Abstrait
La méthode TVT (Tension-free Vaginal Tape), diffusée par Gynecare a été décrite en 1996 par Ulmsten et al. (1) comme une technique mini invasive pour traiter ľincontinence urinaire ďeffort (IUE) de la femme. Cette technique a rapidement pris une place importante dans la chirurgie de ľincontinence en Europe. De nombreuses études randomisées et contrôlées ont comparé ľefficacité et la sûreté du TVT et du Burch, technique comme la référence jusqu’alors. Ces études ont démontré que le TVT a une plus faible morbidité et une efficacité égale voire supérieure (pour un suivi à moyen terme). Ces données ont justifié un large développement de la technique (2). À plus long terme, les quelques études publiées avec des reculs de plus de cinq ans rapportent des taux de succès compris entre 82 % et 85 % (3–4).
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Références
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Thibault, F., Deval, B., Haab, F. (2006). Traitement chirurgical de ľincontinence urinaire ďeffort. In: Les fonctions sphinctériennes. Collection de L’Académie Européenne de Médecine de Réadaptation. Springer, Paris. https://doi.org/10.1007/978-2-287-37362-6_20
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