Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2009 Sep 25:9:28.
doi: 10.1186/1472-6874-9-28.

Complications associated with transobturator sling procedures: analysis of 233 consecutive cases with a 27 months follow-up

Isabelle Kaelin-Gambirasio  1 , Sandrine Jacob, Michel Boulvain, Jean-Bernard Dubuisson, Patrick Dällenbach
Affiliations
Comparative Study

Complications associated with transobturator sling procedures: analysis of 233 consecutive cases with a 27 months follow-up

Isabelle Kaelin-Gambirasio et al. BMC Womens Health. .

Abstract

Background: The transobturator tape procedure (TOT) is an effective surgical treatment of female stress urinary incontinence. However data concerning safety are rare, follow-up is often less than two years, and complications are probably underreported. The aim of this study was to describe early and late complications associated with TOT procedures and identify risk factors for erosions.

Methods: It was a 27 months follow-up of a cohort of 233 women who underwent TOT with three different types of slings (Aris, Obtape, TVT-O). Follow-up information was available for 225 (96.6%) women.

Results: There were few per operative complications. Forty-eight women (21.3%) reported late complications including de novo or worsening of preexisting urgencies (10.2%), perineal pain (2.2%), de novo dyspareunia (9%), and vaginal erosion (7.6%). The risk of erosion significantly differed between the three types of slings and was 4%, 17% and 0% for Aris, Obtape and TVT-O respectively (P = 0.001). The overall proportion of women satisfied by the procedure was 72.1%. The percentage of women satisfied was significantly lower in women who experienced erosion (29.4%) compared to women who did not (78.4%) (RR 0.14, 95% CI 0.05-0.38, P < 0.001).

Conclusion: Late post operative complications are relatively frequent after TOT and can impair patient's satisfaction. Women should be informed of these potential complications preoperatively and require careful follow-up after the procedure. Choice of the safest sling material is crucial as it is a risk factor for erosion.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Survival analysis comparing Aris®, Obtape® ant TVT-O® slings for the occurrence of vaginal erosion.
See this image and copyright information in PMC

References

    1. Hunskaar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in four European countries. BJU Int. 2004;93:324–330. doi: 10.1111/j.1464-410X.2003.04609.x. - DOI - PubMed
    1. Ulmsten U, Petros P. Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol. 1995;29:75–82. - PubMed
    1. Kuuva N, Nilsson CG. A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand. 2002;81:72–77. doi: 10.1034/j.1600-0412.2002.810113.x. - DOI - PubMed
    1. Delorme E. [Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women] Prog Urol. 2001;11:1306–1313. - PubMed
    1. de Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol. 2003;44:724–730. doi: 10.1016/j.eururo.2003.09.003. - DOI - PubMed

Publication types

MeSH terms