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[Surgical treatment for female stress urinary incontinence by transobturator tape (outside in). Study of 70 cases].
J Gynecol Obstet Biol Reprod (Paris). 2007 Sep; 36(5):451-8.JG

Abstract

OBJECTIVES

To evaluate the feasibility, the efficacy and the innocuousness of suburethral transobturator support using multifilament polypropylene transobturator tape (TOT) inside out for stress urinary incontinence in women.

MATERIALS AND METHODS

The study concerns 70 patients representing our team's first experience of this technique. The inclusion criterion was persistent SUI despite perineal rehabilitation. There were no exclusion criteria. Among the 70 patients, 22 (31%) presented with associated genital prolapse. Mean parity was 2.6 (extremes ranging from 0 to 6). Thirty-five patients were menopaused (50%), of whom 12 (34%) were under hormone replacement therapy. We retained five judgement criteria to evaluate this surgical act: duration of surgery and hospitalisation, per- and postoperative complications and functional results on SUI (via a telephone questionnaire).

RESULTS

The rate of positive results (healing or improvement) was 84% with a mean follow-up of 14.5 months. The rate of peroperative complications was very low: 1.4% (only one case of bladder injury). The mean duration of surgery was 23 minutes. The mean duration of hospitalisation in the case of isolated TOT was 1.25 days.

CONCLUSION

The transobturator approach is a feasible, safe and efficient short-term surgical technique. Results inferior to those observed in the literature are probably due to the learning curve in a university hospital unit. None of the preoperative data (age, parity, body mass index, history of SUI treatment or hysterectomy, hormonal status, associated prolapse, mean urethral closure pressure, clinical vesical hyperactivity syndrome) appears to influence results; however, the study strength is poor due to the small study population.

Authors+Show Affiliations

Service de gynécologie-obstétrique et médecine de la reproduction, centre hospitalier universitaire, avenue Georges-Clemenceau, 14033 Caen cedex, France. purnichescu-v@chu-caen.frNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

17540512

Citation

Purnichescu, V, et al. "[Surgical Treatment for Female Stress Urinary Incontinence By Transobturator Tape (outside In). Study of 70 Cases]." Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction, vol. 36, no. 5, 2007, pp. 451-8.
Purnichescu V, Cheret-Benoist A, Eboué C, et al. [Surgical treatment for female stress urinary incontinence by transobturator tape (outside in). Study of 70 cases]. J Gynecol Obstet Biol Reprod (Paris). 2007;36(5):451-8.
Purnichescu, V., Cheret-Benoist, A., Eboué, C., & Von Theobald, P. (2007). [Surgical treatment for female stress urinary incontinence by transobturator tape (outside in). Study of 70 cases]. Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction, 36(5), 451-8.
Purnichescu V, et al. [Surgical Treatment for Female Stress Urinary Incontinence By Transobturator Tape (outside In). Study of 70 Cases]. J Gynecol Obstet Biol Reprod (Paris). 2007;36(5):451-8. PubMed PMID: 17540512.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical treatment for female stress urinary incontinence by transobturator tape (outside in). Study of 70 cases]. AU - Purnichescu,V, AU - Cheret-Benoist,A, AU - Eboué,C, AU - Von Theobald,P, Y1 - 2007/05/30/ PY - 2006/04/28/received PY - 2006/05/30/revised PY - 2007/04/06/accepted PY - 2007/6/2/pubmed PY - 2007/12/18/medline PY - 2007/6/2/entrez SP - 451 EP - 8 JF - Journal de gynecologie, obstetrique et biologie de la reproduction JO - J Gynecol Obstet Biol Reprod (Paris) VL - 36 IS - 5 N2 - OBJECTIVES: To evaluate the feasibility, the efficacy and the innocuousness of suburethral transobturator support using multifilament polypropylene transobturator tape (TOT) inside out for stress urinary incontinence in women. MATERIALS AND METHODS: The study concerns 70 patients representing our team's first experience of this technique. The inclusion criterion was persistent SUI despite perineal rehabilitation. There were no exclusion criteria. Among the 70 patients, 22 (31%) presented with associated genital prolapse. Mean parity was 2.6 (extremes ranging from 0 to 6). Thirty-five patients were menopaused (50%), of whom 12 (34%) were under hormone replacement therapy. We retained five judgement criteria to evaluate this surgical act: duration of surgery and hospitalisation, per- and postoperative complications and functional results on SUI (via a telephone questionnaire). RESULTS: The rate of positive results (healing or improvement) was 84% with a mean follow-up of 14.5 months. The rate of peroperative complications was very low: 1.4% (only one case of bladder injury). The mean duration of surgery was 23 minutes. The mean duration of hospitalisation in the case of isolated TOT was 1.25 days. CONCLUSION: The transobturator approach is a feasible, safe and efficient short-term surgical technique. Results inferior to those observed in the literature are probably due to the learning curve in a university hospital unit. None of the preoperative data (age, parity, body mass index, history of SUI treatment or hysterectomy, hormonal status, associated prolapse, mean urethral closure pressure, clinical vesical hyperactivity syndrome) appears to influence results; however, the study strength is poor due to the small study population. SN - 0368-2315 UR - https://www.unboundmedicine.com/medline/citation/17540512/[Surgical_treatment_for_female_stress_urinary_incontinence_by_transobturator_tape__outside_in___Study_of_70_cases]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0368-2315(07)00166-4 DB - PRIME DP - Unbound Medicine ER -