Skip to main content
Erschienen in: International Urogynecology Journal 1/2011

01.01.2011 | Original Article

Functional and quality of life outcome of transobturator tape for treatment of female stress urinary

verfasst von: Hassan S. Shaker, Hesham M. Ban, Ahmad S. Hegazy, Magdy F. Mansour

Erschienen in: International Urogynecology Journal | Ausgabe 1/2011

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

This study aims to evaluate the functional outcome of transobturator tape (TOT) in treatment of female stress urinary incontinence (SUI) and its impact on patient quality of life (QoL).

Methods

Sixty female patients with SUI underwent TOT operation, outside–in technique. Forty-eight patients completed the study. Clinical evaluation, urodynamics, and QoL using validated Arabic translation of the International Consultation on Incontinence Questionnaire–Short Form were done both preoperatively and 3, 6, and 12 months postoperatively.

Results

The mean follow-up was 16 months. The objective cure rate was 95.83%. There were no cases of urethral injury, bladder perforation, or thigh pain. De novo urgency and urge incontinence was observed in four patients (8.3%). No early or late outflow obstructive symptoms were noted. No difference was observed between pre- and postoperative filling cystometrogram and pressure flow studies. There was significant improvement in the postoperative QoL assessment.

Conclusions

TOT (outside–in) appears to have no deleterious effect on storage and voiding functions.
Literatur
1.
Zurück zum Zitat Darai E, Jeffry L, Deval B, Birsan A, Kadoch O, Soriano D (2002) Results of tension-free vaginal tape in patients with or without vaginal hysterectomy. Eur J Obstet Gynecol Reprod Biol 103:163–167CrossRefPubMed Darai E, Jeffry L, Deval B, Birsan A, Kadoch O, Soriano D (2002) Results of tension-free vaginal tape in patients with or without vaginal hysterectomy. Eur J Obstet Gynecol Reprod Biol 103:163–167CrossRefPubMed
2.
Zurück zum Zitat Kuuva N, Nilsson CG (2002) A nationwide analysis of complications associated with the tension-free vaginal tape procedure. Acta Obstet Gynecol Scand 81:72–77PubMed Kuuva N, Nilsson CG (2002) A nationwide analysis of complications associated with the tension-free vaginal tape procedure. Acta Obstet Gynecol Scand 81:72–77PubMed
3.
Zurück zum Zitat Kobashi KC, Govier FE (2003) Perioperative complications: the first 140 polypropylene pubovaginal slings. J Urol 170:1918–1921CrossRefPubMed Kobashi KC, Govier FE (2003) Perioperative complications: the first 140 polypropylene pubovaginal slings. J Urol 170:1918–1921CrossRefPubMed
4.
Zurück zum Zitat Delorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11:1306–1313PubMed Delorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11:1306–1313PubMed
5.
Zurück zum Zitat Novara G, Artibani W, Barber MD, Chapple CR, Costantini E, Ficarra V, Hilton P, Nilsson CG, Waltregny D (2010) Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol [Epub ahead of print] Novara G, Artibani W, Barber MD, Chapple CR, Costantini E, Ficarra V, Hilton P, Nilsson CG, Waltregny D (2010) Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol [Epub ahead of print]
6.
Zurück zum Zitat Castillo-Pino E, Sasson A, Pons JE (2010) Comparison of retropubic and transobturator tension-free vaginal implants for the treatment of stress urinary incontinence. Int J Gynaecol Obstet 110:23–26CrossRefPubMed Castillo-Pino E, Sasson A, Pons JE (2010) Comparison of retropubic and transobturator tension-free vaginal implants for the treatment of stress urinary incontinence. Int J Gynaecol Obstet 110:23–26CrossRefPubMed
7.
Zurück zum Zitat Porena M, Costantini E, Frea B, Giannantoni A, Ranzoni S, Mearini L, Bini V, Kocjancic E (2007) Tension-free vaginal tape versus transobturator tape as surgery for stress urinary incontinence: results of a multicentre randomised trial. Eur Urol 52(5):1481–1490CrossRefPubMed Porena M, Costantini E, Frea B, Giannantoni A, Ranzoni S, Mearini L, Bini V, Kocjancic E (2007) Tension-free vaginal tape versus transobturator tape as surgery for stress urinary incontinence: results of a multicentre randomised trial. Eur Urol 52(5):1481–1490CrossRefPubMed
8.
Zurück zum Zitat Waltregny D, Gasper Y, Reul O, Hamida W, Bonnet P, De Leval J (2008) TVT-O for the treatment of female SUI: results of a prospective study after a 3-year minimum follow up. Eur Urol 53:401–410CrossRefPubMed Waltregny D, Gasper Y, Reul O, Hamida W, Bonnet P, De Leval J (2008) TVT-O for the treatment of female SUI: results of a prospective study after a 3-year minimum follow up. Eur Urol 53:401–410CrossRefPubMed
9.
Zurück zum Zitat Lukacz ES, Luber KM, Nager CW (2004) The effects of the tension- free vaginal tape on voiding function: a prospective evaluation. Int Urogynecol J Pelvic Floor Dysfunct 15:32–38CrossRefPubMed Lukacz ES, Luber KM, Nager CW (2004) The effects of the tension- free vaginal tape on voiding function: a prospective evaluation. Int Urogynecol J Pelvic Floor Dysfunct 15:32–38CrossRefPubMed
10.
Zurück zum Zitat Wang AC, Chen NC (2003) The correlation between preoperative voiding mechanism and surgical outcome of the tension free vaginal tape procedure, with reference to quality of life. BJU Int 91:502–506CrossRefPubMed Wang AC, Chen NC (2003) The correlation between preoperative voiding mechanism and surgical outcome of the tension free vaginal tape procedure, with reference to quality of life. BJU Int 91:502–506CrossRefPubMed
11.
Zurück zum Zitat Abrams P, Andersson KE, Cardozo L, Grifiths D, Staskin D, Wein A et al (2005) Evaluation and treatment of urinary incontinence in the 3rd International Consultation on Incontinence 2005 which met from June 26–29, 2004 in Monaco Abrams P, Andersson KE, Cardozo L, Grifiths D, Staskin D, Wein A et al (2005) Evaluation and treatment of urinary incontinence in the 3rd International Consultation on Incontinence 2005 which met from June 26–29, 2004 in Monaco
12.
Zurück zum Zitat Hashim H, Avery K, Mourad MS, Chamssuddin A, Ghoniem G, Abrams P (2006) The Arabic ICIQ-UI SF: an alternative language version of the english ICIQ-UI SF. Neurourol Urodyn 25:277–282CrossRefPubMed Hashim H, Avery K, Mourad MS, Chamssuddin A, Ghoniem G, Abrams P (2006) The Arabic ICIQ-UI SF: an alternative language version of the english ICIQ-UI SF. Neurourol Urodyn 25:277–282CrossRefPubMed
13.
Zurück zum Zitat Schafer W, Abrams P, Liao L, Mattiasson A, Pesce F, Spangberg A, Sterling A, Zinner N, van Kerrebroeck P (2002) Good urodynamic practices: uro£owmetry, filling cystometry, and pressure-flow studies. Neurourol Urodyn 21:261–274CrossRefPubMed Schafer W, Abrams P, Liao L, Mattiasson A, Pesce F, Spangberg A, Sterling A, Zinner N, van Kerrebroeck P (2002) Good urodynamic practices: uro£owmetry, filling cystometry, and pressure-flow studies. Neurourol Urodyn 21:261–274CrossRefPubMed
14.
Zurück zum Zitat Clinton M, Knapp RG (1992) Clinical epidemiology and biostatistics, 3rd edn. Williams & Wilkins, Maryland Clinton M, Knapp RG (1992) Clinical epidemiology and biostatistics, 3rd edn. Williams & Wilkins, Maryland
15.
Zurück zum Zitat Mellier G, Benayed B, Bretones S, Pasquier JC (2004) Suburethral tape via the obturator route: is the TOT a simplification of the TVT? Int Urogynecol J Pelvic Floor Dysfunct 15(4):227–232PubMed Mellier G, Benayed B, Bretones S, Pasquier JC (2004) Suburethral tape via the obturator route: is the TOT a simplification of the TVT? Int Urogynecol J Pelvic Floor Dysfunct 15(4):227–232PubMed
16.
Zurück zum Zitat Petros PE, Woodman PJ (2008) The integral theory of continence. Int Urogynecol J Pelvic Floor Dysfunct 19(1):35–40PubMed Petros PE, Woodman PJ (2008) The integral theory of continence. Int Urogynecol J Pelvic Floor Dysfunct 19(1):35–40PubMed
17.
Zurück zum Zitat Boustead GB (2002) The tension-free vaginal tape for treating female stress urinary incontinence. BJU Int 89:687–693CrossRefPubMed Boustead GB (2002) The tension-free vaginal tape for treating female stress urinary incontinence. BJU Int 89:687–693CrossRefPubMed
18.
Zurück zum Zitat Lin LY, Sheu BC, Lin HH (2004) Sequential assessment of urodynamic findings before and after tension-free vaginal tape (TVT) operation for female genuine stress incontinence. Eur Urol 45:362–366CrossRefPubMed Lin LY, Sheu BC, Lin HH (2004) Sequential assessment of urodynamic findings before and after tension-free vaginal tape (TVT) operation for female genuine stress incontinence. Eur Urol 45:362–366CrossRefPubMed
Metadaten
Titel
Functional and quality of life outcome of transobturator tape for treatment of female stress urinary
verfasst von
Hassan S. Shaker
Hesham M. Ban
Ahmad S. Hegazy
Magdy F. Mansour
Publikationsdatum
01.01.2011
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 1/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1238-6

Weitere Artikel der Ausgabe 1/2011

International Urogynecology Journal 1/2011 Zur Ausgabe

Hirsutismus bei PCOS: Laser- und Lichttherapien helfen

26.04.2024 Hirsutismus Nachrichten

Laser- und Lichtbehandlungen können bei Frauen mit polyzystischem Ovarialsyndrom (PCOS) den übermäßigen Haarwuchs verringern und das Wohlbefinden verbessern – bei alleiniger Anwendung oder in Kombination mit Medikamenten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

22.04.2024 DGIM 2024 Kongressbericht

Durch die Häufung nach der COVID-19-Pandemie sind Infektionen mit dem Respiratorischen Synzytial-Virus (RSV) in den Fokus gerückt. Fachgesellschaften empfehlen eine Impfung inzwischen nicht nur für Säuglinge und Kleinkinder.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.