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Transobturator tape sling for female stress incontinence with polypropylene tape and outside-in procedure: prospective study with 1 year of minimal follow-up and review of transobturator tape sling.
Urology. 2006 Oct; 68(4):759-63.U

Abstract

OBJECTIVES

To assess the efficacy and safety of a minimally invasive surgical procedure using a polypropylene transobturator tape to treat female stress urinary incontinence during a minimal follow-up of 1 year and to present a review of this technique.

METHODS

A total of 206 women with stress urinary incontinence who underwent the transobturator tape procedure in a French multicenter prospective open tracker study, with a minimal follow-up of 1 year (range 12 to 33 months), were assessed. A nonelastic, polypropylene tape was placed under the mid-urethra. The surgical placement technique used a vaginal and transobturator percutaneous approach. Postoperative assessments included clinical examination, cough-stress test (full bladder), uroflowmetry, and postvoid residual urine volume performed after 1, 6, 12, 18, and 24 months.

RESULTS

The mean follow-up was 16 months (range 12 to 33). Of the 206 patients, 79.1% were completely cured, 13% improved, and 7% failed. No vascular, nervous system, or digestive perioperative complications were observed; however, 2.4% of the patients had postoperative urinary retention.

CONCLUSIONS

The results of the present study have confirmed the optimal results in stress incontinence previously reported in short-term studies. These results suggest that the transobturator tape procedure is a valuable alternative to the transvaginal tape procedure, with a low rate of complications.

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Publisher Full Text

Authors+Show Affiliations

Grise P
Department of Urology, Rouen University Hospital, Rouen, France.
Droupy S
No affiliation info available
Saussine C
No affiliation info available
Ballanger P
No affiliation info available
Monneins F
No affiliation info available
Hermieu JF
No affiliation info available
Serment G
No affiliation info available
Costa P
No affiliation info available

MeSH

AdultBiocompatible MaterialsFemaleFollow-Up StudiesHumansMinimally Invasive Surgical ProceduresPolypropylenesProspective StudiesTreatment OutcomeUrinary Incontinence, StressUrodynamicsUrologic Surgical Procedures

Pub Type(s)

Clinical Conference
Journal Article
Multicenter Study

Language

eng

PubMed ID

17070348

Citation

Grise, Philippe, et al. "Transobturator Tape Sling for Female Stress Incontinence With Polypropylene Tape and Outside-in Procedure: Prospective Study With 1 Year of Minimal Follow-up and Review of Transobturator Tape Sling." Urology, vol. 68, no. 4, 2006, pp. 759-63.
Grise P, Droupy S, Saussine C, et al. Transobturator tape sling for female stress incontinence with polypropylene tape and outside-in procedure: prospective study with 1 year of minimal follow-up and review of transobturator tape sling. Urology. 2006;68(4):759-63.
Grise, P., Droupy, S., Saussine, C., Ballanger, P., Monneins, F., Hermieu, J. F., Serment, G., & Costa, P. (2006). Transobturator tape sling for female stress incontinence with polypropylene tape and outside-in procedure: prospective study with 1 year of minimal follow-up and review of transobturator tape sling. Urology, 68(4), 759-63.
Grise P, et al. Transobturator Tape Sling for Female Stress Incontinence With Polypropylene Tape and Outside-in Procedure: Prospective Study With 1 Year of Minimal Follow-up and Review of Transobturator Tape Sling. Urology. 2006;68(4):759-63. PubMed PMID: 17070348.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transobturator tape sling for female stress incontinence with polypropylene tape and outside-in procedure: prospective study with 1 year of minimal follow-up and review of transobturator tape sling. AU - Grise,Philippe, AU - Droupy,Stephane, AU - Saussine,Christian, AU - Ballanger,Philippe, AU - Monneins,Francois, AU - Hermieu,Jean Francois, AU - Serment,Gerard, AU - Costa,Pierre, PY - 2005/12/26/received PY - 2006/03/12/revised PY - 2006/04/21/accepted PY - 2006/10/31/pubmed PY - 2006/11/10/medline PY - 2006/10/31/entrez SP - 759 EP - 63 JF - Urology JO - Urology VL - 68 IS - 4 N2 - OBJECTIVES: To assess the efficacy and safety of a minimally invasive surgical procedure using a polypropylene transobturator tape to treat female stress urinary incontinence during a minimal follow-up of 1 year and to present a review of this technique. METHODS: A total of 206 women with stress urinary incontinence who underwent the transobturator tape procedure in a French multicenter prospective open tracker study, with a minimal follow-up of 1 year (range 12 to 33 months), were assessed. A nonelastic, polypropylene tape was placed under the mid-urethra. The surgical placement technique used a vaginal and transobturator percutaneous approach. Postoperative assessments included clinical examination, cough-stress test (full bladder), uroflowmetry, and postvoid residual urine volume performed after 1, 6, 12, 18, and 24 months. RESULTS: The mean follow-up was 16 months (range 12 to 33). Of the 206 patients, 79.1% were completely cured, 13% improved, and 7% failed. No vascular, nervous system, or digestive perioperative complications were observed; however, 2.4% of the patients had postoperative urinary retention. CONCLUSIONS: The results of the present study have confirmed the optimal results in stress incontinence previously reported in short-term studies. These results suggest that the transobturator tape procedure is a valuable alternative to the transvaginal tape procedure, with a low rate of complications. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/17070348/Transobturator_tape_sling_for_female_stress_incontinence_with_polypropylene_tape_and_outside_in_procedure:_prospective_study_with_1_year_of_minimal_follow_up_and_review_of_transobturator_tape_sling_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(06)00611-X DB - PRIME DP - Unbound Medicine ER -