87% were considered cured. There were no major complications or over correction at 24 months follow up. 93.3% were discharged on the day of surgery. Conclusions: The intraoperative adjustment of the mesh would improve continence results published in TOT outpatient surgery, reducing the risk of overcorrection of SUI safely and quickly. We believe it should be a mandatory step in the TOT.
Notas
Indexación: Web of Science; Scielo
Palabras clave
TOT, Ajuste intraoperatorio de la malla, Incontinencia de orina, Intraoperative adjustment of mesh, Urinary incontinence
Citación
Revista chilena de obstetricia y ginecología, Vol. 77, N° 3, pp. 211 - 215, 2012.