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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Ureters

The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...

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Related Experiment Video

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[Third generation sub-mid urethral mesh: experience with 110 TVT-SECUR].

Vicente Solà1, Paolo Ricci, Jack Pardo

  • 1Unidad de Uroginecología y Cirugía Vaginal, Departamento de Obstetricia y Ginecología, Clínica Las Condes, Las Condes, Santiago de Chile.

Archivos Espanoles De Urologia
|September 2, 2009
PubMed
Summary

The TVT-Secur system effectively treats stress urinary incontinence (SUI) in women, showing a 95.5% cure rate with minimal complications. This surgical tape offers a safe and promising option for SUI management.

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Area of Science:

  • Urogynecology
  • Female Pelvic Medicine
  • Surgical Innovation

Background:

  • Stress urinary incontinence (SUI) significantly impacts women's quality of life.
  • Previous surgical treatments for SUI have varying success rates and complication profiles.
  • The TVT-Secur system represents a third-generation surgical tape for SUI treatment.

Purpose of the Study:

  • To evaluate the effectiveness and safety of the TVT-Secur system for surgical SUI treatment.
  • To assess cure rates, improvement, and complications associated with the TVT-Secur procedure.
  • To compare potential advantages of TVT-Secur over previous surgical interventions.

Main Methods:

  • Prospective analysis of 110 female patients with SUI.
  • Inclusion criteria: SUI >1 year, no prior incontinence/prolapse surgery.
  • Exclusion criteria: Mixed incontinence, prior surgery.
  • Surgical treatment using the TVT-Secur system.

Main Results:

  • Mean surgical time was 8 minutes.
  • High cure rate of 95.5% for SUI.
  • Low complication rate: 2 bladder perforations (intraoperative), 2 obstructions (postoperative).
  • 2.7% of patients experienced de novo urge incontinence.

Conclusions:

  • The TVT-Secur system is an effective and safe option for surgical SUI treatment.
  • This third-generation tape demonstrates potential advantages over earlier procedures.
  • Long-term follow-up is necessary to confirm the durability of these positive outcomes.