Adjustable transobturator sling for the treatment of primary stress urinary incontinence

Shkarupa, D. D.; Kubin, Nikita; Staroseltseva, Olga; Shapovalova, Ekaterina

doi:10.1007/s00192-017-3518-x

Cited by 6 publications

(10 citation statements)

References 21 publications

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“…It should be noted that the above‐described systems were used mostly in patients with more complex SUI (hypomobile urethra, Intrinsic urethral sphincter deficiency, etc.). At the same time, patients with standard SUI underwent considerable amount of adjustments as well 9 . Within our study, 43.6% patients required tension adjustment.…”

Section: Discussionmentioning

confidence: 50%

“…According to the studies, adjustment frequency ranged between 27.3% and 46.8% and short-term effectiveness was 84.4%-93.7%. 9,[13][14][15][16] It should be noted that the abovedescribed systems were used mostly in patients with more complex SUI (hypomobile urethra, Intrinsic urethral sphincter deficiency, etc.). At the same time, patients with standard SUI underwent considerable amount of adjustments as well.…”

Section: Discussionmentioning

confidence: 99%

“…7 As a solution to this problem, sling systems were developed enabling an adjustment of the tension in the early postoperative period. 8,9 This procedure demonstrated good results in the treatment of complicated forms of urinary incontinence. However, at present, there are no qualitative studies aimed at evaluating the effectiveness, safety, and feasibility of using adjustable suburethral slings.…”

Section: Introductionmentioning

confidence: 95%

“…The lack of a standardized approach to the implantation technique presents a challenge, and a tension‐free result is achieved by leaving a gap between the loops and the urethra, however, the size of this gap is subjective and can vary depending on a surgeon 7 . As a solution to this problem, sling systems were developed enabling an adjustment of the tension in the early postoperative period 8,9 . This procedure demonstrated good results in the treatment of complicated forms of urinary incontinence.…”

Section: Introductionmentioning

confidence: 99%

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Tunable tension tape versus transobturator tape in treatment of stress urinary incontinence in women: Randomized controlled trial

Kubin,

Shakhaliev,

Labetov

et al. 2023

Neurourology and Urodynamics

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IntroductionThe synthetic mid‐urethral slings are currently considered to be the most widely used technique for the surgical treatment of stress urinary incontinence (SUI). The most challenging aspect of the existing approaches is to achieve the optimal tension of the sling which treatment results are directly dependent on. To solve this problem, sling systems enabling an adjustment of the tension in the early postoperative period were created. A comparative study of the effectiveness and safety of such a system and a nonadjustable sling seems to be a relevant task.Materials and MethodsA double‐blind, randomized, multicenter trial enrolled 320 patients with a mean age of 55.2 ± 11.2 years and confirmed SUI. Patients were randomized into two groups: the first group underwent a standard synthetic suburethral sling (transobturator tape [TOT]) procedure and the second group underwent a tunable tension tape sling (TTT) procedure. All patients underwent stress test, uroflowmetry and ultrasound scan to determine the postvoid residual volume. Urinary Distress Inventory Short Form 6, International Consultation on Incontinence Questionnaire—Short Form, Pelvic Organ Prolapse Incontinence Sexual Questionnaire 12 questionnaires were used to assess subjective efficacy.ResultsEnhancement of prosthesis tension in the second group was required in 44 (28%) patients. Due to the possibility of tightening of the sling in the early postoperative period, the operation was effective in 143 (89%) patients in the adjustable sling group and in 109 (68%) patients in Group 1, p < 0.001. Loosening of the sling tension was performed in 25 (16%) patients in Group 2. The signs of obstructive voiding symptoms at the follow‐up time of 36 months remained in Group 1 in 13 (8%) patients. Subjective satisfaction with treatment on the PGI‐I scale was higher in Group 2: 100 (62%) versus 132 (82%), p < 0.001.ConclusionA synthetic mid‐urethral TTT is superior to a standard nonadjustable sling in long‐term effectiveness and safety.

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Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Tunable tension tape versus transobturator tape in treatment of stress urinary incontinence in women: Randomized controlled trial

Kubin,

Shakhaliev,

Labetov

et al. 2023

Neurourology and Urodynamics

Self Cite

View full text Add to dashboard Cite

show abstract

“…In a study by Shkarupa et al, the UDI-6, IIQ-7 and ICIQ-SF scores at 12 months after TOT treatment were found to be significantly decreased compared to the preoperative values. 19 In a follow-up of 78 patients for an average of 13.5 months after TOT surgery, Huang et al reported a significant decrease in the postoperative UDI-6 and IIQ-7 scores compared to the preoperative values. 20 In our study, the postoperative IIQ-7, UDI-6 and ICIQ-SF scores were also significantly lower than the preoperative values.…”

Section: Discussionmentioning

confidence: 98%

Five-Year Efficacy of Transobturator Tape Treatment and Quality of Life in Women with Stress Urinary Incontinence

et al. 2020

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Background: We aimed to assess the results of first- and fifth-year outcomes and the effect on quality of life (QoL) of transobturator tape (TOT) treatment in patients with stress urinary incontinence (SUI). Methods: The patients who underwent TOT surgery between January 2008 and June 2013 were screened retrospectively. The QoL was evaluated with Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory-Short Form (UDI-6). The subjective evaluation of patients in terms of incontinence outcome was classified as worsened (UDI-6 and IIQ-7 if pre-operative < postoperative), improved (UDI-6 and IIQ-7 if pre-operative > postoperative), or cured (UDI-6 and IIQ-7 postoperative <10). The first-year and fifth-year success rates were compared between the IIQ-7 and UDI-6 results. Results: A total of 109 patients were included in the study. There was a significant improvement (P<0.001) in the patients’ UDI-6 and IIQ-7 scores when the preoperative and postoperative first-year results were compared. Comparing the postoperative first-year and fifth-year total UDI-6 and IIQ-7 scores, a significant improvement was observed and the patients’ complaints were significantly reduced (P<0.001). The results of the IIQ-7 and UDI-6 questionnaire revealed that the TOT surgery success rate was 93.3% at the end of the first year and 88.7% at the end of the fifth year. Conclusion: The postoperative first-year and fifth-year data reveal that TOT surgery has a high success rate and positive effects on QoL. Low complication rates and the ease of application make TOT a good alternative to other treatment modalities in surgical treatment of SUI.

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An Overview of Surgical Treatment for Female Stress Urinary Incontinence

Dökmeci

Çetinkaya

2018

Curr Obstet Gynecol Rep

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Adjustable transobturator sling for the treatment of primary stress urinary incontinence

Abstract: The adjustable transobturator sling minimizes the risk of postoperative voiding dysfunction and allows high objective and subjective cure rates to be achieved in patients with primary SUI. The technique also improves the patient's quality of life.

Cited by 6 publications

References 21 publications

Tunable tension tape versus transobturator tape in treatment of stress urinary incontinence in women: Randomized controlled trial

Tunable tension tape versus transobturator tape in treatment of stress urinary incontinence in women: Randomized controlled trial

Five-Year Efficacy of Transobturator Tape Treatment and Quality of Life in Women with Stress Urinary Incontinence

An Overview of Surgical Treatment for Female Stress Urinary Incontinence

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