vijaywada fogsi
DESCRIPTION
Dr. Lalitha is an Urogynecologist Specialist in Hyderabad and expertise in performing Stress Incontinence Surgery.TRANSCRIPT
![Page 1: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/1.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
STRESS URINARY INCONTINENCETRANS OBTURATOR TAPE
K.LALITHA
Consultant Urologist & Urogynaecologist
Yashoda hospital
Somajiguda
Live Surgery Workshop and Scientific Symposium | 2011
![Page 2: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/2.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
Types of Incontinence
• Stress
• Urge
• Mixed
• Overflow
![Page 3: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/3.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
![Page 4: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/4.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
Classification of SUI
• Type I & II Anatomical
• Type III Int. Sphincter
defect
![Page 5: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/5.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
Evaluation of Patient
• History
• Examination
• Stress test - postural
• Bonney's test - false positive
![Page 6: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/6.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
Urodynamics
• Uroflow
• Cystometry
FILLING/VOIDING
• Urethral Pr. profile
• EMG
Video - urodynamics
• Differentiate types of SUI
![Page 7: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/7.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
![Page 8: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/8.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
![Page 9: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/9.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
Role of Urodynamics
• Is it essential in all patients ?
• Role of ALPP and UCP ?
• Prediction of post op voiding dysfunction ?
• Effect on surgical outcome ?
![Page 10: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/10.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
Grades of SUI
• I Severe stress
• II Minimal stress
• III Leakage thru
out
![Page 11: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/11.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
![Page 12: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/12.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
![Page 13: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/13.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
GYNECARE TVT Device
![Page 14: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/14.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
AnesthesiaAbdomen
![Page 15: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/15.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
Dissection of Anterior Wall
![Page 16: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/16.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
![Page 17: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/17.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
TVT-O(Obturator)
• Advantage over TVT
– Eliminates entry into retropubic space
– No risk of injury to bladder or bowel
![Page 18: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/18.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
![Page 19: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/19.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
Complications
• Functional
– Voiding dysfunction
– Detrusor instability
• Technical
• Obturator nerve injury
![Page 20: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/20.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
COMPLICATIONS OF TVT Vs TOT
• TVT TOT• BLADDER INJURY 4% RARE
• VOIDING DYSFUN. 8% 2%
• De NOVO URGENCY 14% 6%
![Page 21: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/21.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
COMPLICATIONS
EROSION
QUALITY OF MESH
HOST FACTOR
SURGICAL TECHNIQUE
![Page 22: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/22.jpg)
Live Surgery Workshop and Scientific Symposium | 2011
MINI SLINGS
• MINI-ARC
• TVT-ABBREVO
![Page 23: Vijaywada fogsi](https://reader033.vdocuments.us/reader033/viewer/2022052505/554b90b2b4c9056d5f8b59a2/html5/thumbnails/23.jpg)
Live Surgery Workshop and Scientific Symposium | 2011