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Published in: International Urogynecology Journal 4/2008

01-04-2008 | Original Article

Prospective comparison of the ‘inside–out’ and ‘outside–in’ transobturator-tape procedures for the treatment of female stress urinary incontinence

Authors: Kyu-Sung Lee, Myung-Soo Choo, Young Sook Lee, Ji-Yeon Han, Ji-Yoon Kim, Byung Joo Jung, Deok Hyun Han

Published in: International Urogynecology Journal | Issue 4/2008

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Abstract

The aim of this study was to prospectively compare the efficacy and safety of ‘inside–out’ (TVT-O) and ‘outside–in’ (TOT) transobturator tape procedures for treatment of female stress urinary incontinence (SUI). One hundred women with SUI were alternately assigned to TVT-O (n = 50) or TOT (n = 50). About 1 year after surgery, we compared surgical outcomes in the two groups. TVT-O and TOT showed similar rates of cure (86 vs 92%). Approximately 1 year after surgery, Incontinence Quality of Life questionnaire parameters improved significantly in both groups (p < 0.05), but the two groups did not differ (p > 0.05). The rates of patient satisfaction with TVT-O and TOT (96 vs 98%) were similar. These preliminary results suggest that TVT-O and TOT are equally effective and safe procedures for women with SUI. However, this study was unable to identify a difference between the two procedures due to the underpowered nature of the study.
Literature
1.
go back to reference Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21:167–178PubMedCrossRef Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21:167–178PubMedCrossRef
2.
go back to reference Choo MS, Ku JH, Oh SJ, Lee KS, Paick JS, Seo JT et al (2007) Prevalence of urinary incontinence in Korean women: an epidemiologic survey. Int Urogynecol J Pelvic Floor Dysfunct doi:10.1007/s00192–007–0322-z Choo MS, Ku JH, Oh SJ, Lee KS, Paick JS, Seo JT et al (2007) Prevalence of urinary incontinence in Korean women: an epidemiologic survey. Int Urogynecol J Pelvic Floor Dysfunct doi:10.​1007/​s00192–007–0322-z
3.
go back to reference Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29:75–82PubMedCrossRef Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29:75–82PubMedCrossRef
4.
go back to reference Petros PE, Ulmsten UI (1993) An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol Suppl 153:1–93PubMed Petros PE, Ulmsten UI (1993) An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol Suppl 153:1–93PubMed
5.
go back to reference Doo CK, Hong B, Chung BJ, Kim JY, Jung HC, Lee KS et al (2006) Five-year outcomes of the tension-free vaginal tape procedure for treatment of female stress urinary incontinence. Eur Urol 50:333–338PubMedCrossRef Doo CK, Hong B, Chung BJ, Kim JY, Jung HC, Lee KS et al (2006) Five-year outcomes of the tension-free vaginal tape procedure for treatment of female stress urinary incontinence. Eur Urol 50:333–338PubMedCrossRef
6.
go back to reference Nilsson CG, Falconer C, Rezapour M (2004) Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol 104:1259–1262PubMed Nilsson CG, Falconer C, Rezapour M (2004) Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol 104:1259–1262PubMed
7.
go back to reference Holmgren C, Nilsson S, Lanner L, Hellberg D (2005) Long-term results with tension-free vaginal tape on mixed and stress urinary incontinence. Obstet Gynecol 106:38–43PubMed Holmgren C, Nilsson S, Lanner L, Hellberg D (2005) Long-term results with tension-free vaginal tape on mixed and stress urinary incontinence. Obstet Gynecol 106:38–43PubMed
8.
go back to reference Meschia M, Pifarotti P, Bernasconi F, Guercio E, Maffiolini M, Magatti F et al (2001) Tension-Free vaginal tape: analysis of outcomes and complications in 404 stress incontinent women. Int Urogynecol J Pelvic Floor Dysfunct 12 Suppl 2:S24–27 Meschia M, Pifarotti P, Bernasconi F, Guercio E, Maffiolini M, Magatti F et al (2001) Tension-Free vaginal tape: analysis of outcomes and complications in 404 stress incontinent women. Int Urogynecol J Pelvic Floor Dysfunct 12 Suppl 2:S24–27
9.
go back to reference Delorme E, Droupy S, de Tayrac R, Delmas V (2004) Transobturator tape (Uratape): a new minimally-invasive procedure to treat female urinary incontinence. Eur Urol 45:203–207PubMedCrossRef Delorme E, Droupy S, de Tayrac R, Delmas V (2004) Transobturator tape (Uratape): a new minimally-invasive procedure to treat female urinary incontinence. Eur Urol 45:203–207PubMedCrossRef
10.
go back to reference Costa P, Grise P, Droupy S, Monneins F, Assenmacher C, Ballanger P et al (2004) Surgical treatment of female stress urinary incontinence with a trans-obturator-tape (T.O.T.) Uratape: short term results of a prospective multicentric study. Eur Urol 46:102–106PubMedCrossRef Costa P, Grise P, Droupy S, Monneins F, Assenmacher C, Ballanger P et al (2004) Surgical treatment of female stress urinary incontinence with a trans-obturator-tape (T.O.T.) Uratape: short term results of a prospective multicentric study. Eur Urol 46:102–106PubMedCrossRef
11.
go back to reference Mansoor A, Védrine N, Darcq C (2003) Surgery of female urinary incontinence using trans-obturator tape (TOT): a prospective randomised comparative study with TVT. Neurourol Urodyn 22:488–489 Mansoor A, Védrine N, Darcq C (2003) Surgery of female urinary incontinence using trans-obturator tape (TOT): a prospective randomised comparative study with TVT. Neurourol Urodyn 22:488–489
12.
go back to reference de Leval J (2003) Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside–out. Eur Urol 44:724–730PubMedCrossRef de Leval J (2003) Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside–out. Eur Urol 44:724–730PubMedCrossRef
13.
go back to reference deTayrac R, Deffieux X, Droupy S, Chauveaud-Lambling A, Calvanese-Benamour L, Fernandez H (2004) A prospective randomized trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. Am J Obstet Gynecol 190:602–608PubMedCrossRef deTayrac R, Deffieux X, Droupy S, Chauveaud-Lambling A, Calvanese-Benamour L, Fernandez H (2004) A prospective randomized trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. Am J Obstet Gynecol 190:602–608PubMedCrossRef
14.
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
15.
go back to reference Lee KS, Han DH, Choi YS, Yum SH, Song SH, Doo CK et al (2007) A prospective trial comparing tension-free vaginal tape and transobturator vaginal tape inside–out for the surgical treatment of female stress urinary incontinence: 1-year followup. J Urol 177:214–218PubMedCrossRef Lee KS, Han DH, Choi YS, Yum SH, Song SH, Doo CK et al (2007) A prospective trial comparing tension-free vaginal tape and transobturator vaginal tape inside–out for the surgical treatment of female stress urinary incontinence: 1-year followup. J Urol 177:214–218PubMedCrossRef
16.
go back to reference Wagner TH, Patrick DL, Bavendam TG, Martin ML, Buesching DP (1996) Quality of life of persons with urinary incontinence: development of a new measure. Urology 47:67–71PubMedCrossRef Wagner TH, Patrick DL, Bavendam TG, Martin ML, Buesching DP (1996) Quality of life of persons with urinary incontinence: development of a new measure. Urology 47:67–71PubMedCrossRef
17.
go back to reference Patrick DL, Martin ML, Bushnell DM, Yalcin I, Wagner TH, Buesching DP (1999) Quality of life of women with urinary incontinence: further development of the incontinence quality of life instrument (I-QoL). Urology 53:71–76PubMedCrossRef Patrick DL, Martin ML, Bushnell DM, Yalcin I, Wagner TH, Buesching DP (1999) Quality of life of women with urinary incontinence: further development of the incontinence quality of life instrument (I-QoL). Urology 53:71–76PubMedCrossRef
18.
go back to reference Oh SJ, Park HG, Lim SH, Hong SK, Kim SW, Kim HH et al (2002) Translation and linguistic validation of Korean version of the Incontinence quality of life (I-QoL) instrument. J Korean Continence Soc 6:10–23 Oh SJ, Park HG, Lim SH, Hong SK, Kim SW, Kim HH et al (2002) Translation and linguistic validation of Korean version of the Incontinence quality of life (I-QoL) instrument. J Korean Continence Soc 6:10–23
19.
go back to reference Al-Singary W, Shergill IS, Allen SE, John JA, Arya M, Patel HR (2007) Trans-obturator tape for incontinence: a 3-year follow-up. Urol Int 78:198–201PubMedCrossRef Al-Singary W, Shergill IS, Allen SE, John JA, Arya M, Patel HR (2007) Trans-obturator tape for incontinence: a 3-year follow-up. Urol Int 78:198–201PubMedCrossRef
20.
go back to reference Debodinance P (2007) Trans-obturator urethral sling for the surgical correction of female stress urinary incontinence: Outside–in (Monarc) versus inside–out (TVT-O) Are the two ways reassuring? Eur J Obstet Gynecol Reprod Biol 133:232–238PubMedCrossRef Debodinance P (2007) Trans-obturator urethral sling for the surgical correction of female stress urinary incontinence: Outside–in (Monarc) versus inside–out (TVT-O) Are the two ways reassuring? Eur J Obstet Gynecol Reprod Biol 133:232–238PubMedCrossRef
21.
go back to reference Minaglia S, Ozel B, Klutke C, Ballard C, Klutke J (2004) Bladder injury during transobturator sling. Urology 64:376–377PubMedCrossRef Minaglia S, Ozel B, Klutke C, Ballard C, Klutke J (2004) Bladder injury during transobturator sling. Urology 64:376–377PubMedCrossRef
22.
go back to reference Delmas V, Hermieu JF, Dompeyre P (2003) The transobturator tape Uratape: anatomical dangers. Eur Urol Suppl 2:197CrossRef Delmas V, Hermieu JF, Dompeyre P (2003) The transobturator tape Uratape: anatomical dangers. Eur Urol Suppl 2:197CrossRef
23.
go back to reference Achtari C, McKenzie BJ, Hiscock R, Rosamilia A, Schierlitz L, Briggs CA (2006) Anatomical study of the obturator foramen and dorsal nerve of the clitoris and their relationship to minimally invasive slings. Int Urogynecol J Pelvic Floor Dysfunct 17:330–334PubMedCrossRef Achtari C, McKenzie BJ, Hiscock R, Rosamilia A, Schierlitz L, Briggs CA (2006) Anatomical study of the obturator foramen and dorsal nerve of the clitoris and their relationship to minimally invasive slings. Int Urogynecol J Pelvic Floor Dysfunct 17:330–334PubMedCrossRef
24.
go back to reference Bonnet P, Waltregny D, Reul O, de Leval J (2005) Transobturator vaginal tape inside out for the surgical treatment of female stress urinary incontinence: anatomical considerations. J Urol 173:1223–1228PubMedCrossRef Bonnet P, Waltregny D, Reul O, de Leval J (2005) Transobturator vaginal tape inside out for the surgical treatment of female stress urinary incontinence: anatomical considerations. J Urol 173:1223–1228PubMedCrossRef
25.
go back to reference Abdel-Fattah M, Sivanesan K, Ramsay I, Pringle S, Bjornsson S (2006) How common are tape erosions? A comparison of two versions of the transobturator tension-free vaginal tape procedure. BJU Int 98:594–598PubMedCrossRef Abdel-Fattah M, Sivanesan K, Ramsay I, Pringle S, Bjornsson S (2006) How common are tape erosions? A comparison of two versions of the transobturator tension-free vaginal tape procedure. BJU Int 98:594–598PubMedCrossRef
Metadata
Title
Prospective comparison of the ‘inside–out’ and ‘outside–in’ transobturator-tape procedures for the treatment of female stress urinary incontinence
Authors
Kyu-Sung Lee
Myung-Soo Choo
Young Sook Lee
Ji-Yeon Han
Ji-Yoon Kim
Byung Joo Jung
Deok Hyun Han
Publication date
01-04-2008
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 4/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-007-0487-5

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