[Experience of use of sling uretropexy by transobturator method in the treatment of women with stress urinary incontinence].

The article presents the results of the treatment of stress urinary incontinence in women using a sling uretropexy by transobturator method--TVT-O procedure. From 2008 to 2011, 67 patients underwent TVT-O surgery for stress urinary incontinence. The average age of the pa-tients was 48.1 +/- 3.1 years. The examination included ICIQ-SF questionnaire survey, filling out the voiding diary, inspection of the external genitalia, perineum and urethra, cough test, cystography to assess the shape and location of the bladder, as well as measuring the posterior vesicourethral angle. For the evaluation of functional state of the lower urinary tract, uroflowmetry was performed. In the immediate postoperative period, stress incontinence was eliminated completely in 60 (89.6%) patients; improvement was observed in 5 (7.5%) patients; and there was no effect of the operation in 2 (3%) patients. 12 months after surgical treatment, 43 (64.2%) women were very pleased with the result of the operation, 20 (29.9%) were satisfied with the result, and only 4 (5.9%) patients were not satisfied. The results suggest that the TVT-O surgery is a safe and effective method of surgical correction of stress urinary incontinence in women. This method of treatment requires thorough differential diagnosis between stress urinary incontinence and urge urinary incontinence, as well as taking into account the structural features of the pelvis.