Our data further support the notion that the TVTobturator procedure, a novel midurethral sling operation for the treatment of female stress urinary incontinence, seems to be effective and safe. Intraoperative diagnostic cystoscopy and bladder catheterization might not be mandatory with this newly introduced surgical approach. The TVTobturator procedure was associated with fewer complications, both intraoperatively and postoperatively, than previously reported for the TVT procedure. These complications included a lower incidence of operative bleedings, postoperative field infections, and voiding difficulties.

The effects of adding morphine and nalbuphine in admixture on analgesia for upper abdominal surgery is additive. Combinations of morphine and nalbuphine decreased the incidence of pruritus, nausea and vomiting. This may provide a novel combination strategy of opioid agonist and agonist–antagonist for postoperative pain management.