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Published in: International Urogynecology Journal 1/2007

01-01-2007 | Original Article

Trans-obturator surgery for stress urinary incontinence: 1-year follow-up of a cohort of 52 women

Authors: Anne Dobson, Magali Robert, Cheryl Swaby, Magnus Murphy, Colin Birch, Tom Mainprize, Sue Ross

Published in: International Urogynecology Journal | Issue 1/2007

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Abstract

This study was a 1-year follow-up of a cohort of 52 women who underwent trans-obturator tape (TOT) procedures using Obtape. Follow-up information was available for 45/52 (87%) women. The rate of erosions was 8/52 (15%). Among 34 women examined, 26% experienced tenderness on palpation of operative site, and 72% were objectively cured on pad test. Forty women completed questionnaires (median Incontinence Impact Questionnaire-7, 0; median Urogenital Distress Inventory-6, 17) and of those, 93% would recommend TOT to a friend. We found a high rate of erosions among our cohort. Our high rate of erosions may be a result of our review of the majority of the cohort, and it is likely related to the specific device used (Obtape). The majority of women were satisfied with the outcome. Before introducing new procedures into widespread clinical practice, it is important to rigorously investigate their outcomes.
Literature
1.
go back to reference Delorme E (2001) La bandelette transobturatrice: un procédé mini-invasif pour traiter l’incontinence urinaire chez la femme. Prog Urol 11:1306–1313PubMed Delorme E (2001) La bandelette transobturatrice: un procédé mini-invasif pour traiter l’incontinence urinaire chez la femme. Prog Urol 11:1306–1313PubMed
2.
go back to reference Robert M, Murphy M, Birch C, Swaby C, Ross S (2006) Five cases of tape erosion following transobturator surgery for urinary incontinence. Obstet Gynecol 107(2 Pt 2):472–474PubMed Robert M, Murphy M, Birch C, Swaby C, Ross S (2006) Five cases of tape erosion following transobturator surgery for urinary incontinence. Obstet Gynecol 107(2 Pt 2):472–474PubMed
3.
go back to reference Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA (1995) Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program for Women Research Group. Neurourol Urodyn 14:131–139PubMedCrossRef Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA (1995) Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program for Women Research Group. Neurourol Urodyn 14:131–139PubMedCrossRef
4.
go back to reference Abrams P, Blaivas JG, Stanton SL, Andersen JT (1988) The standardisation of terminology of lower urinary tract function. The International Continence Society Committee on Standardisation of Terminology. Scand J Urol Nephrol Suppl 114:5–19PubMed Abrams P, Blaivas JG, Stanton SL, Andersen JT (1988) The standardisation of terminology of lower urinary tract function. The International Continence Society Committee on Standardisation of Terminology. Scand J Urol Nephrol Suppl 114:5–19PubMed
5.
go back to reference Jorgensen JB, Colstrup H, Frimodt-Moller C (1998) Uroflow in women: an overview and suggestions for the future. Int Urogynecol J 9:33–36CrossRef Jorgensen JB, Colstrup H, Frimodt-Moller C (1998) Uroflow in women: an overview and suggestions for the future. Int Urogynecol J 9:33–36CrossRef
6.
go back to reference Cindolo L, Salzano L, Rota G, Bellini S, D’Afiero A (2003) Tension-free transobturator approach for female stress urinary incontinence. Minerva Urol Nefrol 55:89–98 Cindolo L, Salzano L, Rota G, Bellini S, D’Afiero A (2003) Tension-free transobturator approach for female stress urinary incontinence. Minerva Urol Nefrol 55:89–98
7.
go back to reference Mellier G, Benayed B, Bretones S, Pasquier JC (2004) Suburethral tape via the obturator route: is the TOT a simplification of the TVT? Int Urogynecol J Pelvic Floor Dysfunct 15:227–232PubMed Mellier G, Benayed B, Bretones S, Pasquier JC (2004) Suburethral tape via the obturator route: is the TOT a simplification of the TVT? Int Urogynecol J Pelvic Floor Dysfunct 15:227–232PubMed
8.
go back to reference Costa P, Grise P, Droupy S, Monneins F, Assenmacher C, Ballanger P, Hermieu JF, Delmas V, Boccon-Gibod L, Ortuno C (2004) Surgical treatment of female stress urinary incontinence with a trans-obturator-tape (TOT) Uratape: short-term results of a prospective multicentric study. Eur Urol 46(1):102–106CrossRefPubMed Costa P, Grise P, Droupy S, Monneins F, Assenmacher C, Ballanger P, Hermieu JF, Delmas V, Boccon-Gibod L, Ortuno C (2004) Surgical treatment of female stress urinary incontinence with a trans-obturator-tape (TOT) Uratape: short-term results of a prospective multicentric study. Eur Urol 46(1):102–106CrossRefPubMed
9.
go back to reference Krauth JS, Rasoamiaramanana H, Barletta H, Barrier PY, Grisard-Anaf M, Lienhart J, Mermet J, Vautherin R, Frobert JL (2005) Sub-urethral tape treatment of female urinary incontinence-morbidity assessment of the trans-obturator route and a new tape (I-STOP): a multi-center experiment involving 604 cases. Eur Urol 47(1):102–107PubMedCrossRef Krauth JS, Rasoamiaramanana H, Barletta H, Barrier PY, Grisard-Anaf M, Lienhart J, Mermet J, Vautherin R, Frobert JL (2005) Sub-urethral tape treatment of female urinary incontinence-morbidity assessment of the trans-obturator route and a new tape (I-STOP): a multi-center experiment involving 604 cases. Eur Urol 47(1):102–107PubMedCrossRef
10.
go back to reference Domingo S, Alma P, Ruiz N, Perales A, Pellicer A (2005) Diagnosis, management and prognosis of vaginal erosion after transobturator suburethral tape procedure using a nonwoven thermally bonded polypropylene mesh. J Urol 173:1627–1630CrossRefPubMed Domingo S, Alma P, Ruiz N, Perales A, Pellicer A (2005) Diagnosis, management and prognosis of vaginal erosion after transobturator suburethral tape procedure using a nonwoven thermally bonded polypropylene mesh. J Urol 173:1627–1630CrossRefPubMed
11.
go back to reference Spinosa JP, Dubuis PY (2005) Suburethral sling inserted by the transobturator route in the treatment of female stress urinary incontinence: preliminary results in 117 cases. Eur J Obstet Gynecol Reprod Biol 123(2):212–217CrossRefPubMed Spinosa JP, Dubuis PY (2005) Suburethral sling inserted by the transobturator route in the treatment of female stress urinary incontinence: preliminary results in 117 cases. Eur J Obstet Gynecol Reprod Biol 123(2):212–217CrossRefPubMed
12.
go back to reference Roumeguère T, Quackels T, Bollens R, de Groot A, Zlotta A, Vanden Bossche M, Schulman C (2005) Trans-obturator vaginal tape (TOT) for female stress incontinence: one year follow-up in 120 patients. Eur Urol 48:805–809CrossRefPubMed Roumeguère T, Quackels T, Bollens R, de Groot A, Zlotta A, Vanden Bossche M, Schulman C (2005) Trans-obturator vaginal tape (TOT) for female stress incontinence: one year follow-up in 120 patients. Eur Urol 48:805–809CrossRefPubMed
13.
go back to reference Barry C, Naidu A, Lim Y, Corsitaans A, Muller R, Rane A (2005) Does the MONARC transobturator suburethral sling cause post-operative voiding dysfunction? A prospective study. Int Urogynecol J Pelvic Floor Dysfunct 17(1):30–34PubMed Barry C, Naidu A, Lim Y, Corsitaans A, Muller R, Rane A (2005) Does the MONARC transobturator suburethral sling cause post-operative voiding dysfunction? A prospective study. Int Urogynecol J Pelvic Floor Dysfunct 17(1):30–34PubMed
14.
go back to reference Dietz HP, Vancaillie P, Svehla M, Walsh W, Steensma AB, Vancaillie TG (2003) Mechanical properties of urogynecologic implant materials. Int Urogynecol J Pelvic Floor Dysfunct 14(4):239–243CrossRefPubMed Dietz HP, Vancaillie P, Svehla M, Walsh W, Steensma AB, Vancaillie TG (2003) Mechanical properties of urogynecologic implant materials. Int Urogynecol J Pelvic Floor Dysfunct 14(4):239–243CrossRefPubMed
15.
go back to reference Cosson M, Debodinance P, Boukerrou M, Chauvet MP, Lobry P, Crepin G, Ego A (2003) Mechanical properties of synthetic implants used in the repair of prolapse and urinary incontinence in women: which is the ideal material? Int Urogynecol J Pelvic Floor Dysfunct 14(3):169–178CrossRefPubMed Cosson M, Debodinance P, Boukerrou M, Chauvet MP, Lobry P, Crepin G, Ego A (2003) Mechanical properties of synthetic implants used in the repair of prolapse and urinary incontinence in women: which is the ideal material? Int Urogynecol J Pelvic Floor Dysfunct 14(3):169–178CrossRefPubMed
16.
go back to reference Costa P, Delmas V (2004) Trans-obturator-tape procedure, “inside out or outside in”: current concepts and evidence base. Curr Opin Urol 14(6):313–315CrossRefPubMed Costa P, Delmas V (2004) Trans-obturator-tape procedure, “inside out or outside in”: current concepts and evidence base. Curr Opin Urol 14(6):313–315CrossRefPubMed
17.
go back to reference Richards SR, Balaloski SP (2005) Vulvar hematoma following a transobturator sling (TVT-O). Int Urogynecol J Pelvic Floor Dysfunct :1–2 (Epub ahead of print) Richards SR, Balaloski SP (2005) Vulvar hematoma following a transobturator sling (TVT-O). Int Urogynecol J Pelvic Floor Dysfunct :1–2 (Epub ahead of print)
18.
go back to reference Caquant F, Collinet P, Deruelle P, Lucot JP, Cosson M (2005) Perineal cellulitis following trans-obturator sub-urethral tape Uratape. Eur Urol 47(1):108–110CrossRefPubMed Caquant F, Collinet P, Deruelle P, Lucot JP, Cosson M (2005) Perineal cellulitis following trans-obturator sub-urethral tape Uratape. Eur Urol 47(1):108–110CrossRefPubMed
19.
go back to reference Game X, Mouzin M, Vaessen C, Malavaud B, Sarramon J-P, Rischmann P (2004) Obturator infected hematoma and urethral erosion following transobturator tape implantation. J Urol 171:1629CrossRefPubMed Game X, Mouzin M, Vaessen C, Malavaud B, Sarramon J-P, Rischmann P (2004) Obturator infected hematoma and urethral erosion following transobturator tape implantation. J Urol 171:1629CrossRefPubMed
20.
go back to reference Babalola EO, Famuyide AO, McGuire LJ, Gebhart JB, Klingele CJ (2005) Vaginal erosion, sinus formation, and ischiorectal abscess following transobtutator tape: ObTape implantation. Int Urogynecol J Pelvic Floor Dysfunct:1–4 (Epub ahead of print) Babalola EO, Famuyide AO, McGuire LJ, Gebhart JB, Klingele CJ (2005) Vaginal erosion, sinus formation, and ischiorectal abscess following transobtutator tape: ObTape implantation. Int Urogynecol J Pelvic Floor Dysfunct:1–4 (Epub ahead of print)
21.
go back to reference Mahajan ST, Kenton K, Bova DA, Brubaker L (2006) Transobturator tape erosion associated with leg pain. Int Urogynecol J Pelvic Floor Dysfunct 17(1):66–68CrossRefPubMed Mahajan ST, Kenton K, Bova DA, Brubaker L (2006) Transobturator tape erosion associated with leg pain. Int Urogynecol J Pelvic Floor Dysfunct 17(1):66–68CrossRefPubMed
22.
go back to reference But I (2005) Vaginal wall erosion after transobturator tape procedure. Int Urogynecol J Pelvic Floor Dysfunct 16(6):506–508CrossRefPubMed But I (2005) Vaginal wall erosion after transobturator tape procedure. Int Urogynecol J Pelvic Floor Dysfunct 16(6):506–508CrossRefPubMed
23.
go back to reference Ross S, Soroka D, Karahalios A, Glazener CMA, Hay-Smith EJC, Drutz HP (2005) Incontinence-specific quality of life measures used in trials of treatments for female urinary incontinence: a systematic review. Int Urogynecol J Pelvic Floor Dysfunct (Epub ahead of print) Ross S, Soroka D, Karahalios A, Glazener CMA, Hay-Smith EJC, Drutz HP (2005) Incontinence-specific quality of life measures used in trials of treatments for female urinary incontinence: a systematic review. Int Urogynecol J Pelvic Floor Dysfunct (Epub ahead of print)
Metadata
Title
Trans-obturator surgery for stress urinary incontinence: 1-year follow-up of a cohort of 52 women
Authors
Anne Dobson
Magali Robert
Cheryl Swaby
Magnus Murphy
Colin Birch
Tom Mainprize
Sue Ross
Publication date
01-01-2007
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 1/2007
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-006-0115-9

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