Kadınlarda İdrar Kaçırma
SIS
DynaMesh®-SIS, DynaMesh®-SIS yumuşak ve DynaMesh®-SIS görünür implantlar, hipermobil üretra ve/veya içsel sfinkter eksikliğinden kaynaklanan stres idrar kaçırmanın cerrahi tedavisi için orta üretra askısı olarak kullanılmak üzere tasarlanmıştır. Cihazlar pelvik tabanın yumuşak dokusunu kalıcı olarak güçlendirir.
Cerrahi Teknik:
TVT – retropubik
- içten dışa
TOT – transobturatör
- içten dışa - dıştan içe
Paylaş
Retropubic Tape Position
(Inside-Out)
Transobturator Tape Position
(Outside-In or Inside-Out)
DynaMesh®-SIS, DynaMesh®-SIS soft and DynaMesh®-SIS visible are positioned using the inside-out technique in case of a retropubic tape position, and using the outside-in or inside-out technique in case of a transobturator tape position.
The devices have a thread at the ends of the tape that is attached to the surgical instrument.
Several reusable instruments are available separately to position the device:
DynaMesh®-ISR01
DynaMesh®-ISR01:
Instrument for transvaginal access for retropubic positioning of DynaMesh®-SIS, DynaMesh®-SIS soft and DynaMesh®-SIS visible using the inside-out technique.
DynaMesh®-IST01
DynaMesh®-IST01 / DynaMesh®-IST02 / DynaMesh®-IST03:
Instrument set consisting of two instruments for transvaginal access for transobturator positioning of DynaMesh®-SIS, DynaMesh®-SIS soft and DynaMesh®-SIS visible using the inside-out or outside-in technique.
DynaMesh®-IVT01
DynaMesh®-IVT01:
Instrument for transvaginal access for transobturator positioning of DynaMesh®-SIS, DynaMesh®-SIS soft and DynaMesh®-SIS visible using the outside-in technique.
| DynaMesh®-SIS |
01 cm x 50 cm | PV211056F1/F3 |
| DynaMesh®-SIS soft | 01 cm x 50 cm | PV411056F1/F3 |
| DynaMesh®-SIS visible |
01 cm x 50 cm | PV471056F1/F3 |
| FX = X unit(s)/box (e.g. F3 = 3 unit(s)/box) |
| Product | DynaMesh®-SIS (1) DynaMesh®-SIS soft (2) DynaMesh®-SIS visible (3) |
| Surgical Treatment | Stress Urinary Incontinence (SUI) |
| Surgical Approach | Transvaginal |
| Surgical Technique | TVT – Retropubic – Inside-Out / TOT – Transobturator – Outside-In |
| Fixation | None |
| Smooth Warp-Knitted Selvedges |
 |
| Shape Stability |
[TR12, TR13] |
| Defined Elasticity |
[TR10] |
| Visible Technology |
 (1) (2) / (3) |
| Materials |
– Polyvinylidene fluoride (PVDF) (CAS 24937-79-9) > 99% (w/w) (1) – (3)
– Phthalocyanine green (CAS 1328-53-6) < 1% (w/w) (1) (2) – Triiron tetraoxide (CAS 1317-61-9) < 1% (w/w) (3) |
| Polymer (Monofilament) |
PVDF
|
| Biocompatibility |
[TR1] |
| Ageing Resistance |
[2A, 5VIT, 27A, 52VIT, 93A, 101] |
| Effective Porosity | High effective porosity reduces inflammation and the risk of excessive scar formation. [103P, TR11] |
| Klinge’s Mesh Classification | Class 1a [102P, TR11] |
 |
Applicable |
 |
Does not apply |
| [#] | Reference “#” (see “References”) |
| [TR#] | Internal test report (see “internal test report references”) |
| Limitations | “A” animal trial, “B” bench test, “VIT” in-vitro trial, “P” published results based on the analysis of human mesh explants, “PB” published results mainly based on bench tests |
