Die neueste Entwicklung in der chirurgischen Therapie der weiblichen Stressinkontinenz ist die Tension-free-vaginal-tape (TVT)-Operation und analoge Verfahren. Im Unterschied zur Kolposuspension nach Burch und abdominovaginalen Schlingenoperationen ist das Ziel des TVTs eine Stabilisierung der mittleren Urethra, nicht eine Reposition des Blasenhalses. In der einzigen Studie, die das neue Verfahren gegen den bisherigen Standard, der Kolposuspension nach Burch, randomisiert hat, sind die 2-Jahres-Kontinenzraten der TVT-Operation durchaus mit denen der Kolposuspension nach Burch vergleichbar. Die TVT-Operation dürfte sich aufgrund der technisch einfachen Durchführung, der niedrigen Rate an intra- und postoperativen Komplikationen sowie der guten Kontinenzraten als Standardverfahren in der Behandlung der primären und Rezidivstressinkontinenz etablieren.

Keywords:
Tension-free vaginal tape, Stressinkontinenz, Harninkontinenz, Postoperative Komplikationen
This content is only available via PDF.
2002
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.