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Japanese

TOT operation was useful in treating an incontinent woman with adhesion of intestine to pubic bone Kumiko Kato 1 , Keiko Okumura 2 , Shoji Suzuki 3 , Kenichi Furuhashi 2 , Koichi Suzuki 2 , Kazuhiko Yoshida 2 , Tatsuro Murase 2 1Department of Female Urology,Japanese Red Cross Nagoya First Hospital 2Department of Urology,Japanese Red Cross Nagoya First Hospital 3Department of Obstetrics and Gynecology,Japanese Red Cross Nagoya First Hospital Keyword: 尿道吊り上げ術 , 腹圧性尿失禁 pp.421-424
Published Date 2006/5/20
DOI https://doi.org/10.11477/mf.1413100677
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A 65-year-old postmenopausal woman visited our hospital due to recurrent stress urinary incontinence. She had a history of(1)appendectomy,(2)abdominal hysterectomy,(3)anterior and posterior colporrhaphy with sacrospinous ligament fixation,and(4)abdominal suspension of the vaginal vault with the Burch procedure. Computed tomography revealed adhesion of the intestine to the pubic bone,therefore the planned TVT operation was changed to a TOT operation,with an outcome of complete continence without intra-or postoperative complications. The TOT operation(with a trans-obturator approach)can avoid the risks of bowel injury and bladder perforation that accompany the TVT operation(with a retropubic approach),and thus is a good choice of operation for stress incontinence with a previous history of pelvic surgery.(Rinsho Hinyokika 60:421-424,2006)


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電子版ISSN 1882-1332 印刷版ISSN 0385-2393 医学書院

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