The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Vincent Delmas - One of the best experts on this subject based on the ideXlab platform.
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transobturator tape uratape a new Minimally Invasive Procedure to treat female urinary incontinence
European Urology, 2004Co-Authors: Emmanuel Delorme, Renaud De Tayrac, Stephane Droupy, Vincent DelmasAbstract:OBJECTIVE: Assessment of one-year results of a new technique of transobturator suburethral tape in the treatment of female stress urinary incontinence. METHODS: UraTape, a non-woven, non-elastic polypropylene tape with a 15 mm long central (suburethral) silicone-coated section was inserted via the transobturator route. The tape is inserted tension-free in a horizontal plane underneath the middle of the urethra between the two obturator foramens. The ends of the tape are tunnelled percutaneously with a tunneller. As the retropubic space is preserved intact, cystoscopy is not required. From May 2000 to February 2002, 150 patients with stress urinary incontinence without associated prolapse were operated and a minimum of 1 year follow-up was available for 32 patients (mean follow-up 17 months; range 13-29). The mean age was 64 years (range 50-81). All patients were assessed before surgery by clinical and urodynamic examination: 5 patients presented sphincter incompetence (maximum closure pressure 20%. RESULTS: 29/32 patients (90.6%) were cured and 3/32 (9.4%) were improved. Mean operating time was 15minutes. No intra-operative complications were recorded. One patient had complete postoperative bladder retention which resolved after 4 weeks of self-catheterization. There were no problems with urethral erosion, residual pain or functional impairment related to the tape. 5/32 patients had voiding disorders suggesting bladder outflow obstruction. Two patients developed de novo urge incontinence. CONCLUSION: Uratape transobturator tape is a simple and effective Procedure with follow-up of one year for the treatment of female stress urinary incontinence confirmed after 1 year of follow-up. The transobturator approach avoids the risk of bladder, bowel or vascular injuries. Evaluation of the results after a longer follow-up period is needed to validate this technique.
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transobturator tape uratape a new Minimally Invasive Procedure to treat female urinary incontinence
European Urology, 2004Co-Authors: Emmanuel Delorme, Renaud De Tayrac, Stephane Droupy, Vincent DelmasAbstract:Abstract Objective: Assessment of one-year results of a new technique of transobturator suburethral tape in the treatment of female stress urinary incontinence. Methods: UraTape ® , a non-woven, non-elastic polypropylene tape with a 15mm long central (suburethral) silicone-coated section was inserted via the transobturator route. The tape is inserted tension-free in a horizontal plane underneath the middle of the urethra between the two obturator foramens. The ends of the tape are tunnelled percutaneously with a tunneller. As the retropubic space is preserved intact, cystoscopy is not required. From May 2000 to February 2002, 150 patients with stress urinary incontinence without associated prolapse were operated and a minimum of 1 year follow-up was available for 32 patients (mean follow-up 17 months; range 13–29). The mean age was 64 years (range 50–81). All patients were assessed before surgery by clinical and urodynamic examination: 5 patients presented sphincter incompetence (maximum closure pressure 2 O); 5 patients presented with recurrent urinary incontinence after Burch Procedure or TVT; 18 patients presented with mixed incontinence, six of them with detrusor instability confirmed by cystometry. The results were evaluated by two independent investigators (clinical examination, uroflowmetry, cough test). Voiding disorders suggesting bladder outflow obstruction were defined as the presence of the following two criteria: Q max 20%. Results: 29/32 patients (90.6%) were cured and 3/32 (9.4%) were improved. Mean operating time was 15minutes. No intra-operative complications were recorded. One patient had complete postoperative bladder retention which resolved after 4 weeks of self-catheterization. There were no problems with urethral erosion, residual pain or functional impairment related to the tape. 5/32 patients had voiding disorders suggesting bladder outflow obstruction. Two patients developed de novo urge incontinence. Conclusion: Uratape ® transobturator tape is a simple and effective Procedure with follow-up of one year for the treatment of female stress urinary incontinence confirmed after 1 year of follow-up. The transobturator approach avoids the risk of bladder, bowel or vascular injuries. Evaluation of the results after a longer follow-up period is needed to validate this technique.
Emmanuel Delorme - One of the best experts on this subject based on the ideXlab platform.
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transobturator tape uratape a new Minimally Invasive Procedure to treat female urinary incontinence
European Urology, 2004Co-Authors: Emmanuel Delorme, Renaud De Tayrac, Stephane Droupy, Vincent DelmasAbstract:OBJECTIVE: Assessment of one-year results of a new technique of transobturator suburethral tape in the treatment of female stress urinary incontinence. METHODS: UraTape, a non-woven, non-elastic polypropylene tape with a 15 mm long central (suburethral) silicone-coated section was inserted via the transobturator route. The tape is inserted tension-free in a horizontal plane underneath the middle of the urethra between the two obturator foramens. The ends of the tape are tunnelled percutaneously with a tunneller. As the retropubic space is preserved intact, cystoscopy is not required. From May 2000 to February 2002, 150 patients with stress urinary incontinence without associated prolapse were operated and a minimum of 1 year follow-up was available for 32 patients (mean follow-up 17 months; range 13-29). The mean age was 64 years (range 50-81). All patients were assessed before surgery by clinical and urodynamic examination: 5 patients presented sphincter incompetence (maximum closure pressure 20%. RESULTS: 29/32 patients (90.6%) were cured and 3/32 (9.4%) were improved. Mean operating time was 15minutes. No intra-operative complications were recorded. One patient had complete postoperative bladder retention which resolved after 4 weeks of self-catheterization. There were no problems with urethral erosion, residual pain or functional impairment related to the tape. 5/32 patients had voiding disorders suggesting bladder outflow obstruction. Two patients developed de novo urge incontinence. CONCLUSION: Uratape transobturator tape is a simple and effective Procedure with follow-up of one year for the treatment of female stress urinary incontinence confirmed after 1 year of follow-up. The transobturator approach avoids the risk of bladder, bowel or vascular injuries. Evaluation of the results after a longer follow-up period is needed to validate this technique.
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transobturator tape uratape a new Minimally Invasive Procedure to treat female urinary incontinence
European Urology, 2004Co-Authors: Emmanuel Delorme, Renaud De Tayrac, Stephane Droupy, Vincent DelmasAbstract:Abstract Objective: Assessment of one-year results of a new technique of transobturator suburethral tape in the treatment of female stress urinary incontinence. Methods: UraTape ® , a non-woven, non-elastic polypropylene tape with a 15mm long central (suburethral) silicone-coated section was inserted via the transobturator route. The tape is inserted tension-free in a horizontal plane underneath the middle of the urethra between the two obturator foramens. The ends of the tape are tunnelled percutaneously with a tunneller. As the retropubic space is preserved intact, cystoscopy is not required. From May 2000 to February 2002, 150 patients with stress urinary incontinence without associated prolapse were operated and a minimum of 1 year follow-up was available for 32 patients (mean follow-up 17 months; range 13–29). The mean age was 64 years (range 50–81). All patients were assessed before surgery by clinical and urodynamic examination: 5 patients presented sphincter incompetence (maximum closure pressure 2 O); 5 patients presented with recurrent urinary incontinence after Burch Procedure or TVT; 18 patients presented with mixed incontinence, six of them with detrusor instability confirmed by cystometry. The results were evaluated by two independent investigators (clinical examination, uroflowmetry, cough test). Voiding disorders suggesting bladder outflow obstruction were defined as the presence of the following two criteria: Q max 20%. Results: 29/32 patients (90.6%) were cured and 3/32 (9.4%) were improved. Mean operating time was 15minutes. No intra-operative complications were recorded. One patient had complete postoperative bladder retention which resolved after 4 weeks of self-catheterization. There were no problems with urethral erosion, residual pain or functional impairment related to the tape. 5/32 patients had voiding disorders suggesting bladder outflow obstruction. Two patients developed de novo urge incontinence. Conclusion: Uratape ® transobturator tape is a simple and effective Procedure with follow-up of one year for the treatment of female stress urinary incontinence confirmed after 1 year of follow-up. The transobturator approach avoids the risk of bladder, bowel or vascular injuries. Evaluation of the results after a longer follow-up period is needed to validate this technique.
Fausto Ferraro - One of the best experts on this subject based on the ideXlab platform.
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dilation of tracheal stenosis below tracheostomy tube with dolphin percutaneous tracheostomy kit tracheal stenosis treated with dolphin pdt
The Japanese Journal of Thoracic and Cardiovascular Surgery, 2020Co-Authors: Alfonso Fiorelli, Mary Bove, Antonio Noro, Angela Iuorio, Mario Santini, Fausto FerraroAbstract:: We reported a new Minimally Invasive Procedure to treat tracheal stenosis below tracheostomy tube using standard Ciaglia Blue Dolphin kit for percutaneous tracheostomy. Under endoscopic view, the Dolphin kit was inserted through the stoma into the stenosis; the balloon was inflated until a sufficient tracheal diameter was obtained; then, a longer tracheostomy tube was inserted through the stenosis and the distal tip placed near the carina. This Procedure was succesfully applied in seven patients.
Renaud De Tayrac - One of the best experts on this subject based on the ideXlab platform.
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transobturator tape uratape a new Minimally Invasive Procedure to treat female urinary incontinence
European Urology, 2004Co-Authors: Emmanuel Delorme, Renaud De Tayrac, Stephane Droupy, Vincent DelmasAbstract:OBJECTIVE: Assessment of one-year results of a new technique of transobturator suburethral tape in the treatment of female stress urinary incontinence. METHODS: UraTape, a non-woven, non-elastic polypropylene tape with a 15 mm long central (suburethral) silicone-coated section was inserted via the transobturator route. The tape is inserted tension-free in a horizontal plane underneath the middle of the urethra between the two obturator foramens. The ends of the tape are tunnelled percutaneously with a tunneller. As the retropubic space is preserved intact, cystoscopy is not required. From May 2000 to February 2002, 150 patients with stress urinary incontinence without associated prolapse were operated and a minimum of 1 year follow-up was available for 32 patients (mean follow-up 17 months; range 13-29). The mean age was 64 years (range 50-81). All patients were assessed before surgery by clinical and urodynamic examination: 5 patients presented sphincter incompetence (maximum closure pressure 20%. RESULTS: 29/32 patients (90.6%) were cured and 3/32 (9.4%) were improved. Mean operating time was 15minutes. No intra-operative complications were recorded. One patient had complete postoperative bladder retention which resolved after 4 weeks of self-catheterization. There were no problems with urethral erosion, residual pain or functional impairment related to the tape. 5/32 patients had voiding disorders suggesting bladder outflow obstruction. Two patients developed de novo urge incontinence. CONCLUSION: Uratape transobturator tape is a simple and effective Procedure with follow-up of one year for the treatment of female stress urinary incontinence confirmed after 1 year of follow-up. The transobturator approach avoids the risk of bladder, bowel or vascular injuries. Evaluation of the results after a longer follow-up period is needed to validate this technique.
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transobturator tape uratape a new Minimally Invasive Procedure to treat female urinary incontinence
European Urology, 2004Co-Authors: Emmanuel Delorme, Renaud De Tayrac, Stephane Droupy, Vincent DelmasAbstract:Abstract Objective: Assessment of one-year results of a new technique of transobturator suburethral tape in the treatment of female stress urinary incontinence. Methods: UraTape ® , a non-woven, non-elastic polypropylene tape with a 15mm long central (suburethral) silicone-coated section was inserted via the transobturator route. The tape is inserted tension-free in a horizontal plane underneath the middle of the urethra between the two obturator foramens. The ends of the tape are tunnelled percutaneously with a tunneller. As the retropubic space is preserved intact, cystoscopy is not required. From May 2000 to February 2002, 150 patients with stress urinary incontinence without associated prolapse were operated and a minimum of 1 year follow-up was available for 32 patients (mean follow-up 17 months; range 13–29). The mean age was 64 years (range 50–81). All patients were assessed before surgery by clinical and urodynamic examination: 5 patients presented sphincter incompetence (maximum closure pressure 2 O); 5 patients presented with recurrent urinary incontinence after Burch Procedure or TVT; 18 patients presented with mixed incontinence, six of them with detrusor instability confirmed by cystometry. The results were evaluated by two independent investigators (clinical examination, uroflowmetry, cough test). Voiding disorders suggesting bladder outflow obstruction were defined as the presence of the following two criteria: Q max 20%. Results: 29/32 patients (90.6%) were cured and 3/32 (9.4%) were improved. Mean operating time was 15minutes. No intra-operative complications were recorded. One patient had complete postoperative bladder retention which resolved after 4 weeks of self-catheterization. There were no problems with urethral erosion, residual pain or functional impairment related to the tape. 5/32 patients had voiding disorders suggesting bladder outflow obstruction. Two patients developed de novo urge incontinence. Conclusion: Uratape ® transobturator tape is a simple and effective Procedure with follow-up of one year for the treatment of female stress urinary incontinence confirmed after 1 year of follow-up. The transobturator approach avoids the risk of bladder, bowel or vascular injuries. Evaluation of the results after a longer follow-up period is needed to validate this technique.
Stephane Droupy - One of the best experts on this subject based on the ideXlab platform.
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transobturator tape uratape a new Minimally Invasive Procedure to treat female urinary incontinence
European Urology, 2004Co-Authors: Emmanuel Delorme, Renaud De Tayrac, Stephane Droupy, Vincent DelmasAbstract:OBJECTIVE: Assessment of one-year results of a new technique of transobturator suburethral tape in the treatment of female stress urinary incontinence. METHODS: UraTape, a non-woven, non-elastic polypropylene tape with a 15 mm long central (suburethral) silicone-coated section was inserted via the transobturator route. The tape is inserted tension-free in a horizontal plane underneath the middle of the urethra between the two obturator foramens. The ends of the tape are tunnelled percutaneously with a tunneller. As the retropubic space is preserved intact, cystoscopy is not required. From May 2000 to February 2002, 150 patients with stress urinary incontinence without associated prolapse were operated and a minimum of 1 year follow-up was available for 32 patients (mean follow-up 17 months; range 13-29). The mean age was 64 years (range 50-81). All patients were assessed before surgery by clinical and urodynamic examination: 5 patients presented sphincter incompetence (maximum closure pressure 20%. RESULTS: 29/32 patients (90.6%) were cured and 3/32 (9.4%) were improved. Mean operating time was 15minutes. No intra-operative complications were recorded. One patient had complete postoperative bladder retention which resolved after 4 weeks of self-catheterization. There were no problems with urethral erosion, residual pain or functional impairment related to the tape. 5/32 patients had voiding disorders suggesting bladder outflow obstruction. Two patients developed de novo urge incontinence. CONCLUSION: Uratape transobturator tape is a simple and effective Procedure with follow-up of one year for the treatment of female stress urinary incontinence confirmed after 1 year of follow-up. The transobturator approach avoids the risk of bladder, bowel or vascular injuries. Evaluation of the results after a longer follow-up period is needed to validate this technique.
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transobturator tape uratape a new Minimally Invasive Procedure to treat female urinary incontinence
European Urology, 2004Co-Authors: Emmanuel Delorme, Renaud De Tayrac, Stephane Droupy, Vincent DelmasAbstract:Abstract Objective: Assessment of one-year results of a new technique of transobturator suburethral tape in the treatment of female stress urinary incontinence. Methods: UraTape ® , a non-woven, non-elastic polypropylene tape with a 15mm long central (suburethral) silicone-coated section was inserted via the transobturator route. The tape is inserted tension-free in a horizontal plane underneath the middle of the urethra between the two obturator foramens. The ends of the tape are tunnelled percutaneously with a tunneller. As the retropubic space is preserved intact, cystoscopy is not required. From May 2000 to February 2002, 150 patients with stress urinary incontinence without associated prolapse were operated and a minimum of 1 year follow-up was available for 32 patients (mean follow-up 17 months; range 13–29). The mean age was 64 years (range 50–81). All patients were assessed before surgery by clinical and urodynamic examination: 5 patients presented sphincter incompetence (maximum closure pressure 2 O); 5 patients presented with recurrent urinary incontinence after Burch Procedure or TVT; 18 patients presented with mixed incontinence, six of them with detrusor instability confirmed by cystometry. The results were evaluated by two independent investigators (clinical examination, uroflowmetry, cough test). Voiding disorders suggesting bladder outflow obstruction were defined as the presence of the following two criteria: Q max 20%. Results: 29/32 patients (90.6%) were cured and 3/32 (9.4%) were improved. Mean operating time was 15minutes. No intra-operative complications were recorded. One patient had complete postoperative bladder retention which resolved after 4 weeks of self-catheterization. There were no problems with urethral erosion, residual pain or functional impairment related to the tape. 5/32 patients had voiding disorders suggesting bladder outflow obstruction. Two patients developed de novo urge incontinence. Conclusion: Uratape ® transobturator tape is a simple and effective Procedure with follow-up of one year for the treatment of female stress urinary incontinence confirmed after 1 year of follow-up. The transobturator approach avoids the risk of bladder, bowel or vascular injuries. Evaluation of the results after a longer follow-up period is needed to validate this technique.