Long‐term outcomes for transobturator tension‐free vaginal tapes in women with urodynamic mixed urinary incontinence

Abdel‐Fattah, Mohamed; Cao, Gabriel; Mostafa, Alyaa

doi:10.1002/nau.23192

Cited by 23 publications

(14 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Habibi et al (30) found that the beneficial effects of TVT-O placement on QoL persisted at 12 months and that the QoL measurements were correlated with urgency outcomes. In another study which evaluated the long-term effects of TOT and TVT-O on QoL, 85-87% of patients reported significant improvements in QoL (9,24). In our study, although statistically significant deterioration was observed in QoL scores, the improvement in QoL was maintained in the short-and mid-term after TOT.…”

Section: Discussioncontrasting

confidence: 47%

“…Similarly, in our study, the cure rates were determined as 53.8% for UUI and 60.6% for urgency. In two studies evaluating the medium and long term outcomes over three- and nine-year follow-ups, Abdul-Fattah et al reported a reduction in the cures rates of urgency and UUI, being determined as 51.5% and 57.0%, respectively at year 3 and 35% and 41%, respectively at year 9 ( 9 , 24 ). Similar results were obtained from the review of Jain et al ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of the transobturator tape procedure on overactive bladder symptoms and quality of life: a prospective study

et al. 2019

View full text Add to dashboard Cite

Introduction: This study aimed to evaluate the effects of transobturator tape (TOT) on overactive bladder (OAB) symptoms and quality of life. Materials and Methods: Patients with stress-predominant mixed urinary incontinence (MUI) who had undergone TOT procedures were considered candidates for this research. Preoperative assessment included anamnesis, pelvic examination, cough stress test (CST), and validated symptom severity and quality of life (QoL) questionnaires. The primary outcome, improvement and cure rates of OAB symptoms were determined based on the patient's baseline scores in symptom-related questions in OAB-V8. Secondary outcomes included the success rates of SUI, changes in the QoL score and patient satisfaction rates. Results: A total of 104 patients were included in the study. Sixty-two patients underwent TOT placement alone, and 42 patients underwent TOT placement along with prolapse surgery. The mean follow-up period of the patients was 30.47 months range: 13-52 months. At the fi rst-year follow-up, 52 patients (50.0%) and 59 patients (56.7%) reported cure in preoperative urgency and urgency incontinence, respectively. The objective and subjective cure rates were 96.2% and 56.7%, respectively. A total of 80.7% of the cases had a 15-point improvement in QoL scores. Conclusions: MUS is not only a gold standard treatment in SUI but also presents as a promising treatment modality in stress-dominant MUI. Although the improvement rates of OAB symptoms signifi cantly decrease over time, QoL and patient satisfaction rates remain higher than any other treatment in this patient group at the third-year follow-up.

show abstract

Section: Discussioncontrasting

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Effects of the transobturator tape procedure on overactive bladder symptoms and quality of life: a prospective study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…More commonly, women with mixed urinary incontinence undergo surgery to resolve the stress urinary incontinence component of their condition. Although some of these women experience resolution of their urgency urinary incontinence, some have ongoing, bothersome symptoms 151 . Treatments aimed at reducing urgency urinary incontinence symptoms that were not effective before surgery should be tried again, especially if after the surgery the symptoms of stress urinary incontinence are reduced or resolved.…”

Section: Invasive Interventionsmentioning

confidence: 99%

Urinary incontinence in women

Rm²

2017

Nat Rev Dis Primers

View full text Add to dashboard Cite

Urinary incontinence symptoms are highly prevalent among women, have a substantial effect on health-related quality of life and are associated with considerable personal and societal expenditure. Two main types are described: stress urinary incontinence, in which urine leaks in association with physical exertion, and urgency urinary incontinence, in which urine leaks in association with a sudden compelling desire to void. Women who experience both symptoms are considered as having mixed urinary incontinence. Research has revealed overlapping potential causes of incontinence, including dysfunction of the detrusor muscle or muscles of the pelvic floor, dysfunction of the neural controls of storage and voiding, and perturbation of the local environment within the bladder. A full diagnostic evaluation of urinary incontinence requires a medical history, physical examination, urinalysis, assessment of quality of life and, when initial treatments fail, invasive urodynamics. Interventions can include non-surgical options (such as lifestyle modifications, pelvic floor muscle training and drugs) and surgical options to support the urethra or increase bladder capacity. Future directions in research may increasingly target primary prevention through understanding of environmental and genetic risks for incontinence.Correspondence to R.C. Department of Epidemiology and Biostatistics, Imperial College London, Norfolk Place, London W2 1PG, UK. r.cartwright@imperial.ac.uk. Author contributions Competing interestsThe authors declare no competing interests. Publisher's noteSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. HHS Public AccessAuthor manuscript Nat Rev Dis Primers. Author manuscript; available in PMC 2018 April 01. Published in final edited form as:Nat Rev Dis Primers. ; 3: 17042. doi:10.1038/nrdp.2017.42. Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptUrinary incontinence is the complaint of involuntary loss (leakage) of urine 1 . The condition occurs in both sexes, but is much more frequent in women. Although some overlap in pathophysiology is evident between sexes, incontinence in men is often a consequence of prostatic enlargement or from damage to continence mechanisms during surgery or radiotherapy for prostate cancer. By contrast, incontinence in women is typically related to dysfunction of the bladder or pelvic floor muscles, with such dysfunction often arising during pregnancy or childbirth, or at the time of menopause. This Primer focuses on female urinary incontinence because of its higher prevalence and unique pathophysiology.There are two main subtypes of urinary incontinence: stress incontinence and urgency incontinence. According to the International Urogynecological Association (IUGA) and the International Continence Society (ICS) standard definition, stress incontinence is the complaint of urine leakage in association with coughing, sneezing or physical exertion, whereas urgency incontinence is the comp...

show abstract

“…2 UI is highly prevalent in women and adversely affects every aspect of woman's life i.e., physical, psychological, and social resulting in low self-esteem, embarrassment, and decreased productivity at work place. 3,4 However, as compared to women suffering from SUI, women with MUI are at least two-fold more likely to be worried by the symptoms. 5 Primarily, SUI is most prevalent, but during late adulthood, MUI is an extremely predominant subtype.…”

Section: B a C K G R O U N Dmentioning

confidence: 99%

Role of Transobturator Tape in the Treatment of Mixed Urinary Incontinence in Women

Neelakandan¹,

B²,

Chandru³

et al. 2019

jemds

View full text Add to dashboard Cite

BACKGROUND Globally, urinary incontinence (UI) is frequently observed in women and impairs every aspect of her life. Mixed urinary incontinence (MUI) refers to the presence of both stress (SUI) and urgency urinary incontinence (UUI). There are variable cure rates of midurethral slings (MUS) procedures in MUI. Thus, the present study was performed to evaluate the effectiveness of transobturator tape (TOT) technique, influence of outside-in TOT on objective and subjective cure rates and quality of life, and to assess the post-operative complications in women with MUI. METHODS This was a prospective interventional study involving 31 women who had undergone TOT procedure for

show abstract

Long‐term outcomes for transobturator tension‐free vaginal tapes in women with urodynamic mixed urinary incontinence

Abstract: Word Count: 240 words.

Cited by 23 publications

References 31 publications

Effects of the transobturator tape procedure on overactive bladder symptoms and quality of life: a prospective study

Effects of the transobturator tape procedure on overactive bladder symptoms and quality of life: a prospective study

Urinary incontinence in women

Role of Transobturator Tape in the Treatment of Mixed Urinary Incontinence in Women

Contact Info

Product

Resources

About