Goal is to get a 3D isovolumetric myoplasty, myopexy and myotension of the puborectalis of the elevator of the anus and deep transverse of the perineum.
on muscle puborectalis of the elevator of the anus
on muscle deep transverse of the perineum
Where to apply THREADS
Apply it as a resorbable mesh,in the fatty layer of the urethro-vaginal space.
It is important to remember the anatomy of the urethra
with it s 3 layers
Mucosa
Fatty Layer
Muscle Layer
Instrumentation Recommended to insert Threads
fenestrated ( window) vaginal speculum with urethral protection
Bayonets for threads 1 & 2
Fenestrated Vaginal Speculum with Urethral Protection
Bayonet 1 ( here with thread)
Bayonet 2 ( here with threads)
How to proceed with threads
Introduction of the bayonet with 1 thread
Introduction of the bayonet with 2 threads
Factors of Success
Physiopathology of Urinary Incontinence
Diagnosis of the Urinary Incontinence of Effort
The diagnosis of presumption based on clinical examination
the diagnosis of certainty is based on the urodynamic examination
Classification of the Urinary Incontinence of Effort in Different Grades