Trans-obturator surgery for stress urinary incontinence: 1-year follow-up of a cohort of 52 women

Abstract

This study was a 1-year follow-up of a cohort of 52 women who underwent trans-obturator tape (TOT) procedures using Obtape. Follow-up information was available for 45/52 (87%) women. The rate of erosions was 8/52 (15%). Among 34 women examined, 26% experienced tenderness on palpation of operative site, and 72% were objectively cured on pad test. Forty women completed questionnaires (median Incontinence Impact Questionnaire-7, 0; median Urogenital Distress Inventory-6, 17) and of those, 93% would recommend TOT to a friend. We found a high rate of erosions among our cohort. Our high rate of erosions may be a result of our review of the majority of the cohort, and it is likely related to the specific device used (Obtape). The majority of women were satisfied with the outcome. Before introducing new procedures into widespread clinical practice, it is important to rigorously investigate their outcomes.

Sequential assessment of urodynamic findings before and after transobturator tape procedure for female urodynamic stress incontinence

“…Indeed, there were four patients with pad weights of less than 4 g 1 year postoperatively. Our cure rate (69%) was very similar to another report (72%) in which the cure rate was evaluated based on a 15-min pad test [27].…”

Mesh infection without erosion after ObTape sling insertion: a diagnostic challenge

“…A similarly high rate (4 out of 21, 19%) was reported by another study [4]. A third study [9] included 8 erosions after 52 insertions (15%). Lower rates were also reported.…”

“…A number of case reports described mesh erosion associated with infection and abscess formation after ObTape sling insertion [2,[7][8][9]. A recent case report described three cases with obturator abscess after ObTape sling insertion [10].…”

Mini-invasive tension-free surgery for female urinary incontinence

“…Groin abscesses have been reported with TOT (56) and are more common with certain types of sling material (57,58). Late complications after TOT, as severe troubles during claudicatio, have never been reported with the retropubic and prepubic techniques (33,(59)(60)(61)(62)(63).…”