Top

International Urogynecology Journal

Published in:

01-01-2011 | Original Article

Functional and quality of life outcome of transobturator tape for treatment of female stress urinary

Authors: Hassan S. Shaker, Hesham M. Ban, Ahmad S. Hegazy, Magdy F. Mansour

Published in: International Urogynecology Journal | Issue 1/2011

Abstract

Introduction and hypothesis

This study aims to evaluate the functional outcome of transobturator tape (TOT) in treatment of female stress urinary incontinence (SUI) and its impact on patient quality of life (QoL).

Methods

Sixty female patients with SUI underwent TOT operation, outside–in technique. Forty-eight patients completed the study. Clinical evaluation, urodynamics, and QoL using validated Arabic translation of the International Consultation on Incontinence Questionnaire–Short Form were done both preoperatively and 3, 6, and 12 months postoperatively.

Results

The mean follow-up was 16 months. The objective cure rate was 95.83%. There were no cases of urethral injury, bladder perforation, or thigh pain. De novo urgency and urge incontinence was observed in four patients (8.3%). No early or late outflow obstructive symptoms were noted. No difference was observed between pre- and postoperative filling cystometrogram and pressure flow studies. There was significant improvement in the postoperative QoL assessment.

Conclusions

TOT (outside–in) appears to have no deleterious effect on storage and voiding functions.

Darai E, Jeffry L, Deval B, Birsan A, Kadoch O, Soriano D (2002) Results of tension-free vaginal tape in patients with or without vaginal hysterectomy. Eur J Obstet Gynecol Reprod Biol 103:163–167CrossRefPubMed

Kuuva N, Nilsson CG (2002) A nationwide analysis of complications associated with the tension-free vaginal tape procedure. Acta Obstet Gynecol Scand 81:72–77PubMed

Kobashi KC, Govier FE (2003) Perioperative complications: the first 140 polypropylene pubovaginal slings. J Urol 170:1918–1921CrossRefPubMed

Delorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11:1306–1313PubMed

Novara G, Artibani W, Barber MD, Chapple CR, Costantini E, Ficarra V, Hilton P, Nilsson CG, Waltregny D (2010) Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol [Epub ahead of print]

Castillo-Pino E, Sasson A, Pons JE (2010) Comparison of retropubic and transobturator tension-free vaginal implants for the treatment of stress urinary incontinence. Int J Gynaecol Obstet 110:23–26CrossRefPubMed

Porena M, Costantini E, Frea B, Giannantoni A, Ranzoni S, Mearini L, Bini V, Kocjancic E (2007) Tension-free vaginal tape versus transobturator tape as surgery for stress urinary incontinence: results of a multicentre randomised trial. Eur Urol 52(5):1481–1490CrossRefPubMed

Waltregny D, Gasper Y, Reul O, Hamida W, Bonnet P, De Leval J (2008) TVT-O for the treatment of female SUI: results of a prospective study after a 3-year minimum follow up. Eur Urol 53:401–410CrossRefPubMed

Lukacz ES, Luber KM, Nager CW (2004) The effects of the tension- free vaginal tape on voiding function: a prospective evaluation. Int Urogynecol J Pelvic Floor Dysfunct 15:32–38CrossRefPubMed

10.

Wang AC, Chen NC (2003) The correlation between preoperative voiding mechanism and surgical outcome of the tension free vaginal tape procedure, with reference to quality of life. BJU Int 91:502–506CrossRefPubMed

11.

Abrams P, Andersson KE, Cardozo L, Grifiths D, Staskin D, Wein A et al (2005) Evaluation and treatment of urinary incontinence in the 3rd International Consultation on Incontinence 2005 which met from June 26–29, 2004 in Monaco

12.

Hashim H, Avery K, Mourad MS, Chamssuddin A, Ghoniem G, Abrams P (2006) The Arabic ICIQ-UI SF: an alternative language version of the english ICIQ-UI SF. Neurourol Urodyn 25:277–282CrossRefPubMed

13.

Schafer W, Abrams P, Liao L, Mattiasson A, Pesce F, Spangberg A, Sterling A, Zinner N, van Kerrebroeck P (2002) Good urodynamic practices: uro£owmetry, filling cystometry, and pressure-flow studies. Neurourol Urodyn 21:261–274CrossRefPubMed

14.

Clinton M, Knapp RG (1992) Clinical epidemiology and biostatistics, 3rd edn. Williams & Wilkins, Maryland

15.

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(4):227–232PubMed

16.

Petros PE, Woodman PJ (2008) The integral theory of continence. Int Urogynecol J Pelvic Floor Dysfunct 19(1):35–40PubMed

17.

Boustead GB (2002) The tension-free vaginal tape for treating female stress urinary incontinence. BJU Int 89:687–693CrossRefPubMed

18.

Lin LY, Sheu BC, Lin HH (2004) Sequential assessment of urodynamic findings before and after tension-free vaginal tape (TVT) operation for female genuine stress incontinence. Eur Urol 45:362–366CrossRefPubMed

Title: Functional and quality of life outcome of transobturator tape for treatment of female stress urinary
Authors: Hassan S. Shaker
Hesham M. Ban
Ahmad S. Hegazy
Magdy F. Mansour
Publication date: 01-01-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 1/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1238-6

At a glance: The STEP trials

Springer Medicine

Functional and quality of life outcome of transobturator tape for treatment of female stress urinary

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2011

Phase-locked parallel movement of diaphragm and pelvic floor during breathing and coughing—a dynamic MRI investigation in healthy females

Mesh-related chronic infections in silicone-coated polyester suburethral slings

Midline uterosacral plication anterior colporrhaphy combo (MUSPACC): preliminary surgical report

Erratum to: ‘Does visceral peritoneal closure affect post-cesarean urinary symptoms? A randomized clinical trial’

Childbirth experiences of women with obstetric fistula in Tanzania and Uganda and their implications for fistula program development

Congenital vesicovaginal fistula with transverse vaginal septum presenting as menouria—a rare case report and brief review