nach oben

International Urogynecology Journal

Erschienen in:

01.08.2010 | Original Article

TOT for treatment of stress urinary incontinence: how should we assess its equivalence with TVT?

verfasst von: Ahmed S. EL-Hefnawy, Bassem S. Wadie, Mohsen El Mekresh, Adel Nabeeh, Mahmoud A. Bazeed

Erschienen in: International Urogynecology Journal | Ausgabe 8/2010

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

Synthetic mid-urethral slings are currently considered the treatment of choice for stress urinary incontinence (SUI). In this study, two types of slings are compared: TVT vs. TOT.

Methods

In a prospective randomized study, 40 patients underwent either TVT (19 patients) or TOT (21 patients). Stress-specific and overall success was evaluated. Perioperative complications were classified according to Clavien’s classification.

Results

Mean duration of follow-up was 20 months. At last follow-up, stress-specific success rate was 94.6% in TVT vs. 81% in TOT. No significant difference was detected in terms of post-void residual urine, symptom score, and filling and voiding parameters. Thigh pain represented the main complication in the TOT group.

Conclusions

Both TVT and TOT are effective procedures for treatment of SUI. When compared to each other, TOT seems to be inferior to TVT in terms of efficacy, causing less serious complications.

Nur mit Berechtigung zugänglich

Ulmsten U, Henrixsson L, Johnson P, Morrows V, Arhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 7:81–86CrossRef

Tsivian A, Mogutin B, Kessler O, Korczak D, Levin S, Sidi AA (2004) Tension-freevaginal tape procedure for the treatment of female stress urinary incontinence: long-term results. J Urol 172:998–1000CrossRefPubMed

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

Song PH, Kim YD, Kim HT, Lim HS, Hyun CH, Seo JH, Yoo ES, Park CH, Jung HC, Gomelsky A (2009) The 7-year outcome of the tension-free vaginal tape procedure for treating female stress urinary incontinence. BJU Int 104:1113–1117CrossRefPubMed

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

Latthe PM, Foon R, Toozs H (2007) Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. BJOG 114:522–531CrossRefPubMed

Latthe PM (2008) Review of transobturator and retropubic tape procedures for stress urinary incontinence. Curr Opin Obstet Gynecol 20:331–336CrossRefPubMed

Laurikainen E, Valpas A, Kivelä A, Kalliola T, Rinne K, Takala T, Nilsson CG (2007) Retropubic compared with transobturator tape placement in treatment of urinary incontinence: a randomized controlled trial. Obstet Gynecol 109:4–11PubMed

Rapp DE, Kobashi KC (2008) Outcomes following sling surgery: importance of definition of success. J Urol 88:998–1002CrossRef

10.

Daneshgari F, Kong W, Swartz M (2008) Complications of mid urethral slings: important outcomes for future clinical trials. J Urol 180:1890–1897CrossRefPubMed

11.

Toe R, Moran P, Mayne C, Tincello D (2008) Randomized trials of TVT and TVT-O for the treatment of stress urinary incontinence in women. Neurourol Urodyn 27:572–573

12.

Abdel-Fattah M, Ramsay I, Pringle S (2006) Lower urinary tract injuries after transobturator tape insertion by different routes: a large retrospective study. BJOG 113:1377–1381CrossRefPubMed

13.

Dindo D, Demartines N, Clavien P (2004) Classification of surgical complication. A new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213CrossRefPubMed

14.

Baden WF, Walker TA, Lindsey JH (1968) The vagina profile. Tex Med 64:56–58PubMed

15.

Schafer W, Abrams P, Liao L et al (2002) Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flowstudies. Neurourol Urodyn 21:261–274CrossRefPubMed

16.

Abrams P, Cardozo L, Fall M et al (2002) The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the international continence society. Neurourol Urodyn 21:167–178CrossRefPubMed

17.

Groutz A, Blaivas JG, Rosenthal JE (2000) A simplified urinary incontinence score for the evaluation of treatment outcomes. Neurourol Urodyn 19:127–135CrossRefPubMed

18.

Tubaro A, Artibani A, Bartram C, et al (2005). Imaging and other investigations.In: Abrams P, Cardozo L, Khoury S, Wein A, ed. Incontinence (Edition 2005) 3rd International Consultation on Incontinence, Health Publications; PP: 707–797.

19.

Lose G, Ostergard DR (1999) Medical technology assessment and surgery for stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 10(6):351–352CrossRefPubMed

20.

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(4):342–347CrossRefPubMed

21.

Latthe PM, Singh P, Foon R, Toozs-Hobson P (2009) Two routes of transobturator tape procedures in stress urinary incontinence: a meta-analysis with direct and indirect comparison of randomized trials. BJU Int. [Epub ahead of print]. doi:10.1111/j.1464-410X.2009.09051.x

22.

Muir TW, Tulikangas PK, Fidela Paraiso M, Walters MD (2003) The relationship of tension-free vaginal tape insertion and the vascular anatomy. Obstet Gynecol 101:933–936CrossRefPubMed

23.

Zugor V, Labanaris AP, Rezaei-Jafari MR, Hammerer P, Dembowski J, Witt J, Wucherpfennig W (2010) TVT vs. TOT: a comparison in terms of continence results, complications and quality of life after a median follow-up of 48 months. Int Urol Nephrol. [Epub ahead of print]. doi:10.1007/s11255-010-9708-9.

24.

Krofta L, Feyereisl J, Otcenásek M, Velebil P, Kasíková E, Krcmár M (2010) TVT and TVT-O for surgical treatment of primary stress urinary incontinence: prospective randomized trial. Int Urogynecol J Pelvic Floor Dysfunct 21(2):141–148CrossRefPubMed

25.

De Tayrac R, Deffieux X, Resten A, Doumerc S, Jouffroy C, Fernandez H (2006) A transvaginal ultrasound study comparing transobturator tape and tension-free vaginal tape after surgical treatment of female stress urinary incontinence. Int Urogynecol J 17:466–471CrossRef

26.

Chene G, Cotte B, Tardieu AS, Savary D, Mansoor A (2008) Clinical and ultrasonographic correlations following three surgical anti-incontinence procedures (TOT, TVT and TVT-O). Int Urogynecol J Pelvic Floor Dysfunct 19:1125–1131CrossRefPubMed

27.

Ternent L, Vale L, Buckley B, Glazener C (2009) Measuring outcomes of importance to women with stress urinary incontinence. BJOG 116:719–725CrossRefPubMed

28.

Ogah J, Cody JD, Rogerson L (2009) Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 7;(4):CD006375.

Titel: TOT for treatment of stress urinary incontinence: how should we assess its equivalence with TVT?
verfasst von: Ahmed S. EL-Hefnawy
Bassem S. Wadie
Mohsen El Mekresh
Adel Nabeeh
Mahmoud A. Bazeed
Publikationsdatum: 01.08.2010
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 8/2010
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1138-9

Neu im Fachgebiet Gynäkologie und Geburtshilfe

23.04.2024 | Medikamente in Schwangerschaft und Stillzeit | Nachrichten

Update Gynäkologie

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

Newsletter bestellen

Springer Medizin

TOT for treatment of stress urinary incontinence: how should we assess its equivalence with TVT?

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

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

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie

Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2010

Body image in women before and after reconstructive surgery for pelvic organ prolapse

Three-dimensional ultrasound imaging for diagnosis of urethrovaginal fistula

Erratum to: Analysis of early outcome: Burch procedure versus pubovaginal sling

P-QOL questionnaire in Thai version: response to comments by Wiwanitkit

P-QOL questionnaire in Thai version

Urge incontinence: estimating environmental and obstetrical risk factors using an identical twin study

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

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

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie