Transobturator Tape in Treatment of Stress Urinary Incontinence: It is Time for a New Gold Standard
- PMID: 22655282
- PMCID: PMC3359434
- DOI: 10.4103/1947-2714.95905
Transobturator Tape in Treatment of Stress Urinary Incontinence: It is Time for a New Gold Standard
Abstract
Background: Stress urinary incontinence (SUI) can significantly impair the quality of life. A variety of treatments, both medical and surgical, have been used to manage it. The transobturator sling, which is a subfascial sling, is relatively a new surgical technique with minimal access.
Aim: The objective of this study was to evaluate the effectiveness of transobturator tape (TOT) in the treatment of female SUI and to analyze functional results.
Materials and methods: A total of 59 patients were applied TOT by outside-in technique and various outcome parameters recorded. These patients were followed up 6 months after surgery.
Results: Success rate of TOT was 93.2% (95% CI: 86.4-99.5). A total of 51 patients (86.4%) were completely satisfied, whereas 4 (6.8%) were partially satisfied and 4 were unsatisfied with surgical outcome. The procedure-related complications were few and could be managed in the same sitting.
Conclusion: The transobturator approach is an effective treatment of SUI with low morbidity, and it has all the potential to be the new Gold Standard in the treatment of female SUI.
Keywords: Stress urinary incontinence; sling; transobturator tape.
Conflict of interest statement
References
-
- Hampel C, Weinhold D, Benken N Eggersmann C, Thuroff JW. Definition of overactive bladder and epidemiology of urinary incontinence. Urology. 1997;50:4. - PubMed
-
- Hampel C, Artibani W, Espuña Pons M, Haab F, Jackson S, Romero J, et al. Understanding the burden of stress urinary incontinence in Europe: A qualitative review of the literature. Eur Urol. 2004;46:15. - PubMed
-
- Nickel RF, Wiegand U, Brom WV. Evaluation of a transpelvic sling procedure with and without colposuspension for treatment of female dogs with refractory urethral sphincter mechanism incompetence. Vet Surg. 1998;27:94–104. - PubMed
-
- Delorme E. Transobturator urethral suspension: Mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol. 2001;11:1306–13. - PubMed
LinkOut - more resources
Full Text Sources
