Diagnosis, Management and Prognosis of Vaginal Erosion After Transobturator Suburethral Tape Procedure Using a Nonwoven Thermally Bonded Polypropylene Mesh

Domingo, Santiago; Alamá, Pilar; Ruíz, Nancy Bandera; Perales, Alfredo; Pellicer, Adelina

doi:10.1097/01.ju.0000154941.24547.0f

Cited by 113 publications

(89 citation statements)

References 14 publications

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“…The rate of vaginal extrusion of the ObTape TM in our series is consistent with the rate of vaginal extrusion reported by other large series [Spinosa and Dubuis, 2005], and lower than reported with smaller series [Domingo et al, 2005;Siegel, 2005]. Spinosa reported three cases (2.5%) of vaginal tape extrusion in a series of 117 patients.…”

Section: Discussionsupporting

confidence: 80%

“…Several small studies in the literature report the associated morbidity of the ObTape TM and short term follow-up of the TOT technique in the successful treatment of stress incontinence [DeTayrac et al, 2004;Domingo et al, 2005;Spinosa and Dubuis, 2005]. In this study we report SJ is a paid speaker, and CGB has been paid as a speaker, both for Mentor Corporation.…”

Section: Introductionmentioning

confidence: 98%

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Transobturator tape (TOT): Two years follow‐up

Juma¹,

Brito

2006

Neurourology and Urodynamics

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Aims: The aim of this study is to report the functional results, patient satisfaction, and morbidity of the Transobturator tape procedure (TOT) in the treatment of stress incontinence (SUI). Methods: One hundred and thirty patients were prospectively evaluated with history, physical examination, quality of life questionnaire including Incontinence Impact Questionnaire (IIQ), urogenital distress inventory (UDI), and analog global satisfaction scale (GSS), and urodynamic studies. Results: One hundred and seventeen patients (90%) had history of SUI, and 78 (60%) had urge incontinence. Pads/day (PPD) used was 2.48 AE 2.42, and the score of IIQ 16.13 AE 7.86, UDI 10.95 AE 3.4, and GSS 1.41 AE 1.67. All patients underwent TOT using the ObTape TM . Hospital stay was 0.84 AE 0.76 days and catheter duration was 1.42 AE 2.08 days. At a follow-up of 16.85 AE 4.68 months, 13 patients (10%) have recurrent SUI, 21 (16.15%) persistent urge incontinence, and 1 (1.92%) de novo urge incontinence. The mean PPD is 0.15 AE 0.56, IIQ 1.47 AE 5.14, UDI 3.28 AE 3.09, and GSS 8.29 AE 1.64. Two patients (1.52%) developed urethral obstruction, ¢ve (3.84%) had vaginal extrusion of the tape, and two (1.52%) had intra-operative bladder perforation.Conclusions: These results demonstrate the safety and e⁄cacy of the TOT. The short hospitalization and catheterization, low incidence of de novo urge incontinence and obstructive voiding o¡ers a distinct advantage over existing techniques. No signi¢cant di¡erence in outcome between patients with VLPP 60 cm H 2 O, and patients with VLPP >60 cm H 2 O was observed. Neurourol.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 98%

Transobturator tape (TOT): Two years follow‐up

Juma¹,

Brito

2006

Neurourology and Urodynamics

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“…26 Complications observed after transobturator surgery include inguinal and obturator abscesses and perineal cellulitis. 19,27 There were no cases of postoperative infection in our sample.…”

Section: Discussionmentioning

confidence: 87%

“…16,19 In our patient sample, 6 months after surgery both subjective and objective cure rates were 90% in both groups. After 12 months, the subjective cure rate was 90% in the transobturator group and 88.8% in the retropubic group.…”

Section: Discussionmentioning

confidence: 96%

"Sling" retropúbico e transobturatório no tratamento da incontinênca urinária de esforço

Tanuri¹,

Feldner²,

Bella³

et al. 2010

Rev. Assoc. Med. Bras.

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Objective. To compare the results of retropubic and transobturator slings for surgical treatment of female stress urinary incontinence (SUI). MethOds. We randomized thirty patients with SUI, ten of whom underwent transobturator sling surgery and ten retropubic sling surgery. Patients were assessed before treatment and 1, 6 and 12 months after treatment on the basis of clinical history, physical examination, quality of life questionnaire (King's Health Questionnaire), pad test and urodynamic evaluation. The groups were homogenous prior to surgery. Results. One year after surgery, incontinence and quality of life parameters had improved significantly in both groups and there were no differences between them. There was a significant reduction in pad test weights in both groups. According to the urodynamic evaluation, 12 months after surgery cure rates were 84.2% for the transobturator group and 88.8% for the retropubic group. Subjective cure rates were 85% in the transobturator group and 88.8% in the retropubic group. No statistical difference was observed in complication rates. cOnclusiOn. Retropubic and transobturator slings were effective for treatment of women with SUI at 12-month follow-up. Both techniques had significant cure rates and improved quality of life with low complication rates.

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“…With other complications such as voiding difficulty and overactive bladder symptoms the evidence is less clear. A number of microporous or multifilament slings have been removed from the market, mainly for an unaccepted rate of sling-related infections-these include the Protegen Sling® (Boston Scientific, Natick, MA, USA) [4], Uratape®/Obtape® (Mentor, Santa Barbara, CA, USA) [5], Intravaginal Slingplasty® (Tyco, Mansfield, MA, USA) [6] and the InFast® sling with InteMesh® (American Medical Systems, Minnetonka, MN, USA) [7]. However, many slings have already been implanted and will continue to cause infection-related complications into the future with serious consequences for many women.…”

mentioning

confidence: 99%

The 75% rule: all stress incontinence procedures are alike

Dwyer

2011

Int Urogynecol J

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Diagnosis, Management and Prognosis of Vaginal Erosion After Transobturator Suburethral Tape Procedure Using a Nonwoven Thermally Bonded Polypropylene Mesh

Cited by 113 publications

References 14 publications

Transobturator tape (TOT): Two years follow‐up

Transobturator tape (TOT): Two years follow‐up

"Sling" retropúbico e transobturatório no tratamento da incontinênca urinária de esforço

The 75% rule: all stress incontinence procedures are alike

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