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Tension-free transobturator tape procedure for stress urinary incontinence.
Curr Opin Obstet Gynecol. 2006 Oct; 18(5):567-74.CO

Abstract

PURPOSE OF REVIEW

Recent data on the tension-free transobturator tape procedure for the treatment of female stress urinary incontinence are reviewed.

RECENT FINDINGS

Although long-term data are not available, the effectiveness and safety of the tension-free transobturator tape procedure as reported during the past 5 years are very promising and this procedure is becoming a popular surgical treatment for female stress urinary incontinence. The continence rates obtained have been similar to those obtained using the retropubic tension-free vaginal tape on short-term follow-up. Clinical data as well as studies on cadaveric dissections suggest that complication rates can be decreased significantly with the transobturator approach. In the original tension-free transobturator tape procedure, the tape is inserted through the obturator foramen from the outside-to-inside direction (skin incision to vaginal incision). The inside-to-outside approach with passage of the tape from the vaginal incision to the obturator foramen has also been described.

SUMMARY

The tension-free transobturator tape procedure provides a useful alternative to the retropubic tension-free vaginal tape approach while maintaining the principles of tension-free midurethral support. By avoiding the intrapelvic and retropubic passage, complications can be decreased. The effectiveness of this approach is similar to that of tension-free vaginal tape on short-term follow-up.

Authors+Show Affiliations

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Harbor - UCLA Medical Center, David Geffen School of Medicine, University of California, Los Angeles, CA 90509-2910, USA. mho@obgyn.humc.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16932054

Citation

Ho, Mat H., et al. "Tension-free Transobturator Tape Procedure for Stress Urinary Incontinence." Current Opinion in Obstetrics & Gynecology, vol. 18, no. 5, 2006, pp. 567-74.
Ho MH, Lin LL, Haessler AL, et al. Tension-free transobturator tape procedure for stress urinary incontinence. Curr Opin Obstet Gynecol. 2006;18(5):567-74.
Ho, M. H., Lin, L. L., Haessler, A. L., & Bhatia, N. N. (2006). Tension-free transobturator tape procedure for stress urinary incontinence. Current Opinion in Obstetrics & Gynecology, 18(5), 567-74.
Ho MH, et al. Tension-free Transobturator Tape Procedure for Stress Urinary Incontinence. Curr Opin Obstet Gynecol. 2006;18(5):567-74. PubMed PMID: 16932054.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tension-free transobturator tape procedure for stress urinary incontinence. AU - Ho,Mat H, AU - Lin,Lawrence L, AU - Haessler,Alexandra L, AU - Bhatia,Narender N, PY - 2006/8/26/pubmed PY - 2007/7/13/medline PY - 2006/8/26/entrez SP - 567 EP - 74 JF - Current opinion in obstetrics & gynecology JO - Curr Opin Obstet Gynecol VL - 18 IS - 5 N2 - PURPOSE OF REVIEW: Recent data on the tension-free transobturator tape procedure for the treatment of female stress urinary incontinence are reviewed. RECENT FINDINGS: Although long-term data are not available, the effectiveness and safety of the tension-free transobturator tape procedure as reported during the past 5 years are very promising and this procedure is becoming a popular surgical treatment for female stress urinary incontinence. The continence rates obtained have been similar to those obtained using the retropubic tension-free vaginal tape on short-term follow-up. Clinical data as well as studies on cadaveric dissections suggest that complication rates can be decreased significantly with the transobturator approach. In the original tension-free transobturator tape procedure, the tape is inserted through the obturator foramen from the outside-to-inside direction (skin incision to vaginal incision). The inside-to-outside approach with passage of the tape from the vaginal incision to the obturator foramen has also been described. SUMMARY: The tension-free transobturator tape procedure provides a useful alternative to the retropubic tension-free vaginal tape approach while maintaining the principles of tension-free midurethral support. By avoiding the intrapelvic and retropubic passage, complications can be decreased. The effectiveness of this approach is similar to that of tension-free vaginal tape on short-term follow-up. SN - 1040-872X UR - https://www.unboundmedicine.com/medline/citation/16932054/Tension_free_transobturator_tape_procedure_for_stress_urinary_incontinence_ L2 - https://doi.org/10.1097/01.gco.0000242962.48114.6b DB - PRIME DP - Unbound Medicine ER -