Transobturator Midurethral Slings versus Single-Incision Slings for Stress Incontinence in Overweight Patients

Bayrak, Ömer; Şeçkiner, İlker; Urgun, Gokhan; Şen, Haluk; Ozcan, Caglayan; Erturhan, Sakıp

doi:10.1590/s1677-5538.ibju.2014.0209

Cited by 5 publications

(5 citation statements)

References 26 publications

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“…The etiology seems to be the stronger support seen in the urethra in this surgical method. 8 In our study, no significant difference in urodynamic parameters was observed between the two studied techniques.…”

Section: Discussioncontrasting

confidence: 46%

Transobturator tape and mini-sling methods in stress urinary incontinence: Results of a randomized clinical trial

et al. 2019

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Background: Stress urinary incontinence is one of the most common types of incontinence in premenopausal women, accounting for almost 50% of such cases. Mid-urethral slings are currently the most widely used surgical method for stress urinary incontinence. This study aimed at comparing the efficacy, complications, urodynamic changes and the sexual function status between mini-sling surgery and transobturator tape to help us select the best method in such patients. Method: In this randomized controlled trial, 80 cases were studied and randomly assigned to either the mini-sling or transobturator tape group (n = 40). A full medical history was taken and the Q.tip and cough tests were performed for each patient to record their urinary incontinence and hypermobility. Abdominal and pelvic ultrasound study was requested by specifying PVR and urodynamic testing. The International Consultation on Incontinence Modular Questionnaire-6 was filled by the patients and the Female Sexual Functioning Index questionnaire by the physician. The patients were followed-up 8 weeks after discharge by urodynamic tests, ultrasound study, and the International Consultation on Incontinence Modular Questionnaire test. Results: The mean age, body mass index, and parity were not significantly different between the two groups. The mean surgical time, amount of bleeding, hospitalization period, and pain index were significantly less in the mini-sling group. The International Consultation on Incontinence Modular Questionnaire and Female Sexual Functioning Index indices before and after surgery showed no significant difference between the two groups. The difference in urodynamic test parameters was also insignificant. Conclusion: In the mini-sling method which is a less invasive method compared to transobturator tape, the intraoperative bleeding, surgical time, hospitalization period, pain, and surgical complications were far less while its efficacy was similar to transobturator tape; therefore, it is recommended in treating stress urinary incontinence among women.

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Section: Discussioncontrasting

confidence: 46%

Transobturator tape and mini-sling methods in stress urinary incontinence: Results of a randomized clinical trial

et al. 2019

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“…[ 11 12 13 ] Although TOT is nowadays being offered as treatment of choice in many centers as it is an effective method of treatment of SUI, reports have indicated varying success rates for the procedure. [ 14 15 16 ] In the current study, the TOT was very successful as all the patients were relieved of their symptoms and the patients did not demonstrate incontinence at follow-up. However, at 5-year follow-up two patients had Grade I urinary incontinence for which they declined any further evaluation and were offered Kegels exercises.…”

Section: Discussionmentioning

confidence: 54%

A study of transobturator tape in stress urinary incontinence

et al. 2017

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Background:Stress urinary incontinence (SUI) is commonly encountered in gynecological practice. Nowadays, midurethral sling surgeries in the form of transobturator tape (TOT) surgery are recommended in its treatment.Aims and Objectives:To assess the outcome and patient satisfaction of TOT surgery in the treatment of SUI.Materials and Methods:A prospective study was undertaken for patients of SUI who underwent TOT surgery by the outside in method and followed up for 5 years. The patients were assessed clinically and by the Patient Global Impression of Improvement (PGI-I) preoperatively and at postoperative day 3, discharge and 3 months follow-up.Results:Successful surgical treatment with TOT was seen in all patients at the time of discharge. There was no recurrence of SUI seen up to 1 year, but at 5-year follow-up two patients had a recurrence of SUI on examination though they did not complain of SUI. Urinary retention, tape extrusion, and groin stitch infection were the commonly seen complications following surgery. On subjective assessment, 61 patients were completely satisfied at day 3, and all patients were completely satisfied at discharge and 3 months follow-up as per the PGI-I score.Conclusion:TOT gives an excellent outcome in the treatment of SUI.

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“…Developing measurement tools for the Malay version of the I-QoL is crucial as there is no valid Malay-language questionnaire to measure the QoL of people with UI symptom. The English version of the I-QoL has been widely used by researchers to measure QoL among people with UI and has been translated and validated in more than 16 languages ( 25 , 30 – 32 ). However, there has been no validation study on the I-QoL in Malay using a confirmatory approach.…”

Section: Discussionmentioning

confidence: 99%

The Incontinence Praying Ability and the Incontinence Quality of Life Questionnaires for Muslim Women: A Confirmatory Study of the Malay Language Versions

Kueh

Yusoff

Ismail

et al. 2018

MJMS

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BackgroundThe aim of the present study was to determine the validity and reliability of the Malay versions of the Incontinence Praying Ability (I-PA) and the Incontinence Quality of Life (I-QoL) questionnaires among childbearing-aged Muslim women.MethodsThis cross-sectional study included 338 childbearing-aged Muslim women (mean age: 31.1 years; SD = 5.57) who attended clinics at Hospital Universiti Sains Malaysia. Confirmatory factor analysis was conducted to determine the construct validity of the Malay versions of the I-PA and the I-QoL, while composite reliability was used to examine their internal consistency reliability.ResultsThe hypothesised models of the I-PA and the I-QoL consisted of 10 items with one latent variable and 22 items with three latent variables, respectively. The hypothesised models of the I-PA and the I-QoL did not have good fit. Modifications included co-varying the residual terms for items within the subscales, which resulted in improved fit indices for the I-PA (CFI = 0.976 TLI = 0.961, RMSEA = 0.068) and the I-QoL (CFI = 0.948, TLI = 0.938, RMSEA = 0.063). The composite reliability of the I-PA was 0.93, and the I-QoL ranged from 0.91 to 0.94.ConclusionThe Malay versions of the I-PA and I-QoL were considered to be valid, reliable questionnaires measuring incontinence QoL among Muslim women of childbearing age.

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Transobturator Midurethral Slings versus Single-Incision Slings for Stress Incontinence in Overweight Patients

Cited by 5 publications

References 26 publications

Transobturator tape and mini-sling methods in stress urinary incontinence: Results of a randomized clinical trial

Transobturator tape and mini-sling methods in stress urinary incontinence: Results of a randomized clinical trial

A study of transobturator tape in stress urinary incontinence

The Incontinence Praying Ability and the Incontinence Quality of Life Questionnaires for Muslim Women: A Confirmatory Study of the Malay Language Versions

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