OBGYN.net
Conference Coverage
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http://www.obgyn.net/avtranscripts/FIGO_cervigni.htm |
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"New Techniques in Urogynecology"
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Dr.
Richard Scotti: “Hello,
I am Dr. Richard Scotti, the Division Director for Urogynecology for OBGYN.net.
We’re here at the International Federation of Gynecologists and
Obstetricians in Washington, D.C. This
is an International Meeting, and I have the privilege of interviewing our
international guest Professor Mauro Cervigni from Rome, Italy who is a
noted Urogynecologist. I would like to ask him a couple of questions about some of
the new technologies and some of the things that he’s engaged in.
Good morning, Professor Cervigni, I know that you’ve been very
involved in some of the newer concepts in the treatment of urinary
incontinence in women, perhaps, you might want to let our listenership
know exactly what you’re doing and why you have embraced this new
philosophy.” Dr.
M. Cervigni: “Yes,
the treatment of stress urinary incontinence has been changing because it
evolved to a mini invasive approach just to treat the problem of
incontinence in women. The mini invasive approach has many advantages, one is that
it is a day case procedure that can be performed one day as an outpatient
procedure. The patient can
leave the hospital the next day from the operation and get back to their
own normal daily activity in a week.
This is very important for women that are very active and suffer
from this kind of benign pathology, which is extremely distressful for
women. This mini invasive approach consists of inserting a very
short tape below the urethra which is the canal that brings the urine
outside from the bladder and then creating a kind of reconstruction of the
urethra in which when women go on to their activities like lifting some
weight, coughing, or jumping, there is no more leakage of urine.” Dr.
Richard Scotti: “Now
I was privileged to be with you in Rome and observe you do some of these
procedures and began doing them myself here.
I know that there are quite a number of American practitioners that
now use this procedure, which is known as the TVT – tension free vaginal
tape; it certainly is a breakthrough.
How long does it take you to do one of these and how does that
compare to the methods that you were doing prior to this new
development?” Dr.
M. Cervigni: “Yes,
this is a real new advancement in the sense of the treatment because the
procedure is very short, it lasts no more than twenty minutes, and it can
be performed under local anesthesia without any general anesthesia so the
patient is awake. This is an
important advantage because a woman can cough so it’s possible to
modulate the exact tension of the tape below the bladder so it is a way to
exactly assess the real function of the bladder.
The old treatments like the traditional one, the open procedure
with general anesthesia, can create some problem in the post-operative
period in that women sometimes have problems of voiding - they have
difficulty urinating. With
this new approach, thanks to the loosely positioning of the tape, the
woman can immediately start to urinate without any problems.” Dr.
Richard Scotti: “I
appreciate your input, Professor, and I think we’re just about out of
time. We look forward to
seeing what the long term results are; I think now we’re up to about
five years with some fairly good 85%-90% or so success rate which
certainly compares favorably with other methods so thank you very much for
your time.” Dr.
M. Cervigni: “You’re
welcome.” Dr.
Richard Scotti: “We’ll
see you in Rome at the International Urogynecology Association meeting.” Dr.
M. Cervigni: “Thank
you very much.” Dr.
Richard Scotti: “Dr.
Cervigni is chairing the next meeting of the International Urogynecology
Association which will be held in Rome, Italy from October 21-25, 2000.
Thank you, Mauro.” |
