الفهرس 
ANATOMY OF FEMALE LOWER URINARY TRACT (LUT)
Muscles related to the obturator foramenOnly 14 pages are availabe for public view
 |  | from | 32 |  |  |
| | | from | 32 | | |
Abstract
Stress urinary incontinence is a major global health problem.
The understanding of stress urinary incontinence (SUI)
pathophysiology has consistently improved over the past decade,
resulting in the development of many surgical techniques.
Midurethral sling (MUS) surgery for stress urinary
incontinence has become one of the most popular interventions
in the field of functional urology
Despite a high success rate, MUS implantation has some
drawbacks (postoperative pain, organ injury) that led to
conception of innovative techniques to avoid blind passage in
the retropubic space or the obturator foramen. These so-called
third-generation slings or mini-slings have been introduced
since 2006, and their use is becoming more and more popular
among urologists and urogynecologists worldwide.
In this study 40 female patients underwent surgical
treatment of SUI either by TOT (outside-in) technique or by
SIMS and we had success rate 85% for the TOT group
compared to 70% success rate in the SIMS group. Post
operative pain is the main advantage of SIMS over the TOT. In
short period follow up, preoperative and postoperative
urodynamic study indicated that no affection on storage and
voiding function of bladder with mild degree of de novo
voiding dysfunction which did not persist more than three
months after operation. No cases reported with complications.