Authors: A Liapis P Bakas G Creatsas
Publish Date: 2007/02/01
Volume: 18, Issue: 10, Pages: 1197-1200
Abstract
Our aim was to validate the use of intravenous anesthesia as an alternative to epidural anesthesia for the placement of tensionfree vaginal tape TVT in patients with urodynamic stress incontinence Eightysix patients participated in this prospective study Fortyfive patients were operated with intravenous anesthesia and 41 patients with epidural anesthesia All patients had a full history taken and a complete gynecological examination performed at initial visit Preoperative and postoperative urodynamic investigations included filling and voiding cystometry urethral profilometry uroflow and cough stress test Genuine stress incontinence diagnosis was based on the findings of urodynamic investigations Patients with prolapse more than first degree or detrusor instability were excluded from the study The objective success rate for patients operated with intravenous anesthesia was 866 whereas for patients operated with epidural anesthesia was 88 at 12 months of followup We had no cases of postoperative bleeding or hematoma development Postoperative urinary tract infection developed in three cases 3 of 74 Application of TVT procedure with intravenous anesthesia provides comparable results with the use of epidural anesthesia and could be a very good alternative
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