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Long-term Outcomes of 100 Transobturator Tape Procedures.
Ir Med J. 2020 May 07; 113(5):72.IM

Abstract

Aim Satisfactory short-term outcomes of transobturator tapes (TOTs) are recognized, yet a lack of long-term data exists. We investigated long-term patient-reported outcomes of TOTs. Methods A retrospective review was performed of 100 female patients post TOT insertion by a single surgeon (2005-2010). Results and postoperative complications were identified. At long-term follow-up, patients completed ICIQ-Short Form, PGI-S and PGI-I questionnaires. Results Mean age was 51.7 years (33-75), mean follow-up 9.4 years (7.25 - 12.75). Clinically, 68/100(68%) had mixed and 32/100(32%) pure stress urinary incontinence (SUI). Short-term cure/significant improvement in SUI was seen in 98/100(98%). Grade >2 Clavien-Dindo complications occurred in 10/100(10%) within 6 months of surgery. Long-term questionnaire response rate was 76/100(76%). 62/76 (81.57%) described current urinary condition as "much" or "very much" "better." No new complications emerged at long-term follow-up. Conclusion TOTs demonstrate high success rates in treatment of SUI, with no late-onset complications identified in our study. Recent concerns surrounding use of polypropylene tapes make reporting of long-term outcomes both desirable and necessary.

Authors+Show Affiliations

Department of Urology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.Independent Statistician.Department of Urology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.Department of Urology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.Department of Urology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32603568

Citation

Croghan, S M., et al. "Long-term Outcomes of 100 Transobturator Tape Procedures." Irish Medical Journal, vol. 113, no. 5, 2020, p. 72.
Croghan SM, Costigan G, O'Dwyer N, et al. Long-term Outcomes of 100 Transobturator Tape Procedures. Ir Med J. 2020;113(5):72.
Croghan, S. M., Costigan, G., O'Dwyer, N., MacCraith, E., & Lennon, G. (2020). Long-term Outcomes of 100 Transobturator Tape Procedures. Irish Medical Journal, 113(5), 72.
Croghan SM, et al. Long-term Outcomes of 100 Transobturator Tape Procedures. Ir Med J. 2020 May 7;113(5):72. PubMed PMID: 32603568.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term Outcomes of 100 Transobturator Tape Procedures. AU - Croghan,S M, AU - Costigan,G, AU - O'Dwyer,N, AU - MacCraith,E, AU - Lennon,G, Y1 - 2020/05/07/ PY - 2020/7/1/entrez PY - 2020/7/1/pubmed PY - 2020/7/1/medline KW - Midurethral sling KW - PROMs KW - Transobturator tape KW - long-term outcomes KW - stress urinary incontinence SP - 72 EP - 72 JF - Irish medical journal JO - Ir Med J VL - 113 IS - 5 N2 - Aim Satisfactory short-term outcomes of transobturator tapes (TOTs) are recognized, yet a lack of long-term data exists. We investigated long-term patient-reported outcomes of TOTs. Methods A retrospective review was performed of 100 female patients post TOT insertion by a single surgeon (2005-2010). Results and postoperative complications were identified. At long-term follow-up, patients completed ICIQ-Short Form, PGI-S and PGI-I questionnaires. Results Mean age was 51.7 years (33-75), mean follow-up 9.4 years (7.25 - 12.75). Clinically, 68/100(68%) had mixed and 32/100(32%) pure stress urinary incontinence (SUI). Short-term cure/significant improvement in SUI was seen in 98/100(98%). Grade >2 Clavien-Dindo complications occurred in 10/100(10%) within 6 months of surgery. Long-term questionnaire response rate was 76/100(76%). 62/76 (81.57%) described current urinary condition as "much" or "very much" "better." No new complications emerged at long-term follow-up. Conclusion TOTs demonstrate high success rates in treatment of SUI, with no late-onset complications identified in our study. Recent concerns surrounding use of polypropylene tapes make reporting of long-term outcomes both desirable and necessary. SN - 0332-3102 UR - https://www.unboundmedicine.com/medline/citation/32603568/Long-term_Outcomes_of_100_Transobturator_Tape_Procedures L2 - https://antibodies.cancer.gov/detail/CPTC-GPI-1 DB - PRIME DP - Unbound Medicine ER -
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