Anatomical study of the obturator foramen and dorsal nerve of the clitoris and their relationship to minimally invasive slings

Achtari, Chahin; McKenzie, Bayden J; Hiscock, Richard; Rosamilia, Anna; Schierlitz, Lore; Briggs, Chris; Dwyer, Peter

doi:10.1007/s00192-005-0004-7

Cited by 93 publications

(64 citation statements)

References 17 publications

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“…The cause of more intense and long-lasting pain is not clear, however, the possible explanation for that might be the fact that during the inside-out approach, the tape is inserted through the muscular part of adductor muscles, whereas during the outside-in approach, the tape is inserted through the tendinous insertion of these muscles [9].…”

Section: Discussionmentioning

confidence: 98%

Complications and short-term results of two different transobturator techniques for surgical treatment of women with urinary incontinence: a randomized study

But

Faganelj²

2008

Int Urogynecol J

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The aim of the study was the analysis of perioperative complications in women who were randomly assigned to receive two different techniques for the treatment of stress and mixed urinary incontinence. Our study included 120 women in whom we performed either TVT-O or Monarc procedure in local anesthesia. The duration of the operation and its likely complications were followed up. The success of treatment was evaluated after 3 months. Surgical time was identical for both procedures (13 min). The prevalence of vaginal wall perforation and laceration was higher during the outside-in procedure. The inside-out procedure was more painful (p < 0.000), the pain persisted significantly longer (21.6 vs 7.5 days; p = 0.03) and was more intense after discharge in these patients. In conclusion, inside-out and outside-in procedures are equally successful methods for the treatment of urinary incontinence at 4 months, however, inside-out procedure appears to be more painful.

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Section: Discussionmentioning

confidence: 98%

Complications and short-term results of two different transobturator techniques for surgical treatment of women with urinary incontinence: a randomized study

But

Faganelj²

2008

Int Urogynecol J

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“…As a consequence, if there is an alteration of the sexual function, it will probably affect the somatosensory pathway of the vulva. However, during recent anatomic studies, the tape was not disturbing the pudendal nerve (14,15). In clitoral sensibility should be an important issue for future studies.…”

Section: Discussionmentioning

confidence: 99%

Female Sexuel Function After Trans Obturator Tape Placement for Stress Urinary Incontinance

Yeşil¹,

Dede²,

Göktuğ³

et al. 2013

GMJ

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“…In another anatomical study comparing both techniques, the tapes of the inside-out TOT were significantly closer to the obturator canal than those of the outsidein TOT [29]. Lastly, as the course of the dorsal nerve of the clitoris is along the medial aspect of the ischiopubic ramus, the outside-in technique may be safer [30]. Therefore, the outside-in technique should be preferred, even if there is a small possibility of bladder or urethral injury.…”

Section: Discussionmentioning

confidence: 99%

The use of polypropylene mesh as a transobturator sling for the treatment of female stress urinary incontinence (early experience with 40 cases)

et al. 2008

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This study evaluated the use of traditional polypropylene mesh, used in hernias repair, as a sling in the treatment of female stress urinary incontinence (SUI). Forty patients diagnosed with SUI underwent transobturator sling fashioned from the ordinary polypropylene mesh (vypro II). Each lateral end of the tape is secured by a zero prolene suture. The procedure was then done outside-in, and the patients were followed up. The mean operative time was 40-60 min when the procedure was performed alone or accompanied with associated pelvic floor repair. Thirty-five patients (87.5%) were cured, and two patients (5%) significantly improved, but the procedure failed in three patients (7.5%), and the slings were removed because of vaginal erosion. Polypropylene mesh transobturator sling is an easy and cheap method for the treatment of female SUI with a high success rate.

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Anatomical study of the obturator foramen and dorsal nerve of the clitoris and their relationship to minimally invasive slings

Abstract: Given the course of the DNC along the medial aspect of the ischiopubic ramus, the out-in technique may be safer. The in-out technique is the closest to the obturator canal.

Cited by 93 publications

References 17 publications

Complications and short-term results of two different transobturator techniques for surgical treatment of women with urinary incontinence: a randomized study

Complications and short-term results of two different transobturator techniques for surgical treatment of women with urinary incontinence: a randomized study

Female Sexuel Function After Trans Obturator Tape Placement for Stress Urinary Incontinance

The use of polypropylene mesh as a transobturator sling for the treatment of female stress urinary incontinence (early experience with 40 cases)

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