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Erschienen in: International Urogynecology Journal 5/2008

01.05.2008 | Original Article

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

verfasst von: Sheng-Mou Hsiao, Bor-Ching Sheu, Ho-Hsiung Lin

Erschienen in: International Urogynecology Journal | Ausgabe 5/2008

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Abstract

The objective of this study was to sequentially compare the urodynamic findings of patients with urodynamic stress incontinence before and after transobturator tape procedure. Between May 2004 and December 2005, 26 of 34 consecutive patients with urodynamic stress incontinence who underwent transobturator tape procedure were enrolled. The sequential urodynamic findings of each case were compared and analyzed. Based on pad test, the cure and improvement rates were 69.2 and 30.8%, respectively. A significant increase in pressure transmission ratio at maximal urethral pressure at 1 year postoperatively (p = 0.005) was observed after surgery. The improvement group (n = 8) had significantly lower preoperative maximal urethral closure pressure (45.4 vs 68.2 mmHg, p = 0.036) than did the cure group (n = 18). The postoperatively increased pressure transmission ratio at maximal urethral pressure appears to contribute to its cure for urodynamic stress incontinence.
Literatur
1.
Zurück zum Zitat Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29:75–82PubMedCrossRef Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29:75–82PubMedCrossRef
2.
Zurück zum Zitat Ulmstem U, Falsoner C, Johnson P, Jomaa M, Lannér L, Nilsson CG, Olsson I (1998) A multicenter study of tension free vaginal tape (TVT) for surgical treatment of stress urinary incontinence. Int Urogynecol J 9:10–13 Ulmstem U, Falsoner C, Johnson P, Jomaa M, Lannér L, Nilsson CG, Olsson I (1998) A multicenter study of tension free vaginal tape (TVT) for surgical treatment of stress urinary incontinence. Int Urogynecol J 9:10–13
3.
Zurück zum Zitat Delorme E (2001) La bandelette transobturatrice: un procédé mini-invasif pour traiter l’incontinence urinaire de la femme. Prog Urol 11:1306–1313PubMed Delorme E (2001) La bandelette transobturatrice: un procédé mini-invasif pour traiter l’incontinence urinaire de la femme. Prog Urol 11:1306–1313PubMed
4.
Zurück zum Zitat Delorme E, Droupy S, de Tayrac R, Delmas V (2004) Transobturator tape (Uratape): a new minimally-invasive procedure to treat female urinary incontinence. Eur Urol 45:203–207PubMedCrossRef Delorme E, Droupy S, de Tayrac R, Delmas V (2004) Transobturator tape (Uratape): a new minimally-invasive procedure to treat female urinary incontinence. Eur Urol 45:203–207PubMedCrossRef
5.
Zurück zum Zitat Costa P, Grise P, Droupy S, Monneins F, Assenmacher C, Ballanger P, Hermieu JF, Delmas V, Boccon-Gibod L, Ortuno C (2004) Surgical treatment of female stress urinary incontinence with a trans-obturator-tape (TOT) Uratape: short term results of a prospective multicentric study. Eur Urol 46:102–107PubMedCrossRef Costa P, Grise P, Droupy S, Monneins F, Assenmacher C, Ballanger P, Hermieu JF, Delmas V, Boccon-Gibod L, Ortuno C (2004) Surgical treatment of female stress urinary incontinence with a trans-obturator-tape (TOT) Uratape: short term results of a prospective multicentric study. Eur Urol 46:102–107PubMedCrossRef
6.
Zurück zum Zitat Roumeguère T, Quackels T, Bollens R, de Groote A, Zlotta A, Bossche MV, Schulman C (2005) Trnasobturator vaginal tape (TOT) for female stress incontinence: one year follow-up in 120 patients. Eur Urol 48:805–809PubMedCrossRef Roumeguère T, Quackels T, Bollens R, de Groote A, Zlotta A, Bossche MV, Schulman C (2005) Trnasobturator vaginal tape (TOT) for female stress incontinence: one year follow-up in 120 patients. Eur Urol 48:805–809PubMedCrossRef
7.
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 15:227–232 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 15:227–232
8.
Zurück zum Zitat Grise P, Droupy S, Saussine C, Ballanger P, Monneins F, Hermieu JF, Serment G, Costa P (2006) Transobturator tape sling for female stress incontinence with polypropylene tape and outside-in procedure: prospective study with 1 year of minimal follow-up and review of transobturator tape sling. Urology 68:759–763PubMedCrossRef Grise P, Droupy S, Saussine C, Ballanger P, Monneins F, Hermieu JF, Serment G, Costa P (2006) Transobturator tape sling for female stress incontinence with polypropylene tape and outside-in procedure: prospective study with 1 year of minimal follow-up and review of transobturator tape sling. Urology 68:759–763PubMedCrossRef
9.
Zurück zum Zitat Hahn I, Fall M (1991) Objective quantification of stress urinary incontinence: a short, reproducible, provocative pad-test. Neurourol Urodyn 10:475–481CrossRef Hahn I, Fall M (1991) Objective quantification of stress urinary incontinence: a short, reproducible, provocative pad-test. Neurourol Urodyn 10:475–481CrossRef
10.
Zurück zum Zitat Sand PK (1992) The evaluation of the incontinence female. Curr Probl Obstet Gynecol Fertil 15:107–151 Sand PK (1992) The evaluation of the incontinence female. Curr Probl Obstet Gynecol Fertil 15:107–151
11.
Zurück zum Zitat Wu WY, Sheu BC, Lin HH (2007) Twenty-minute pad test: comparison of infusion of 250 ml of water with strong-desire amount in the bladder in women with stress urinary incontinence. Eur J Obstet Gynecol Reprod Biol (in press) Wu WY, Sheu BC, Lin HH (2007) Twenty-minute pad test: comparison of infusion of 250 ml of water with strong-desire amount in the bladder in women with stress urinary incontinence. Eur J Obstet Gynecol Reprod Biol (in press)
12.
Zurück zum Zitat Wu WY, Sheu BC, Lin HH (2006) Comparison of 20-minute pad test versus 1-hour pad test in women with stress urinary incontinence. Urology 68:764–768PubMedCrossRef Wu WY, Sheu BC, Lin HH (2006) Comparison of 20-minute pad test versus 1-hour pad test in women with stress urinary incontinence. Urology 68:764–768PubMedCrossRef
13.
Zurück zum Zitat Lose G, Griffiths D, Hosker G, Kulseng-Hanssen S, Perucchini D, Schäfer W, Thind P, Versi E; Standardization Sub-Committee, International Continence Society (2002) Standardization of urethral pressure measurement: report from the Standardization Sub-Committee of the International Continence Society. Neurourol Urodyn 21:258–260PubMedCrossRef Lose G, Griffiths D, Hosker G, Kulseng-Hanssen S, Perucchini D, Schäfer W, Thind P, Versi E; Standardization Sub-Committee, International Continence Society (2002) Standardization of urethral pressure measurement: report from the Standardization Sub-Committee of the International Continence Society. Neurourol Urodyn 21:258–260PubMedCrossRef
14.
Zurück zum Zitat Abrams P, Blaivas JG, Stanton SL, Andersen JT, Fowler CJ, Gerstenberg T, Murray K (1986) Sixth report on the standardization of terminology of lower urinary tract function. Procedures related to neurophysiological investigation: electromyography, nerve conduction studies, reflex latencies, evoked potential and sensory testing. Scand J Urol Nephrol 20:161–164PubMedCrossRef Abrams P, Blaivas JG, Stanton SL, Andersen JT, Fowler CJ, Gerstenberg T, Murray K (1986) Sixth report on the standardization of terminology of lower urinary tract function. Procedures related to neurophysiological investigation: electromyography, nerve conduction studies, reflex latencies, evoked potential and sensory testing. Scand J Urol Nephrol 20:161–164PubMedCrossRef
15.
Zurück zum Zitat Abrams P, Blaivas JG, Stanton SL, Andersen JT (1988) Standardization of terminology of lower urinary tract function. Neurourol Urodyn 7:403–427CrossRef Abrams P, Blaivas JG, Stanton SL, Andersen JT (1988) Standardization of terminology of lower urinary tract function. Neurourol Urodyn 7:403–427CrossRef
16.
Zurück zum Zitat Andersen JT, Blaivas JG, Cardozo L, Thüroff J (1992) Lower urinary tract rehabilitation techniques: seventh report on the standardization of terminology of lower urinary tract function. Int Urogynecol J 3:75–80CrossRef Andersen JT, Blaivas JG, Cardozo L, Thüroff J (1992) Lower urinary tract rehabilitation techniques: seventh report on the standardization of terminology of lower urinary tract function. Int Urogynecol J 3:75–80CrossRef
17.
Zurück zum Zitat Blaivas JG, Appell RA, Fantl JA, Leach G, McGuire EJ, Resnick NM, Raz S, Wein AJ (1997) Definition and classification of urinary incontinence: recommendation of the urodynamic society. Neurourol Urodyn 16:149–151PubMedCrossRef Blaivas JG, Appell RA, Fantl JA, Leach G, McGuire EJ, Resnick NM, Raz S, Wein AJ (1997) Definition and classification of urinary incontinence: recommendation of the urodynamic society. Neurourol Urodyn 16:149–151PubMedCrossRef
18.
Zurück zum Zitat Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A; Standardisation Sub-committee of the International Continence Society (2002) The standardization of terminology of lower urinary tract function: report from the Standardization Sub-Committee of the International Continence Society. Neurourol Urodyn 21:167–178PubMedCrossRef Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A; Standardisation Sub-committee of the International Continence Society (2002) The standardization of terminology of lower urinary tract function: report from the Standardization Sub-Committee of the International Continence Society. Neurourol Urodyn 21:167–178PubMedCrossRef
19.
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 45:362–366PubMedCrossRef 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 45:362–366PubMedCrossRef
20.
Zurück zum Zitat Wang AC (2000) An assessment of the early surgical outcome and urodynamic effects of the tension-free vaginal tape (TVT). Int Urogynecol J 11:282–284CrossRef Wang AC (2000) An assessment of the early surgical outcome and urodynamic effects of the tension-free vaginal tape (TVT). Int Urogynecol J 11:282–284CrossRef
21.
Zurück zum Zitat Swift SE, Rust PF, Ostergard DR (1996) Intrasubject variability of the pressure-transmission ratio in patients with genuine stress incontinence. Int Urogynecol J 7:312–316CrossRef Swift SE, Rust PF, Ostergard DR (1996) Intrasubject variability of the pressure-transmission ratio in patients with genuine stress incontinence. Int Urogynecol J 7:312–316CrossRef
22.
Zurück zum Zitat DeLancey JO (1994) Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol 170:1713–1720PubMed DeLancey JO (1994) Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol 170:1713–1720PubMed
23.
Zurück zum Zitat Kaum HJ, Wolff F (2002) TVT: on midurethral tape positioning and its influence on continence. Int Urogynecol J 13:110–115CrossRef Kaum HJ, Wolff F (2002) TVT: on midurethral tape positioning and its influence on continence. Int Urogynecol J 13:110–115CrossRef
24.
Zurück zum Zitat Whiteside JL, Walters MD (2004) Anatomy of the obturator region: relations to a trans-obturator sling. Int Urogynecol J 15:223–226 Whiteside JL, Walters MD (2004) Anatomy of the obturator region: relations to a trans-obturator sling. Int Urogynecol J 15:223–226
25.
Zurück zum Zitat Fischer A, Fink T, Zachmann S, Eickenbusch U (2005) Comparison of retropubic and outside-in transobturator sling systems for the cure of female genuine stress urinary incontinence. Euro Urol 48:799–804CrossRef Fischer A, Fink T, Zachmann S, Eickenbusch U (2005) Comparison of retropubic and outside-in transobturator sling systems for the cure of female genuine stress urinary incontinence. Euro Urol 48:799–804CrossRef
26.
Zurück zum Zitat Latthe PM, Foon R, Toozs-Hobson P (2007) Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. Br J Obstet Gynecol 114:522–531 Latthe PM, Foon R, Toozs-Hobson P (2007) Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. Br J Obstet Gynecol 114:522–531
27.
Zurück zum Zitat Dobson A, Robert M, Swaby C, Murphy M, Birch C, Mainprize T, Ross S (2007) Trans-obturator surgery for stress urinary incontinence: 1-year follow-up of a cohort of 52 women. Int Urogynecol J 18:27–32CrossRef Dobson A, Robert M, Swaby C, Murphy M, Birch C, Mainprize T, Ross S (2007) Trans-obturator surgery for stress urinary incontinence: 1-year follow-up of a cohort of 52 women. Int Urogynecol J 18:27–32CrossRef
28.
Zurück zum Zitat Paick JS, Ku JH, Shin JW, Son H, Oh SJ, Kim SW (2004) Tension-free vaginal tape procedure for urinary incontinence with low Valsalva leak point pressure. J Urol 172:1370–1373PubMedCrossRef Paick JS, Ku JH, Shin JW, Son H, Oh SJ, Kim SW (2004) Tension-free vaginal tape procedure for urinary incontinence with low Valsalva leak point pressure. J Urol 172:1370–1373PubMedCrossRef
29.
Zurück zum Zitat Ghezzi F, Serati M, Cromi A, Uccella S, Salvatore S, Triacca P, Bolis P (2006) Tension-free vaginal tape for the treatment of urodynamic stress incontinence with intrinsic sphincteric deficiency. Int Urogynecol J 17:335–339CrossRef Ghezzi F, Serati M, Cromi A, Uccella S, Salvatore S, Triacca P, Bolis P (2006) Tension-free vaginal tape for the treatment of urodynamic stress incontinence with intrinsic sphincteric deficiency. Int Urogynecol J 17:335–339CrossRef
30.
Zurück zum Zitat O’Connor RC, Nanigian DK, Lyon MB, Ellison LM, Bales GT, Stone AR (2006) Early outcomes of mid-urethral slings for female stress urinary incontinence stratified by valsalva leak point pressure. Neurourol Urodyn 25:685–688PubMedCrossRef O’Connor RC, Nanigian DK, Lyon MB, Ellison LM, Bales GT, Stone AR (2006) Early outcomes of mid-urethral slings for female stress urinary incontinence stratified by valsalva leak point pressure. Neurourol Urodyn 25:685–688PubMedCrossRef
31.
Zurück zum Zitat Cosson M, Debodinance P, Boukerrou M, Chauvet MP, Lobry P, Crepin G, Ego A (2003) Mechanical properties of synthetic implants used in the repair of prolapse and urinary incontinence in women: which is the ideal material? Int Urogynecol J 14:169–178CrossRef Cosson M, Debodinance P, Boukerrou M, Chauvet MP, Lobry P, Crepin G, Ego A (2003) Mechanical properties of synthetic implants used in the repair of prolapse and urinary incontinence in women: which is the ideal material? Int Urogynecol J 14:169–178CrossRef
Metadaten
Titel
Sequential assessment of urodynamic findings before and after transobturator tape procedure for female urodynamic stress incontinence
verfasst von
Sheng-Mou Hsiao
Bor-Ching Sheu
Ho-Hsiung Lin
Publikationsdatum
01.05.2008
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 5/2008
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-007-0488-4

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