Prospective and randomized clinical trial comparing transobturator versus retropubic sling in terms of efficacy and safety

Palos, Claudia Cristina; Maturana, Ana P.; Ghersel, Frederico Rezende; Fernandes, César Eduardo; Oliveira, Emerson

doi:10.1007/s00192-017-3495-0

Cited by 15 publications

(23 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Veit-Rubin et al [10] detected POP in 25% of the patients that underwent BC. In contrast, PVS, MUSS and also the method used in the present study have no risk of POP formation as they do not require pelvic dissection which distorts urethral support during surgery, as in BC [28,29].…”

Section: Discussionmentioning

confidence: 88%

“…Ford et al reported the objective cure rates at the first and fifth postoperative years as 85% and 82% for TOT and as 87% and 85% for RT, respectively [19]. Palos et al reported that the objective cure rates of TOT and RT were 100% and 92% at postoperative month 12, respectively [22]. In SISTer trial, Albo et al [21] reported the objective cure rates for PVS and BC at the second year as 66% and 49%, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Fusco et al [28] conducted a meta-analysis and reported that incontinence surgery resulted in a significant improvement in the QoL measurements of the patients regardless of the surgical technique. Palos et al [29] suggested that the improvements in QoL measurements are correlated with the objective and subjective cure rates. In the present study, significant improvements were also observed in the QoL scores for the incontinence subsection and the total QoL score of ICIQ-FLUTS for all patients and it was also correlated with the continence status of the patients.…”

Section: Discussionmentioning

confidence: 99%

“…Literature indicates that PVS, BC and MUSS have similar complication rates [29][30][31][32]. For instance, perioperative bleeding requiring blood transfusion is a serious problem associated with all of these procedures and may occur in up to 2% of the cases [29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

“…In the present study, however, no patient had significant blood loss. Another feared complication of these three techniques is bowel, bladder or urethral injury which has been reported in up to 9% of the cases [29][30][31][32]. Higher rates were reported after RT procedures for bladder, vascular and bowel injuries [18].…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Modified autologous transobturator tape surgery — evaluation of short term results

et al. 2020

View full text Add to dashboard Cite

Objectives: The aim of this study is to evaluate the short-term outcomes of our modified autologous transobturator tape (aTOT) technique with rectus abdominis muscle fascial graft for the treatment of female stress urinary incontinence (SUI). Material and methods: The data of 22 patients who underwent modified aTOT were recorded. Perioperative data regarding operative time, complications and postoperative visual analogue scores were noted. Patients were assessed 18 months after surgery. The primary endpoints of this study were the improvements in the International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) subscores, one-hour pad test and cough stress test rates as an objective cure as well as the improvements in the PGI-I and ICIQ-FLUTS quality of life scores as a subjective cure. Results: Mean age and the mean follow-up period were 51.7 ± 9.8 years and 20.1 ± 0.9 months, respectively. Urethral hypermobility and a positive cough stress test were detected in all the patients. Mean operative time was 43.8 ± 8.1 min. and the overall complication rate was 9%. Mean VAS scores at postoperative 24 hours were 2.6 ± 1.2. At the postoperative eighteenth month, no patient had a positive cough test and mean PGI-I score was 2 while two patients had moderate urinary incontinence according to the pad test. Pad test results, ICIQ subscores of voiding QoL, incontinence, incontinence QoL, total score and total QoL score at baseline and eighteen months after surgery were 76.

show abstract

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Modified autologous transobturator tape surgery — evaluation of short term results

et al. 2020

View full text Add to dashboard Cite

show abstract

Transobturator tape, tension‐free vaginal tape, and transvaginal tension‐free vaginal tape‐obturator for the treatment of female stress urinary incontinence: A systematic review and network meta‐analysis

Wang

Liu

Fang

et al. 2021

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Stress urinary incontinence (SUI) is a common disease in urology.Studies have reported that 29%-75% of women have urine leakage before and after menopause, with a mean of 48%. 1 SUI is more common in middle-aged and older women with multiple pregnancy history, postmenopausal, and pelvic organ prolapse. The pathogenesis of SUI includes the relaxation of pelvic floor muscles, the thinning of pelvic floor tissues, and the decline of urethral mucosal sealing function, resulting in insufficient urethral closure pressure.When abdominal pressure increases, the posterior urethral pressure is less than the bladder pressure, so the urine cannot be controlled automatically and flows out. 2 The primary manifestation of SUI is the involuntary leakage of urine when abdominal pressure increases due to actions such as strenuous exercise or sneezing. There are various treatment methods for SUI, which are divided into conservative treatment and surgical treatment. However, surgical treatment is usually chosen because of the unsatisfactory effect of conservative treatment such as pelvic floor muscle function exercise or hormone treatment. 3 Since Delancey 4 put forward "the hammocks hypothesis," most scholars believe that the key to urinary control surgery lies in restoring the support structure of the urethra rather than the anatomical position of the urethra. The mid-urethral sling (MUS) has gradually become the mainstream surgical method for the treatment

show abstract

Randomized controlled trial comparing mini-sling with transobturator sling for the treatment of stress urinary incontinence

et al. 2019

View full text Add to dashboard Cite

Prospective and randomized clinical trial comparing transobturator versus retropubic sling in terms of efficacy and safety

Abstract: The cure rates of the per-protocol analysis showed the noninferiority of the TOT relative to the RP sling. The RP sling group exhibited higher urinary retention. Quality of life improved significantly in both groups.

Cited by 15 publications

References 34 publications

Modified autologous transobturator tape surgery — evaluation of short term results

Modified autologous transobturator tape surgery — evaluation of short term results

Transobturator tape, tension‐free vaginal tape, and transvaginal tension‐free vaginal tape‐obturator for the treatment of female stress urinary incontinence: A systematic review and network meta‐analysis

Randomized controlled trial comparing mini-sling with transobturator sling for the treatment of stress urinary incontinence

Contact Info

Product

Resources

About