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Inside out transobturator vaginal tape for the treatment of female stress urinary incontinence: interim results of a prospective study after a 1-year minimum followup.
J Urol. 2006 Jun; 175(6):2191-5.JU

Abstract

PURPOSE

We analyzed the results of a prospective, observational trial designed to assess the safety and efficacy of the TVT-O procedure for female SUI.

MATERIALS AND METHODS

Preoperative and postoperative evaluations included physical examination, and urinary symptom and quality of life scale questionnaires.

RESULTS

Between March 2003 and December 2004, 253 patients with clinical and urodynamic diagnoses of SUI who fulfilled inclusion and exclusion criteria were enrolled in the trial and underwent the TVT-O procedure. No significant intraoperative complications were observed. One-year minimum followup was available on 99 of the initial 102 patients, of whom 16 had undergone concomitant pelvic organ prolapse surgical treatment. The SUI complete cure rate was 91%. No patient had vaginal or urethral erosion. Four patients required tape release or section. Frequency and urge symptoms improved after the operation (p <0.001). The severity of obstructive symptoms slightly increased postoperatively in the group of patients who did not undergo associated pelvic organ prolapse treatment (p <0.05), while maximum flow rates somewhat decreased (p <0.001) and post-void residual urine volumes somewhat increased (p <0.005). Most patients reported a significant decrease in incontinence severity and improvement in quality of life (p <0.0001).

CONCLUSIONS

The results of this study, which suggest that the TVT-O procedure is a safe and efficient surgical treatment for female SUI, warrant further comparative evaluation of this procedure with retropubic and outside in transobturator approaches in appropriately designed, prospective, randomized trials.

Authors+Show Affiliations

Department of Urology, University Hospital of Liège, Liège, Belgium.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

16697838

Citation

Waltregny, David, et al. "Inside Out Transobturator Vaginal Tape for the Treatment of Female Stress Urinary Incontinence: Interim Results of a Prospective Study After a 1-year Minimum Followup." The Journal of Urology, vol. 175, no. 6, 2006, pp. 2191-5.
Waltregny D, Reul O, Mathantu B, et al. Inside out transobturator vaginal tape for the treatment of female stress urinary incontinence: interim results of a prospective study after a 1-year minimum followup. J Urol. 2006;175(6):2191-5.
Waltregny, D., Reul, O., Mathantu, B., Gaspar, Y., Bonnet, P., & de Leval, J. (2006). Inside out transobturator vaginal tape for the treatment of female stress urinary incontinence: interim results of a prospective study after a 1-year minimum followup. The Journal of Urology, 175(6), 2191-5.
Waltregny D, et al. Inside Out Transobturator Vaginal Tape for the Treatment of Female Stress Urinary Incontinence: Interim Results of a Prospective Study After a 1-year Minimum Followup. J Urol. 2006;175(6):2191-5. PubMed PMID: 16697838.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inside out transobturator vaginal tape for the treatment of female stress urinary incontinence: interim results of a prospective study after a 1-year minimum followup. AU - Waltregny,David, AU - Reul,Olivier, AU - Mathantu,Balombi, AU - Gaspar,Yves, AU - Bonnet,Pierre, AU - de Leval,Jean, PY - 2005/07/04/received PY - 2006/5/16/pubmed PY - 2006/7/26/medline PY - 2006/5/16/entrez SP - 2191 EP - 5 JF - The Journal of urology JO - J Urol VL - 175 IS - 6 N2 - PURPOSE: We analyzed the results of a prospective, observational trial designed to assess the safety and efficacy of the TVT-O procedure for female SUI. MATERIALS AND METHODS: Preoperative and postoperative evaluations included physical examination, and urinary symptom and quality of life scale questionnaires. RESULTS: Between March 2003 and December 2004, 253 patients with clinical and urodynamic diagnoses of SUI who fulfilled inclusion and exclusion criteria were enrolled in the trial and underwent the TVT-O procedure. No significant intraoperative complications were observed. One-year minimum followup was available on 99 of the initial 102 patients, of whom 16 had undergone concomitant pelvic organ prolapse surgical treatment. The SUI complete cure rate was 91%. No patient had vaginal or urethral erosion. Four patients required tape release or section. Frequency and urge symptoms improved after the operation (p <0.001). The severity of obstructive symptoms slightly increased postoperatively in the group of patients who did not undergo associated pelvic organ prolapse treatment (p <0.05), while maximum flow rates somewhat decreased (p <0.001) and post-void residual urine volumes somewhat increased (p <0.005). Most patients reported a significant decrease in incontinence severity and improvement in quality of life (p <0.0001). CONCLUSIONS: The results of this study, which suggest that the TVT-O procedure is a safe and efficient surgical treatment for female SUI, warrant further comparative evaluation of this procedure with retropubic and outside in transobturator approaches in appropriately designed, prospective, randomized trials. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/16697838/Inside_out_transobturator_vaginal_tape_for_the_treatment_of_female_stress_urinary_incontinence:_interim_results_of_a_prospective_study_after_a_1_year_minimum_followup_ L2 - https://www.jurology.com/doi/10.1016/S0022-5347(06)00277-1?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -