The authors describe 2 steps useful to avoid iatrogenic injury during introduction of laparoscopic ancillary trocars.

The purpose of this retrospective study is to evaluate the safety and the efficacy of a new surgical procedure for correcting both incontinence and cystocele. This method of Tension-free Incontinence Cystocele Treatment (T.I.C.T.) consists in using a polypropylene fly shaped mesh made up of a central body (positioned under both the urethra and the bladder) and two wings (which cross the Retzius and reach the suprapubic area after being pulled up with a modified Stamey needle, under digital control). Seventy patients with stress urinary incontinence and severe cystocele underwent the T.I.C.T. procedure. Their mean age was 56 years (range 40-78), the average follow up was 18 months (range 2-36 months). The objective cure rate was 90% for incontinence and 94.3% for cystocele. No intra-operative complications occurred. Postoperative complications included 2 cases (3%) of voiding difficulty, one case of de novo instability, and one case of erosion and granuloma. Neither bladder perforation nor vascular damage was found. These data show the low risks and the good results of this treatment

No abstract

The new tension-free techniques for treatment of either stress urinary incontinence or pelvic organ prolapse are shown. They are divided as follows. Techniques for the anterior compartment: TVT (Tension-free Vaginal Tape), Retropubic TUS (Tension-free Urethral Suspension), TOT (Transobturator Tape), Prepubic TUS (Tension-free Urethral Suspension), TCR (Tension-Free Cystocele Repair), Retropubic TICT (Tension-free Incontinence Cystocele Treatment), Prepubic TICT (Tension-free Incontinence Cystocele Treatment); Techniques for the apical compartment: Indirect abdominal colposacropexy; Techniques for the postero- apical compartment: Posterior IVS; Techniques for the posterior compartment: Colpoperineoplasty with mesh. Both a correct diagnosis and an appropriate procedure are the right key to achieve a greater therapeutic success