The volume of the first voluntary urination was significantly smaller in the Capio TVM group than that in the conventional TVM group In contrast, 4 patients who underwent conventional TVM surgery felt pain at the site of the skin incisions required for posterior mesh placement using TVM needles. However, it remains undeniable that the more recent literature provides several articles describing the efficiency of TVM surgery using the Capio device, which typically involve less surgical dissection, shorter operating time, and low recurrence rates [ 7 , 14 ]. Although numerous surgical techniques have been described for the treatment of POP, most gynecologists in Japan have traditionally performed conventional vaginal hysterectomy, anterior and posterior colpoplasty, and circumferential suture of the levator ani muscles in women with POP, especially in those with uterine prolapse. The mean number of days on which the residual urine volume needed to be measured was significantly greater in the Capio TVM group than that in the conventional TVM group 3. Conflicts of Interest The authors have no potential conflicts of interest to declare. We defined the second day after surgery, on which the urethral catheter was removed, as day 1.
|Date Added:||19 September 2008|
|File Size:||5.47 Mb|
|Operating Systems:||Windows NT/2000/XP/2003/2003/7/8/10 MacOS 10/X|
|Price:||Free* [*Free Regsitration Required]|
Non-absorbable, polypropylene monofilament, needls armed with TC tapercut needle dart48″. Two subvesical straps are inserted in the tendinous arch of the pelvic fascia from the anterior and posterior sides of the obturator foramen using TVM needles on both the left and right sides.
We started performing TVM surgery using the Capio device for patients with POP from December ; however, shortly after introducing this procedure, we observed some issues.
Six patients who underwent Capio TVM surgery complained of deep-seated pain in the hip region. After removal of the urethral catheter, more than half of the women who underwent Capio TVM surgery could not sense the urge to micturate, whereas all patients who underwent conventional surgery sensed the urge to urinate at the time of their first voiding. In TVM surgery using the Capio SLIM suture capturing device, the arms of the mesh can be driven through the sacrospinous ligament from both the anterior and posterior sites without the need for TVM needles or skin incisions; this surgery is thus considered to be minimally invasive.
Our relatively poor short-term surgical outcomes of this surgery might be due to the insufficient surgical technique in using the Capio device. Although the patients who underwent TVM surgery were scheduled to be discharged 3 days later, the length of the postoperative hospital stay was determined on the basis of each patient’s postoperative course and micturition status. Author information Article notes Copyright and License information Disclaimer.
Occurrence of pre- and postoperative stress urinary incontinence in patients who underwent needke vaginal mesh surgery for pelvic organ prolapse: Furthermore, the requirement to measure voiding volume and the hospital stay were prolonged in this neesle. Table 2 Urge to urinate postoperatively.
We were surprised to find that urinary function was much worse postoperatively in the patients who underwent Capio TVM surgery. Needl Capio SLIM device allows consistent placement of sutures in pelvic floor locations that are difficult to access [ 7 ]. The surgery was performed under general or lumbar spinal anesthesia in a lithotomy position. Although our series is small and did not include follow-up of the long-term outcome after surgery, we did not find any merit in TVM surgery using the Capio device.
The anterior subvesical strap is inserted into the tendinous arch of the pelvic fascia. In addition, when compared with neele hysterectomy, the operative procedure using TVM caapio considered less invasive with a shorter operating time and less intraoperative bleeding [ 9 ].
However, it remains undeniable that the more recent literature provides several articles describing the efficiency of TVM surgery using the Capio device, caio typically involve less surgical dissection, shorter operating time, and low recurrence rates [ 714 ]. Conflicts of Interest The authors have no potential conflicts of interest to declare.
Table 3 Postoperative course. We performed several TVM procedures using the Capio device because we anticipated that this new technique might be less invasive than the conventional TVM surgery. Four of the 7 patients in the Capio TVM group could not sense the urge to urinate after removal of the urethral catheter, but all patients in the conventional TVM group did cwpio.
The number of catheter days and mean maximal volume of residual urine were significantly greater in the Capio TVM group. The number of days to discharge was calculated from capioo day of surgery defined as day 0. P values less than 0.
Voiding difficulties after vaginal mesh cystocele repair: The mean urine volume that was voided under voluntary control for the first time after removal of the urethral catheter on the second morning after surgery was significantly smaller in the Capio TVM group than in the conventional TVM group Journal of Obstetrics and Gynaecology Research.
Further, avoidance of the need for TVM needles could prevent surgical complications such as injury to the bladder or rectum. Additional Points Impact Statement.
Statistical analysis was performed using the unpaired Student’s t -test.
Capio™ SLIM Suture Capturing Device – Boston Scientific
Journal of the Society for Gynecologic Investigation. Refer to package insert provided with the product for complete Indications for Use, Contraindications, Warnings, Precautions, Adverse Events, and Beedle prior to using this product.
Federal Law USA restricts these devices to sale by or on the order of a physician.