Abstract

FIGUEIRA, Lina et al. Cincha transobturatriz con anestesia local para incontinencia urinaria de esfuerzo. Rev Obstet Ginecol Venez [online]. 2011, vol.71, n.4, pp.246-251. ISSN 0048-7732.

Objective: To evaluate the transobturator tape procedure for urinary stress incontinence under local anesthesia. Methods: Prospective and descriptive study of 22 patients with urinary stress incontinence from the Pelvic Floor Unit of Universitary Hospital of Caracas, between April and November 2010, in whom the transobturator tape procedure was performed under local anesthesia and sedation. Results: Mean surgical time was 9.57 min. Two patients tolerated the surgical procedure with local anesthesia without sedation, while the other 20 (90.9 %) required intravenous sedation, as described in most publications. Mean intraoperative pain was 3.18 points in the Visual Analogue Scale. One hundred percent of the patients were satisfied with the anesthetic technique, and 95.5 % would recommend it. Conclusion: Local anesthesia with sedation is a well-tolerated, safe, and fast technique for the surgical treatment of urinary stress incontinence with transobturator tape.

Keywords : Urinary stress incontinence; Local anesthesia; Transobturator tape.