Cure chirurgicale de l'incontinence urinaire d'effort de la femme par bandelette transobturatrice (de dehors en dedans). Étude de 70 cas

Background:Stress urinary incontinence (SUI) can significantly impair the quality of life. A variety of treatments, both medical and surgical, have been used to manage it. The transobturator sling, which is a subfascial sling, is relatively a new surgical technique with minimal access.Aim:The objective of this study was to evaluate the effectiveness of transobturator tape (TOT) in the treatment of female SUI and to analyze functional results.Materials and Methods:A total of 59 patients were applied TOT by outside-in technique and various outcome parameters recorded. These patients were followed up 6 months after surgery.Results:Success rate of TOT was 93.2% (95% CI: 86.4–99.5). A total of 51 patients (86.4%) were completely satisfied, whereas 4 (6.8%) were partially satisfied and 4 were unsatisfied with surgical outcome. The procedure-related complications were few and could be managed in the same sitting.Conclusion:The transobturator approach is an effective treatment of SUI with low morbidity, and it has all the potential to be the new Gold Standard in the treatment of female SUI.

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“…reported a mean duration of 23 minutes. [15] Taweel reported mean surgery duration of 18 minutes. [12] Moore et al .…”

Section: Discussionmentioning

confidence: 99%

“…from France reported mean duration of hospitalization in the cases of isolated TOT as 1.25 days. [15] Isabelle et al ., for women who had only TOT procedure, reported the mean hospitalization as 2.2 days. [14]…”

Section: Discussionmentioning

confidence: 99%

Transobturator Tape in Treatment of Stress Urinary Incontinence: It is Time for a New Gold Standard

Magon

Chopra

2012

North Am J Med Sci

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“…Nevertheless, the types of complications and their emergence can vary from one technique to another; likewise the tolerability threshold can be different depending on the complications presented [5,6,7,8,9]. …”

Section: Introductionmentioning

confidence: 99%

Complications from the Placement of a Tension-Free Suburethral Sling Using the Transobturator and Retropubic Methods for Treatment of Female Urinary Incontinence

Arrabal-Polo¹,

Palao-Yago²,

Zuluaga-Gomez³

et al. 2012

Urol Int

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Objective: The aim of our study was to retrospectively analyze surgical complications arising from the collocation of suburethral mesh in the lower urinary tract, using both the transobturator and retropubic methods. Patients and Methods: During the period between November 2002 and June 2011, we retrospectively studied 190 patients that were treated for stress urinary incontinence using a tension-free suburethral sling. 50 patients were treated using the retropubic route (SPARC®), and 140 patients were treated using a transobturator (MONARC®). Results: In total, 16.57% of the patients presented with intraoperative, immediate postoperative or later postoperative complications. We observed a higher rate of complications with patients who were operated on retropubically (26%) than with patients who were operated on using the transobturator method (12%). Conclusions: The rate of complications for our study was low, and was even lower in the case of transobturator tape. Thus, we usually used transobturator tape in the treatment of stress incontinence.

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“…The TOT procedure has a very short operative time and hospitalization stay when compared to the other sling procedures. In various studies in the literature, the operation time varied between 12 minutes and 23 minutes 22,23 . In accordance with the literature, the operation duration was 18.43±3.98 minutes and the hospitalization time was 1.02±0.13 days in our study.…”

Section: Discussionmentioning

confidence: 99%

Transobturator tape surgery experience: Urodynamic evaluation of 220 patients in a single tertiary center in Turkey

İnal

2023

VOJNOSANIT PREGL

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Background/Aim. Stress urinary incontinence (SUI) is the involuntary leakage of urine after increased intraabdominal pressure and it causes a significant public health problem by reducing the quality of life, causing sexual dysfunction, and increasing the cost of care due to increased morbidity. This study was aimed to investigate the intra and postoperative results and complication rates of the TOT procedures used for SUI treatments in a tertiary center located in central Turkey. Methods. A total of 220 patients undergoing TOT procedures for SUI were prospectively evaluated. The demographic and clinical characteristics, preoperative and postoperative cystometry values, and operative outcome parameters of the study participants were analyzed. Results. While no significant difference was noted between the preoperative and postoperative periods with respect to residual volume (27.09?8.51 vs. 26.01?3.51 ml, p=0.125), there were significant differences in terms of the first urinary urge (142.61?20.25 vs. 145.64?20.91 ml, p<0.001), maximum bladder capacity (423.70?38.43 vs. 402.32?39.46 ml, p<0.001), the Q angle (45.54?5.33 vs. 43.81?6.15, p=0.001), Qmax (37.65+11.54 vs. 24.38+9.26 mL/s, p<0.001), Qave (19.92+9.64 vs. 14.77+8.71 mL/s, p<0.001), number of urinations during the daytime (7.29?1.35 vs. 6.58?1.29, p<0.001), and number of urinations during the nighttime (1.48?1.01 vs. 0.92?0.83, p<0.001). Conclusion: The TOT procedure improves the quality of life of SUI patients and can reduce morbidity. Nevertheless, additional studies are needed to corroborate our findings and to determine the long-term results.

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Cure chirurgicale de l'incontinence urinaire d'effort de la femme par bandelette transobturatrice (de dehors en dedans). Étude de 70 cas

Cited by 8 publications

References 30 publications

Transobturator Tape in Treatment of Stress Urinary Incontinence: It is Time for a New Gold Standard

Transobturator Tape in Treatment of Stress Urinary Incontinence: It is Time for a New Gold Standard

Complications from the Placement of a Tension-Free Suburethral Sling Using the Transobturator and Retropubic Methods for Treatment of Female Urinary Incontinence

Transobturator tape surgery experience: Urodynamic evaluation of 220 patients in a single tertiary center in Turkey

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