Skip to main content
Top
Published in: International Urogynecology Journal 2/2010

01-02-2010 | Original Article

The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up

Authors: Berna Haliloglu, Ates Karateke, Hakan Coksuer, Hakan Peker, Cetin Cam

Published in: International Urogynecology Journal | Issue 2/2010

Login to get access

Abstract

Introduction and hypothesis

The aim of this study is to investigate the effect of intrinsic sphincter deficiency (ISD) and urethral hypermobility on the outcome of the transobturator tape (TOT).

Methods

Sixty-five women were divided into three groups: group I, ISD with hypermobile urethra (n = 18); group II, ISD with fixed urethra (n = 16); and group III, hypermobile urethra without ISD (n = 31). Cure of stress urinary incontinence was defined if the patient had negative cough stress test. Cure and improvement rates were compared at 6, 12, and 24 months.

Results

The cure and improvement rates of groups I and III were similar at 6, 12, and 24 months (96.1% vs 96.6%, 96.1% vs 96.6%, and 87.5 vs %96.4%, respectively). Group II had the lowest cure and improvement rates (68.7%, 66.7%, and 66.7%, respectively).

Conclusion

A lack of urethral hypermobility may be a risk factor for TOT failure.
Literature
1.
go back to reference Rezapour M, Ulmsten U (2001) Tension-free vaginal tape (TVT) in women with recurrent stress urinary incontinence-a long-term follow up. Int Urogynecol J Pelvic Floor Dysfunct 12:9–11CrossRef Rezapour M, Ulmsten U (2001) Tension-free vaginal tape (TVT) in women with recurrent stress urinary incontinence-a long-term follow up. Int Urogynecol J Pelvic Floor Dysfunct 12:9–11CrossRef
2.
go back to reference Nilsson CG, Falconer C, Rezapour M (2001) Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol 104:1259–1262 Nilsson CG, Falconer C, Rezapour M (2001) Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol 104:1259–1262
3.
go back to reference Karram MM, Segal JL, Vassallo BJ, Kleeman SD (2003) Complications and untoward effects of the tension-free vaginal tape procedure. Obstet Gynecol 101:929–932CrossRefPubMed Karram MM, Segal JL, Vassallo BJ, Kleeman SD (2003) Complications and untoward effects of the tension-free vaginal tape procedure. Obstet Gynecol 101:929–932CrossRefPubMed
4.
go back to reference DeLorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11:1306–1313PubMed DeLorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11:1306–1313PubMed
5.
go back to reference Davila GW, Johnson JD, Serels S (2006) Multicenter experience with the Monarc transobturator sling system to treat stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 17:460–465CrossRefPubMed Davila GW, Johnson JD, Serels S (2006) Multicenter experience with the Monarc transobturator sling system to treat stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 17:460–465CrossRefPubMed
6.
go back to reference Karateke A, Haliloglu B, Cam C, Sakalli M (2009) Comparison of TVT and TVT-O in patients with stress urinary incontinence: short term cure rates and factors influencing the outcome. A prospective randomized study. Aust N Z J Obstet Gynaecol 49:99–105CrossRefPubMed Karateke A, Haliloglu B, Cam C, Sakalli M (2009) Comparison of TVT and TVT-O in patients with stress urinary incontinence: short term cure rates and factors influencing the outcome. A prospective randomized study. Aust N Z J Obstet Gynaecol 49:99–105CrossRefPubMed
7.
go back to reference Guerette NL, Bena JF, Davilla GW (2008) Transobturator slings for stress incontinence: using urodynamic parameters to predict outcomes. Int Urogynecol J Pelvic Floor Dysfunct 19:97–102PubMed Guerette NL, Bena JF, Davilla GW (2008) Transobturator slings for stress incontinence: using urodynamic parameters to predict outcomes. Int Urogynecol J Pelvic Floor Dysfunct 19:97–102PubMed
8.
go back to reference Paick JS, Cho MC, Oh SJ, Kim SW, Ku JH (2007) Is proximal urethral mobility important for transobturator tape procedure in management of female patients with stress urinary incontinence? Urology 70:246–250CrossRefPubMed Paick JS, Cho MC, Oh SJ, Kim SW, Ku JH (2007) Is proximal urethral mobility important for transobturator tape procedure in management of female patients with stress urinary incontinence? Urology 70:246–250CrossRefPubMed
9.
go back to reference O’Connor RC, Nanigian DK, Lyon MB, Ellison LM, Bales GT, Stone AR (2006) Early outcomes of mid-urethral slings for female stress urinary incontinence stratified by Valsalva leak point pressure. Neurourol Urodyn 25:685–688CrossRefPubMed O’Connor RC, Nanigian DK, Lyon MB, Ellison LM, Bales GT, Stone AR (2006) Early outcomes of mid-urethral slings for female stress urinary incontinence stratified by Valsalva leak point pressure. Neurourol Urodyn 25:685–688CrossRefPubMed
10.
go back to reference Costantini E, Lazzeri M, GiannantoniA BV, Vianello A, Kocjancic E et al (2008) Preoperative Valsalva leak point pressure may not predict outcome of mid-urethral slings. Analysis from a randomized controlled trial of retropubic versus transobturator mid-urethral slings. Int Braz J Urol 34:73–83CrossRefPubMed Costantini E, Lazzeri M, GiannantoniA BV, Vianello A, Kocjancic E et al (2008) Preoperative Valsalva leak point pressure may not predict outcome of mid-urethral slings. Analysis from a randomized controlled trial of retropubic versus transobturator mid-urethral slings. Int Braz J Urol 34:73–83CrossRefPubMed
11.
go back to reference Poza JL, Pla F, Sabadell J, Sanchez-Iglesias JL, Martinez-Gomez X, Xercavins J (2008) Trans-obturator suburethral tape for female stress incontinence: a cohort of 254 women with 1-year to 2-year follow-up. Acta Obstet Gynecol Scand 87:232–239CrossRefPubMed Poza JL, Pla F, Sabadell J, Sanchez-Iglesias JL, Martinez-Gomez X, Xercavins J (2008) Trans-obturator suburethral tape for female stress incontinence: a cohort of 254 women with 1-year to 2-year follow-up. Acta Obstet Gynecol Scand 87:232–239CrossRefPubMed
12.
go back to reference Anast JW, Skolarus TA, Yan Y, Klutke CG (2008) Transobturator sling with intraoperative cough test is effective for patients with low Valsalva leak point pressure. Can J Urol 15:4153–4157PubMed Anast JW, Skolarus TA, Yan Y, Klutke CG (2008) Transobturator sling with intraoperative cough test is effective for patients with low Valsalva leak point pressure. Can J Urol 15:4153–4157PubMed
13.
go back to reference Romancik M, Lutter I, Goncalves F, Pechan J, Obsitnik M, Weibl P et al (2006) Valsalva leak point pressure predicts outcome after transobturator suburethral tape implantation—fact or fiction? Bratisl Lek Listy 107:426–429PubMed Romancik M, Lutter I, Goncalves F, Pechan J, Obsitnik M, Weibl P et al (2006) Valsalva leak point pressure predicts outcome after transobturator suburethral tape implantation—fact or fiction? Bratisl Lek Listy 107:426–429PubMed
14.
go back to reference Abrams P, Cardoso L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P et al (2002) The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Am J Obstet Gynecol 187:116–126CrossRefPubMed Abrams P, Cardoso L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P et al (2002) The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Am J Obstet Gynecol 187:116–126CrossRefPubMed
15.
go back to reference Auward W, Freeman RM, Swift S (2004) Is the pelvic organ prolapse quantification system (POPQ) being used? A survey of members of the International Continence Society (ICS) and the American Urogynecologic Society (AUGS). Int Urogynecol J Pelvic Floor Dysfunct 15:324–327 Auward W, Freeman RM, Swift S (2004) Is the pelvic organ prolapse quantification system (POPQ) being used? A survey of members of the International Continence Society (ICS) and the American Urogynecologic Society (AUGS). Int Urogynecol J Pelvic Floor Dysfunct 15:324–327
16.
go back to reference Cam C, Sakalli M, Ay P, Cam M, Karateke A (2007) Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the Urogenital Distress Inventory (UDI-6) in a Turkish population. Neurourol Urodyn 26:129–133CrossRefPubMed Cam C, Sakalli M, Ay P, Cam M, Karateke A (2007) Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the Urogenital Distress Inventory (UDI-6) in a Turkish population. Neurourol Urodyn 26:129–133CrossRefPubMed
17.
go back to reference Crystle CD, Charme LS, Copland WE (1971) Q-tip test in stress urinary incontinence. Obstet Gynecol 38:313–315PubMed Crystle CD, Charme LS, Copland WE (1971) Q-tip test in stress urinary incontinence. Obstet Gynecol 38:313–315PubMed
18.
go back to reference Gordon D, Gold RS, Pauzner D, Lessing JB, Groutz A (2001) Combined genitourinary prolapsed repair and prophylactic tension-free vaginal tape in women with severe prolapsed and occult stress urinary incontinence: preliminary results. Urology 58:547–550CrossRefPubMed Gordon D, Gold RS, Pauzner D, Lessing JB, Groutz A (2001) Combined genitourinary prolapsed repair and prophylactic tension-free vaginal tape in women with severe prolapsed and occult stress urinary incontinence: preliminary results. Urology 58:547–550CrossRefPubMed
19.
go back to reference Lose G (1997) Urethral pressure measurement. Acta Obstet Gynecol Scand Suppl 166:39–42PubMed Lose G (1997) Urethral pressure measurement. Acta Obstet Gynecol Scand Suppl 166:39–42PubMed
20.
go back to reference Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:81–85CrossRefPubMed Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:81–85CrossRefPubMed
21.
go back to reference Schierlitz L, Dwyer PL, Rosamilia A, Murray C, Thomas E, De Souza A et al (2008) Effectiveness of tension-free vaginal tape compared with transobturator tape in women with stress urinary incontinence and intrinsic sphincter deficiency. A randomized controlled trial. Obstet Gynecol 112:1253–1261PubMed Schierlitz L, Dwyer PL, Rosamilia A, Murray C, Thomas E, De Souza A et al (2008) Effectiveness of tension-free vaginal tape compared with transobturator tape in women with stress urinary incontinence and intrinsic sphincter deficiency. A randomized controlled trial. Obstet Gynecol 112:1253–1261PubMed
22.
go back to reference Mellier G, Benayed B, Bretones S, Pasquier JC (2004) Suburethral tape via the obturator route: is the TVT-O 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 TVT-O a simplification of the TVT? Int Urogynecol J Pelvic Floor Dysfunct 15:227–232PubMed
23.
go back to reference Maher CF, O’Reilly BA, Dwyer PL, Carey MP, Cornish A, Schluter P (2005) Pubovaginal sling versus transurethral Macroplastique for stress urinary incontinence and intrinsic sphincter deficiency: a prospective randomised controlled trial. BJOG 112:797–801CrossRefPubMed Maher CF, O’Reilly BA, Dwyer PL, Carey MP, Cornish A, Schluter P (2005) Pubovaginal sling versus transurethral Macroplastique for stress urinary incontinence and intrinsic sphincter deficiency: a prospective randomised controlled trial. BJOG 112:797–801CrossRefPubMed
24.
go back to reference Jeon MJ, Jung HJ, Chung SM, Kim SK, Bai SW (2008) Comparison of the treatment outcome of pubovaginal sling, tension-free vaginal tape, and transobturator tape for stress urinary incontinence with intrinsic sphincter deficiency. Am J Obstet Gynecol 199(76):e1–e4PubMed Jeon MJ, Jung HJ, Chung SM, Kim SK, Bai SW (2008) Comparison of the treatment outcome of pubovaginal sling, tension-free vaginal tape, and transobturator tape for stress urinary incontinence with intrinsic sphincter deficiency. Am J Obstet Gynecol 199(76):e1–e4PubMed
25.
go back to reference Miller JJ, Botros SM, Akl MN, Aschkenazi SO, Beaumont JL, Goldberg RP et al (2006) Is transobturator tape as effective as tension-free vaginal tape in patients with borderline maximum urethral closure pressure? Am J Obstet Gynecol 195:1799–1804CrossRefPubMed Miller JJ, Botros SM, Akl MN, Aschkenazi SO, Beaumont JL, Goldberg RP et al (2006) Is transobturator tape as effective as tension-free vaginal tape in patients with borderline maximum urethral closure pressure? Am J Obstet Gynecol 195:1799–1804CrossRefPubMed
26.
go back to reference Long CY, Hsu CS, Lo TS, Liu CM, Chen YH, Tsai EM (2008) Ultrasonographic assessment of tape location following tension-free vaginal tape and transobturator tape procedure. Acta Obstet Gynecol Scand 87:116–121CrossRefPubMed Long CY, Hsu CS, Lo TS, Liu CM, Chen YH, Tsai EM (2008) Ultrasonographic assessment of tape location following tension-free vaginal tape and transobturator tape procedure. Acta Obstet Gynecol Scand 87:116–121CrossRefPubMed
27.
go back to reference Muller M, Koebele A, Deval B (2007) Determinants of success and recurrence after suburethral free tape procedure for female urinary incontinence. J Gynecol Obstet Biol Reprod (Paris) 36:19–29 Muller M, Koebele A, Deval B (2007) Determinants of success and recurrence after suburethral free tape procedure for female urinary incontinence. J Gynecol Obstet Biol Reprod (Paris) 36:19–29
Metadata
Title
The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up
Authors
Berna Haliloglu
Ates Karateke
Hakan Coksuer
Hakan Peker
Cetin Cam
Publication date
01-02-2010
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 2/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-1010-y

Other articles of this Issue 2/2010

International Urogynecology Journal 2/2010 Go to the issue