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Review of transobturator and retropubic tape procedures for stress urinary incontinence.
Curr Opin Obstet Gynecol. 2008 Aug; 20(4):331-6.CO

Abstract

PURPOSE OF REVIEW

Recently, various types of tension free vaginal tapes via retropubic and transobturator route (inside-out technique; outside-in technique) have been adopted for treatment of stress urinary incontinence. The aim of this review is to assess the recent evidence on effectiveness and complications of these tapes in stress urinary incontinence.

RECENT FINDINGS

There was no significant difference found between tension free vaginal tapes and colposuspension for the cure of stress urinary incontinence at 5 years in a multicentre randomized controlled trial. Vault and posterior vaginal wall prolapse were commoner after colposuspension. A recent systematic review and meta-analysis reported that subjective cure for inside-out technique (five randomized controlled trials) and outside-in technique (six randomized controlled trials) at 2-12 months was no better when compared with tension free vaginal tapes (odds ratio: 0.85; 95% confidence interval: 0.60-1.21). Bladder injuries (odds ratio: 0.12; 95% confidence interval: 0.05-0.33) and voiding difficulties (odds ratio: 0.55; 95% confidence interval: 0.31-0.98) were less common, whereas groin/thigh pain (odds ratio: 8.28; 95% confidence interval: 2.7-25.4) and vaginal injuries or mesh erosion (odds ratio: 1.96; 95% confidence interval: 0.87-4.39) were more common in transobturator tapes. Sexual function was overall improved; the pain being more with outside-in technique than inside-out technique route.

SUMMARY

The tension free tapes are effective in treating stress urinary incontinence; evidence for superiority of transobturator over retropubic tapes is currently limited.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Latthe PM
Department of Obstetrics & Gynaecology, Birmingham Women's NHS Foundation Trust, Birmingham, UK. pallavi.latthe@bwhct.nhs.uk

MeSH

FemaleGynecologic Surgical ProceduresHumansPostoperative ComplicationsSuburethral SlingsTreatment OutcomeUrinary Incontinence, StressUrologic Surgical Procedures

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

18660683

Citation

Latthe, Pallavi M.. "Review of Transobturator and Retropubic Tape Procedures for Stress Urinary Incontinence." Current Opinion in Obstetrics & Gynecology, vol. 20, no. 4, 2008, pp. 331-6.
Latthe PM. Review of transobturator and retropubic tape procedures for stress urinary incontinence. Curr Opin Obstet Gynecol. 2008;20(4):331-6.
Latthe, P. M. (2008). Review of transobturator and retropubic tape procedures for stress urinary incontinence. Current Opinion in Obstetrics & Gynecology, 20(4), 331-6. https://doi.org/10.1097/GCO.0b013e3283073a7f
Latthe PM. Review of Transobturator and Retropubic Tape Procedures for Stress Urinary Incontinence. Curr Opin Obstet Gynecol. 2008;20(4):331-6. PubMed PMID: 18660683.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Review of transobturator and retropubic tape procedures for stress urinary incontinence. A1 - Latthe,Pallavi M, PY - 2008/7/29/pubmed PY - 2008/12/20/medline PY - 2008/7/29/entrez SP - 331 EP - 6 JF - Current opinion in obstetrics & gynecology JO - Curr Opin Obstet Gynecol VL - 20 IS - 4 N2 - PURPOSE OF REVIEW: Recently, various types of tension free vaginal tapes via retropubic and transobturator route (inside-out technique; outside-in technique) have been adopted for treatment of stress urinary incontinence. The aim of this review is to assess the recent evidence on effectiveness and complications of these tapes in stress urinary incontinence. RECENT FINDINGS: There was no significant difference found between tension free vaginal tapes and colposuspension for the cure of stress urinary incontinence at 5 years in a multicentre randomized controlled trial. Vault and posterior vaginal wall prolapse were commoner after colposuspension. A recent systematic review and meta-analysis reported that subjective cure for inside-out technique (five randomized controlled trials) and outside-in technique (six randomized controlled trials) at 2-12 months was no better when compared with tension free vaginal tapes (odds ratio: 0.85; 95% confidence interval: 0.60-1.21). Bladder injuries (odds ratio: 0.12; 95% confidence interval: 0.05-0.33) and voiding difficulties (odds ratio: 0.55; 95% confidence interval: 0.31-0.98) were less common, whereas groin/thigh pain (odds ratio: 8.28; 95% confidence interval: 2.7-25.4) and vaginal injuries or mesh erosion (odds ratio: 1.96; 95% confidence interval: 0.87-4.39) were more common in transobturator tapes. Sexual function was overall improved; the pain being more with outside-in technique than inside-out technique route. SUMMARY: The tension free tapes are effective in treating stress urinary incontinence; evidence for superiority of transobturator over retropubic tapes is currently limited. SN - 1040-872X UR - https://www.unboundmedicine.com/medline/citation/18660683/Review_of_transobturator_and_retropubic_tape_procedures_for_stress_urinary_incontinence_ DB - PRIME DP - Unbound Medicine ER -