INTRODUCTION AND OBJECTIVES: The aim of this study was to evaluate preliminary results of @entity365 ( @entity365 ), a new surgical procedure, performed during the learning phase for the treatment of stress urinary @entity322 . MATERIAL AND METHODS: One-hundred consecutive @entity1 underwent surgery, between June 1998 and December 1999, by six different senior surgeons. Indications were socially annoying @entity3142 which persisted after complete physical therapy education. Preoperative examination included a urodynamic evaluation program. Surgical procedure was performed according to Ulmsten technique under local, regional or general anaesthesia. Results were evaluated by self-evaluation questionnaire and the @entity1 were followed for at least 1 year. RESULTS: Perioperative complications were: 14 @entity1494 and one urethral perforation without sequelae (except prolonged bladder drainage up to 3 days). @entity260 were: 13 retentions including 3 persistent after 1 month. During the learning phase (50 first @entity1 ) @entity1494 , retention and @entity3833 were more frequent. Progressively, local anesthesia was abandoned while most of the 50 remaining @entity1 had @entity365 performed under epidural anesthesia. Functional results were divided into 3 groups according to preoperative urethral closure pressure (UCP) and eventual concomitant prolapse repair (PR): (1) UCP >25 cm @entity2507 no PR (59 @entity1 ): 39 were totally dry without any instability, 13 dry with de novo (4) or persistent (7) instability and 5 were moderately improved. (2) UCP <25 cm @entity2507 no PR (25 @entity1 ): 11 were dry without instability, 5 dry with instability, 6 were improved and 4 failed. (3) PR (15 @entity1 ): 9 were dry, 4 were improved and 2 failed. For 2 @entity1 a @entity1494 due to the tape occurred (7 and 11 months) after the @entity365 procedure. CONCLUSIONS: During the learning phase, @entity1494 (22%) and retention (20%) were much more frequent than previously reported. Nevertheless, our results confirm that @entity365 appears to be an efficient procedure: 97% of @entity1 were cured or improved when UCP >25 cm @entity2507 , 85% when UCP <25 cm @entity2507 and 87% when a PR was associated.

Evaluation of @entity365 procedure. Its safety and efficacy in the treatment of female stress urinary XXXX during the learning phase.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['bladder perforation', 'bladder injuries', 'bladder erosion'] @entity260 :: ('MESH:D011183', 'Disease') :: ['Postoperative complications'] @entity2507 :: ('CHEBI:33813', 'Chemical') :: ['H2O'] @entity3833 :: ('MESH:D053159', 'Disease') :: ['dysuria'] @entity365 :: ('MESH:D014627', 'Disease') :: ['tension-free vaginal tape', 'TVT'] @entity3142 :: ('MESH:D014550', 'Disease') :: ['urinary stress incontinence']
@entity322 :: (MESH:D014549,Disease) :: ['incontinence']
