The transobturator slingtape uratape: Anatomical dangers

Delmas, V.; Hermieu, Jean-François; Dompeyre, Philippe; Messas, A.; Dumonceau, O.; Ravery, V.; Boccon-Gibod, L

doi:10.1016/s1569-9056(03)80779-0

Cited by 26 publications

(14 citation statements)

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“…The original design of this technique, called transobturator tape, described by Delorme [14] in 2001, was to place the tape between the two obturator foramen, from outside to inside. The reported results are very close to those reported in most of the observational series of tension-free vaginal tape [15][16][17][18], and objective cure rates are as good as those quoted for the randomized controlled trials of colposuspension versus tension-free vaginal tape [19,20]. In 2003, a novel surgical technique was described by de Leval [21], with the passage of the tape through the obturator foramens from inside to outside, called tension-free vaginal tape inside out (TVT-O).…”

Section: Introductionsupporting

confidence: 87%

“…In contrast with the anatomical investigations performed by Delmas et al [18], who found that the obturator tape placed outside in traverses the levator ani muscle and the arch of the pelvic fascia; the trajectory of the inside out transobturator tape (TVT-O) is different. After the dissections, the inside out obturator tape could not be seen in the retropubic space at any time.…”

Section: Discussionmentioning

confidence: 62%

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Transobturator vaginal tape inside out procedure for stress urinary incontinence: results of 102 patients

Feng¹,

Chin

Wang

2008

Int Urogynecol J

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Multiple behavioral and surgical treatments exist for the treatment of stress urinary incontinence (SUI). We report herein on the safety and efficacy of the transobturator vaginal tape inside out (TVT-O) procedure for patients with SUI. A retrospective study of 102 consecutive patients with SUI who underwent the TVT-O procedure was conducted. Pre and postoperative evaluations included urodynamic studies and a 60-min pad test. Based on the 4th and 8th week postoperative evaluations, 97 of 102 (95%) patients had a complete cure. Of 88 patients who were followed for 12 months, 84 (95%) achieved a complete cure. Two instances of intraoperative lateral vaginal sulcus perforation occurred. Pain over the inner thigh was noted in 17 (17%) patients. Mesh erosion was noted in one case. TVT-O procedure is a safe, effective, and minimally invasive procedure for SUI with a low rate of complications.

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Section: Introductionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 62%

Transobturator vaginal tape inside out procedure for stress urinary incontinence: results of 102 patients

Feng¹,

Chin

Wang

2008

Int Urogynecol J

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“…However, bladder perforation during TOT was reported in 3 of 61 patients [21]. Theoretically, the transobturator tape does not penetrate the retropubic space, but the tip of the tunneller can injure the bladder, the bladder neck, or the urethra if its course is misaligned or in an oblique direction [22]. We performed cystoscopy on all TOT patients, but there was no incidence of bladder perforation.…”

Section: Discussionmentioning

confidence: 95%

Prospective comparison of the ‘inside–out’ and ‘outside–in’ transobturator-tape procedures for the treatment of female stress urinary incontinence

et al. 2007

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The aim of this study was to prospectively compare the efficacy and safety of 'inside-out' (TVT-O) and 'outside-in' (TOT) transobturator tape procedures for treatment of female stress urinary incontinence (SUI). One hundred women with SUI were alternately assigned to TVT-O (n = 50) or TOT (n = 50). About 1 year after surgery, we compared surgical outcomes in the two groups. TVT-O and TOT showed similar rates of cure (86 vs 92%). Approximately 1 year after surgery, Incontinence Quality of Life questionnaire parameters improved significantly in both groups (p < 0.05), but the two groups did not differ (p > 0.05). The rates of patient satisfaction with TVT-O and TOT (96 vs 98%) were similar. These preliminary results suggest that TVT-O and TOT are equally effective and safe procedures for women with SUI. However, this study was unable to identify a difference between the two procedures due to the underpowered nature of the study.

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“…Outside-in TOT is safer than TVT in terms of bladder perforation or urinary tract injury because the digital dissection is performed internally from the incised vaginal margin to the ischiopubic region, and the urethral periphery is thus well dissected. However, the risk of bladder perforation remains [20][21][22] , as has been described in a number of reports [17,[23][24][25][26] . Minalia et al [24] reported 2 cases of bladder perforation on routine cystoscopy where there was no clinical suspicion.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Outside-In and Inside-Out Transobturator Tape Procedures for Stress Urinary Incontinence

Chae

Jeon²,

Kim³

et al. 2010

Gynecol Obstet Invest

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Aims: This study compared the clinical outcome of patients undergoing outside-in transobturator tape (TOT) or inside-out transobturator tape (TVT-O) procedures for female stress urinary incontinence (SUI). Methods: The study examined the medical records of 615 patients who underwent TOT (376 patients) or TVT-O (239 patients) for SUI, and compared patient characteristics, operation time, duration of hospital stay, cure rates, and complication rates, by conducting a 1-year follow-up survey. Results: The TOT and TVT-O groups were found to be similar in terms of operation time, duration of hospital stay, surgical outcome (both before and after adjustment for age, parity, menopause, and previous pelvic surgery, cure rate (87.8% for TOT and 85.3% for TVT-O) and complication rate (14.4% for TOT, 15.5% for TVT-O). The complication rates after operations did not differ significantly between the two groups. Complications over the 1-year follow-up included urinary retention, de novo urgency, leg pain, vaginal mesh erosion, and hematoma, and all resolved following appropriate treatment. Conclusions: The TOT and TVT-O procedures appeared to be equally clinically effective and safe when used to treat female SUI.

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The transobturator slingtape uratape: Anatomical dangers

Cited by 26 publications

References 0 publications

Transobturator vaginal tape inside out procedure for stress urinary incontinence: results of 102 patients

Transobturator vaginal tape inside out procedure for stress urinary incontinence: results of 102 patients

Prospective comparison of the ‘inside–out’ and ‘outside–in’ transobturator-tape procedures for the treatment of female stress urinary incontinence

A Comparative Study of Outside-In and Inside-Out Transobturator Tape Procedures for Stress Urinary Incontinence

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