Response to Comment from B.M. Riederer, P.Y. Dubois and J.-P. Spinosa re: 'Transobturator vaginal tape inside-out. A minimally invasice treatment of stress urinary incontinence: surgical procedure and anatomical conditions' (Eur. J. Obstet. Gynecol.

摘要

Dear Editor, Our study deals with the surgical treatment of stress urinary incontinence and the anatomical conditions. We only used the suburethral transobturator inside-out tape (TVT-O~R). Based on the lack of anatomical data in the discussion, we deliberately did not compare placing TVT-O~R to the suburethral tension free tapes placed outside-in, in order to avoid speculative statements in a scientific study. In spite of the lack of published data we, as urogynaecologists experienced in the operative field, can be sure that there is no difference between the pelvic floor of patients and the position of anatomical structures in alcohol-glycerol prepared specimens. Our opinion is confirmed by colleagues of other operative fields, e.g. general surgeons and urologists, who regularly work either scientifically or in the context of training with alcohol-glycerol prepared bodies.