What is the relationship between the transobturator tape procedure and urethral mobility in women with SUI?
Kathleen C Kobashi
Correspondence Virginia Mason Medical Center, 1100 Ninth Avenue, Seattle, WA 98040, USA
Email kathleen.kobashi@vmmc.org
This article has no abstract so we have provided the first paragraph of the full text.
With the introduction of Delancey's 'hammock theory' and Petros and Ulmsten's 'integral theory' in the mid-1990s, a new era in the treatment of female SUI was entered. These theories purport that continence depends upon several factors, most importantly a physiologic backboard created by midurethral fixation to the pubic bone via the pubourethral ligaments.1 SUI results when the vaginal connective tissue and supporting ligaments that control the opening and closure of the urethra or bladder neck are compromised. This concept gave rise to the possibility of treatment with a midurethral sling, which can be placed beneath the midurethra via a retropubic or transobturator approach, to simulate the pubourethral ligaments.
Full text of this article is available with one of the following:
- Personal subscription Purchase your own personal subscription to this journal. Already a subscriber? Please log in for immediate access.
- 7 day single article pass for US$18 In order to purchase this article you must be a registered user. Please register or log in.
- Site licence Learn more about institutional site licences
Current Subscribers
Please log in to access the full text article using the login box at the top of the page.