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Transobturator tape for treatment of female stress urinary incontinence: objective and subjective results after a mean follow-up of two years.
Urology. 2007 Apr; 69(4):703-7.U

Abstract

OBJECTIVES

To verify the objective and subjective outcomes of transobturator tape (TOT) in the treatment of female stress urinary incontinence due to urethral hypermobility.

METHODS

A total of 108 consecutive patients with stress urinary incontinence (mean age 58 +/- 4.5 years), who underwent the TOT procedure (43 patients received the ObTape, 55 patients the Monarc, and 10 patients the I-STOP sling) from June 2002 to December 2004, were assessed in December 2005. Before surgery, the patients were evaluated by history, physical examination, stress test, cotton swab test (Q-Tip test), and ultrasonography. After surgery, the compilation of a specific quality-of-life questionnaire was also included. Of the 108 patients, 35 had previously undergone urogynecologic surgery; associated prolapse was repaired simultaneously in 45 patients. The outcomes were analyzed considering five postoperative aspects: obstructive symptoms, irritative symptoms, urinary continence, pain, and satisfaction.

RESULTS

Postoperatively, 74% reported minimal obstructive symptoms, 78.7% had no urge symptoms, and de novo urgency occurred in 14.8%. Objective continence rates were increased significantly (80%), although the subjective rate was significantly greater (92%). Also, 88% of patients reported no pelvic pain, and only 7.3% reported dyspareunia; 88% of patients were significantly satisfied with the TOT procedure. Regarding complications, vaginal erosions were reported, using the ObTape, in 6.4% of patients, sling rejection in 3.8%, and incorrect positioning or sliding of the sling in 6.4%. Morbidity did not seem to be affected by previous or associated surgery.

CONCLUSIONS

The TOT procedure is a simple, safe, and effective technique for the treatment of stress urinary incontinence due to urethral hypermobility. Our data have demonstrated good global success with a low rate of minor complications.

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Authors+Show Affiliations

Giberti C
Department of Nephrourology, Institute of Urology, San Paolo Hospital, Savona, Italy.
Gallo F
No affiliation info available
Cortese P
No affiliation info available
Schenone M
No affiliation info available

MeSH

AdultAgedFemaleFollow-Up StudiesHumansMiddle AgedPatient SatisfactionRetrospective StudiesSuburethral SlingsSurveys and QuestionnairesTime FactorsUrinary Incontinence, Stress

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17445655

Citation

Giberti, Claudio, et al. "Transobturator Tape for Treatment of Female Stress Urinary Incontinence: Objective and Subjective Results After a Mean Follow-up of Two Years." Urology, vol. 69, no. 4, 2007, pp. 703-7.
Giberti C, Gallo F, Cortese P, et al. Transobturator tape for treatment of female stress urinary incontinence: objective and subjective results after a mean follow-up of two years. Urology. 2007;69(4):703-7.
Giberti, C., Gallo, F., Cortese, P., & Schenone, M. (2007). Transobturator tape for treatment of female stress urinary incontinence: objective and subjective results after a mean follow-up of two years. Urology, 69(4), 703-7.
Giberti C, et al. Transobturator Tape for Treatment of Female Stress Urinary Incontinence: Objective and Subjective Results After a Mean Follow-up of Two Years. Urology. 2007;69(4):703-7. PubMed PMID: 17445655.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transobturator tape for treatment of female stress urinary incontinence: objective and subjective results after a mean follow-up of two years. AU - Giberti,Claudio, AU - Gallo,Fabrizio, AU - Cortese,Pierluigi, AU - Schenone,Maurizio, PY - 2006/07/12/received PY - 2006/10/08/revised PY - 2007/01/05/accepted PY - 2007/4/21/pubmed PY - 2007/5/26/medline PY - 2007/4/21/entrez SP - 703 EP - 7 JF - Urology JO - Urology VL - 69 IS - 4 N2 - OBJECTIVES: To verify the objective and subjective outcomes of transobturator tape (TOT) in the treatment of female stress urinary incontinence due to urethral hypermobility. METHODS: A total of 108 consecutive patients with stress urinary incontinence (mean age 58 +/- 4.5 years), who underwent the TOT procedure (43 patients received the ObTape, 55 patients the Monarc, and 10 patients the I-STOP sling) from June 2002 to December 2004, were assessed in December 2005. Before surgery, the patients were evaluated by history, physical examination, stress test, cotton swab test (Q-Tip test), and ultrasonography. After surgery, the compilation of a specific quality-of-life questionnaire was also included. Of the 108 patients, 35 had previously undergone urogynecologic surgery; associated prolapse was repaired simultaneously in 45 patients. The outcomes were analyzed considering five postoperative aspects: obstructive symptoms, irritative symptoms, urinary continence, pain, and satisfaction. RESULTS: Postoperatively, 74% reported minimal obstructive symptoms, 78.7% had no urge symptoms, and de novo urgency occurred in 14.8%. Objective continence rates were increased significantly (80%), although the subjective rate was significantly greater (92%). Also, 88% of patients reported no pelvic pain, and only 7.3% reported dyspareunia; 88% of patients were significantly satisfied with the TOT procedure. Regarding complications, vaginal erosions were reported, using the ObTape, in 6.4% of patients, sling rejection in 3.8%, and incorrect positioning or sliding of the sling in 6.4%. Morbidity did not seem to be affected by previous or associated surgery. CONCLUSIONS: The TOT procedure is a simple, safe, and effective technique for the treatment of stress urinary incontinence due to urethral hypermobility. Our data have demonstrated good global success with a low rate of minor complications. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/17445655/Transobturator_tape_for_treatment_of_female_stress_urinary_incontinence:_objective_and_subjective_results_after_a_mean_follow_up_of_two_years_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(07)00014-3 DB - PRIME DP - Unbound Medicine ER -