nach oben

Archives of Gynecology and Obstetrics

Erschienen in:

01.11.2013 | Review

Minimally invasive techniques for female stress urinary incontinence, how, why, when

verfasst von: Theocharis Tantanasis, Angelos Daniilidis, Athanasios Pantelis, Panagiotis Chatzis, Nikolaos Vrachnis

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2013

Einloggen, um Zugang zu erhalten

Abstract

Aim

The main purpose of this paper is to summarize the recent experience that has been obtained till now in the surgical treatment of urinary stress incontinence with less invasive techniques.

Materials and methods

We used current literature and papers published in MEDLINE and Cochrane library. The keywords used for this review were Stress urinary incontinence, Tension-free vaginal tape (TVT), Transobturator tape (TOT, TVT-O), and Single-incision mini-slings (SIMS).

Results

Tension-free vaginal tape and the transobturator urethral suspension are the most commonly used surgical approach for women who suffer from stress urinary incontinence, with long-term success rates ranging from 84 to 95 %. TVT is shown to be as effective as the older colposuspension, associated with less post-operative complications, shorter hospital stay and shorter recovery period. Bladder perforations that have been mentioned with the TVT inserter apparently do not result in any clinically significant morbidity. Major vascular and bowel injuries have been reported at rates of 0.07 and 0.04 %, respectively. Studies between TVT-O and TOT show equal effectiveness with slightly lower cure rates than TVT group, but TOT had a significant lower risk of bladder and vaginal perforations. There were no significant differences in objective cure rates between ‘inside-out’ and ‘outside-in’ transobturator tapes. Very recently a meta-analysis does not support routine use of SIMS in clinical practice, moreover suggested the retropubic TVT as the preferred choice for the management of stress urinary incontinence due to familiarity, its effectiveness, minimal invasiveness and low complication and morbidity rates as a primary procedure. Similar results have been announced in a randomized control trial in USA.

Conclusions

Certainly, larger randomized clinical trials with longer follow-up about the mentioned techniques are needed to accurately determine the efficacy and safety of the mentioned minimally invasive techniques.

Abrams P, Cardozo I, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardisation of terminology of lower urinary tract function: report from the standardisation subcommittee of the international continence society. Neurourol Urodyn 21:167–178PubMedCrossRef

Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT (2000) Epidemiology and natural history of urinary incontinence. Int Urogynecol J 11:301–319CrossRef

Farrell SC (2003) The Sub-committee on urogynaecology of the society of obstetricians and gynaecologists of Canada. Tension-free vaginal tape (TVT) procedure. SOGC technical update. J Obstet Gynaecol Can 25:692–694PubMed

Petros PE, Ulmstein UI (1990) An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand Suppl 153:7–31PubMedCrossRef

Delorme E (2001) Transobturator urethral suspension: mini invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11:1306–1313PubMed

Neuman M, Shaare-Zedek MC (2007) Training TVT-secur: the first 150 teaching operations. Int Urogynecol J 18:S27CrossRef

Rezapour M, Ulmsten U (2001) Tension-free vaginal tape (TVT) in women with recurrent stress urinary incontinence—a long term follow-up. Int Urogynecol J Pelvic Floor Dysfunct 12(supp l2):S9PubMed

Doo CK, Hong B, Chung BJ, Kim JY, Yung HC, Lee KS et al (2006) Five-year outcomes of the tension free vaginal tape procedure for the treatment of female stress urinary incontinence. Eur Urol 50:333–338PubMedCrossRef

Meschia M, Pifarotti P, Bernasconi F, Guercio E, Maffiolini M, Magatti F (2001) Tension-free vaginal tape: analysis of outcomes and complications in 404 stress incontinence women. Int Urogynecol J Pelvic Floor Dysfunct 12(suppl 2):S24–S27PubMed

10.

Ward KL, Hilton P (2004) A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow up. Am J Obstet Gynecol 190:324–331PubMedCrossRef

11.

Houwert RM, Roovers JP, Venema PL, Bruinse HW, Dijkgraaf MG, Vervest HA (2010) Outcome and complications of retropubic and transobturator midurethral slings translated into surgical therapeutic indices. Am J Obstet Gynecol 202(75):e1–e7PubMed

12.

Merlin T, Arnold E, Petros P, MacTaggart P, Tulloch A, Faulkner K et al (2001) A systematic review of tension-free urethropexy for stress urinary incontinence: intravaginal slingplasty and the tension-free vaginal tape procedures. BJU Int 88:871–880PubMedCrossRef

13.

Segal JL, Vassallo BJ, Kleeman SD, Hungler M, Karram MM (2006) The efficacy of the tension-free vaginal tape in the treatment of five subtypes of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 17:120–124PubMedCrossRef

14.

Clemons JL, LaSala CA (2007) The tension-free vaginal tape in women with a non-hypermobile urethra and low maximum urethral closure pressure. Int Urogynecol J Pelvic Floor Dysfunct 18:727–732PubMedCrossRef

15.

Bai SW, Jung YH, Jeon MJ, da Jung J, Kim SK, Kim JW (2007) Treatment outcome of tension-free vaginal tape in stress urinary incontinence: comparison of intrinsic sphincter deficiency and non-intrinsic sphincter deficiency patients. Int Urogynecol J Pelvic Floor Dysfunct 18:1431–1434PubMedCrossRef

16.

Liapis A, Bakas P, Creatsas G (2008) Long-term efficacy of tension-free vaginal tape in the management of stress urinary incontinence in women: efficacy at 5- and 7-year follow-up. Int Urogynecol J Pelvic Floor Dysfunct 19:1509–1512PubMedCrossRef

17.

Nilsson CG, Palva K, Rezapour M, Falconer C (2008) Eleven years prospective follow up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:1043–1047PubMedCrossRef

18.

Ward KL, Hilton P (2004) UK and Ireland TVT trial group. A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two year follow up. Am J Obstet Gynecol 190: 324–331

19.

Ward KL, Hilton P; UK and Ireland TVT trial group. Tension-free vaginal tape versus colposuspension for primary urodynamic stress incontinence: 5-year follow-up. BJOG 115: 226–233

20.

Delmas V (2005) Anatomical risks of transobturator suburethral tape in the treatment of female stress urinary incontinence. Eur Urol 48:793–798PubMedCrossRef

21.

Moore RD, Serels SR, Davila GW, Settle P (2009) Minimally invasive treatment for female Stress Urinary Incontinence (SUI): a review including TVT, TOT, and Mini-Sling. Surg Technol Int 18:157–173PubMed

22.

Novara G, Artibani W, Barber MD, Chapple CR, Constantini E, Ficcara V et al (2010) Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and mid-urethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol 58:218–238PubMedCrossRef

23.

Long CY, Hsu CS, Wu MP, Liu CM, Wang TN, Tsai EM (2009) Comparison of tension—free vaginal tape and transobturator tape procedure for the treatment of stress urinary incontinence. Curr Opin Obstet Gynecol 21:342–347PubMedCrossRef

24.

Porena M, Constantini E, Frea B, Giannantoni A, Ranzoni S, Mearini E et al (2007) Tension-free vaginal tape versus transobturator tape as a surgery for stress urinary incontinence: results from a multicentre randomized trial. Eur Urol 52:1481–1490PubMedCrossRef

25.

Haliloglou B, Karateke A, Coksuer H, Peker H, Cam C (2010) The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow up. Int Urogynecol J 21:173–178CrossRef

26.

Tomoe H, Kato K, Oquchi N, Takei M, Sekiquchi Y, Yoshimura Y (2010) Surgical treatment of female stress urinary incontinence with transobturator tape (Monarc): short—term results of a prospective multicenter study. J Obstet Gynecol Res 36:1064–1070CrossRef

27.

Lee KS, Choo MS, Lee YS, Han JY, Kim JY, Jung BJ et al (2008) Prospective comparison of the ‘inside out’ and ‘inside in’ transobturator-tape procedures for the treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:577–582PubMedCrossRef

28.

Abdel-Fattah M, Ramsay I, Pringle S, Hardwick C, Ali H, Young D et al (2011) Evaluation of transobturator tension-free vaginal tapes in management of women with recurrent stress urinary incontinence. Urology 77:1070–1075PubMedCrossRef

29.

Cho MK, Kim CH, Kanq WD, Kim JW, Kim SM, Kim YH (2011) Complications following outside-in and inside-out transobturator tape procedures with concomitant gynecologic operations. Chonnam Med J 47:165–169PubMedCrossRef

30.

Latthe PM, Singh P, Foon R, Toozs-Hobson P (2010) Two routes of transobturator tape procedures in stress urinary incontinence: a meta-analysis with direct and indirect comparison of randomized trials. BJU Int 106:68–76PubMedCrossRef

31.

Zahn CM, Siddique S, Hernandez S, Lockrow EG (2007) Anatomic comparison of two transobturator tape procedures. Obstet Gynecol 109:701–706PubMedCrossRef

32.

Roumequere T, Quackels T, Bollens R, de Groote a, Zlotta A, Bossche MV et al. (2005) Trans-obturator vaginal tape (TOT) for female stress incontinence: one year follow up in 120 patients. Eur Urol 48: 805–809

33.

Giberti C, Gallo F, Cortese P, Schenone M (2007) Transobturator tape for treatment of female stress urinary incontinence: objective and subjective results after a mean follow-up of two years. Urology 69:703–707PubMedCrossRef

34.

Juma S, Brito CG (2007) Transobturator tape (TOT): two years follow-up. Neurourol Urodyn 26:37–41PubMedCrossRef

35.

Waltregny D, de Leval J (2009) The TVT-Obturator surgical procedure for the treatment of female stress urinary incontinence: a clinical update. Int Urogynecol J Pelvic Floor Dysfunct 20:337–348PubMedCrossRef

36.

Abdel-Fattah M, Mostafa A, Familusi A, Ramsay I, N’Dow J (2012) Prospective randomized controlled trial of transobturator tapes of urodynamic stres incontinence in women : 3-year outcomes from the evaluation of transobturator tapes study. Eur Urol 62:843–851PubMedCrossRef

37.

Abdel-Fattah M, Ford JA, Lim CP, Madhuvrata P (2011) Single-incision mini-slings versus standard midurethral slings in surgical management of female stress urinary incontinence: a meta-analysis of effectiveness and complications. Eur Urol 60:468–480PubMedCrossRef

38.

Barber MD, Weidner AC, Sokol AI, Amudsen CL, Jelovsek JE, Karram MM et al (2012) Obstet Gynecol 119:328–337PubMedCrossRef

39.

Oliveira R, Botelho F, Silva P, Resende A, Silva C, Dinis P et al (2011) Exploratory study assessing efficacy and complications of TVT-O, TVT-Secur and Mini-Arc: results at 12-month follow-up. Eur Urol 59:940–944PubMedCrossRef

40.

Wang YJ, Li FP, Wang Q, Yang S, Cai XG, Chen YH (2011) Comparison of three mid-urethral tension-free tapes (TVT, TVT-O and TVT-secur) in the treatment of female stress urinary incontinence: 1-year follow-up. Int Urogynecol J 22:1369–1374PubMedCrossRef

41.

Pickens RB, Klein FA, Mobley JD, White WM (2011) Single incision mid-urethral sling for treatment of female stress urinary incontinence. Urology 77:321–324PubMedCrossRef

42.

Kennelly MJ, Moore R, Nquyen JN, Lubkan JC, Siegel S (2010) Prospective evaluation of a single-incision sling for stress urinary incontinence. J Urol 184:604–609PubMedCrossRef

43.

Moore RD, Mitchell GK, Miklos JR (2009) Single-centre retrospective study of the technique, safety, and 12-month efficacy of the MiniArc single-incision sling: a new minimally invasive procedure for treatment of female SUI. Surg Technol Int. 18:175–181PubMed

44.

Moore RD, De Ridder D, Kennelly MJ (2013) Two-year evaluation of the MiniArc in obese versus non-obese patients for treatment of stress urinary incontinence. Int J Urol 20:434–440PubMedCrossRef

45.

Naumann G, Haqemeier T, Zachmann S, Al-Ani A, Albrich S, Skala C et al (2013) Long-term outcomes of the Ajust Adjustable Single-incision Sling for the treatment of stress urinary incontinence. Int Urogynecol J 24:231–239PubMedCrossRef

46.

Basu M (2013) Duckett J. Three-year results from a randomised trial of a retropubic mid-urethral sling versus the MiniArc single incision sling for stress urinary incontinence, Int Urogynecol J

47.

Barber MD, Kleeman S, Karram MM, Paraiso MF, Ellerkman M, Vasavada S et al (2008) Risk factors associated with failure 1 year after retropubic and transobturator midurethral slings. Am J Obstet Gynecol 199:e1–e7CrossRef

48.

Hsiao SM, Chanq TC, Lin HH (2009) Risk factors affecting cure after mid-urethral tape procedure for female urodynamic stress incontinence: comparison of retropubic and transobturator routes. Urology 73:981–986PubMedCrossRef

49.

Houwert RM, Venema PL, Aquarius AE, Bruinse HW, Roovers JP, Vervest HA (2009) Risk factors for failure of retropubic and transobturator midurethral slings. Am J Obstet Gynecol 202:e1–e8PubMed

Titel: Minimally invasive techniques for female stress urinary incontinence, how, why, when
verfasst von: Theocharis Tantanasis
Angelos Daniilidis
Athanasios Pantelis
Panagiotis Chatzis
Nikolaos Vrachnis
Publikationsdatum: 01.11.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 5/2013
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-013-3024-4

Update Gynäkologie

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

Newsletter bestellen

Springer Medizin

Minimally invasive techniques for female stress urinary incontinence, how, why, when

Abstract