Colic Perforation as a Complication of Tension-Free Vaginal Tape Procedure

Amna, M Ben; Randrianantenaina, Amede; Michel, Frédéric

doi:10.1097/01.ju.0000095806.94090.14

Cited by 20 publications

(10 citation statements)

References 2 publications

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“…Second, the TOT is associated with a lower risk of urethral obstruction as compared to other mid urethral sling procedures. The TVT mid urethral sling is associated with serious though rare complications including intestinal perforation, vascular injury, obturator nerve injury, and even death [Peyrat et al, 2001;Amina et al, 2003;Leboeuf et al, 2003]. The transobturator sling procedure spares the retropubic space and thus eliminates the risk of major bowel, neural, and vascular complications which have been reported with the TVT.…”

Section: Discussionmentioning

confidence: 99%

Transobturator tape (TOT): Two years follow‐up

Juma¹,

Brito

2006

Neurourology and Urodynamics

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Aims: The aim of this study is to report the functional results, patient satisfaction, and morbidity of the Transobturator tape procedure (TOT) in the treatment of stress incontinence (SUI). Methods: One hundred and thirty patients were prospectively evaluated with history, physical examination, quality of life questionnaire including Incontinence Impact Questionnaire (IIQ), urogenital distress inventory (UDI), and analog global satisfaction scale (GSS), and urodynamic studies. Results: One hundred and seventeen patients (90%) had history of SUI, and 78 (60%) had urge incontinence. Pads/day (PPD) used was 2.48 AE 2.42, and the score of IIQ 16.13 AE 7.86, UDI 10.95 AE 3.4, and GSS 1.41 AE 1.67. All patients underwent TOT using the ObTape TM . Hospital stay was 0.84 AE 0.76 days and catheter duration was 1.42 AE 2.08 days. At a follow-up of 16.85 AE 4.68 months, 13 patients (10%) have recurrent SUI, 21 (16.15%) persistent urge incontinence, and 1 (1.92%) de novo urge incontinence. The mean PPD is 0.15 AE 0.56, IIQ 1.47 AE 5.14, UDI 3.28 AE 3.09, and GSS 8.29 AE 1.64. Two patients (1.52%) developed urethral obstruction, ¢ve (3.84%) had vaginal extrusion of the tape, and two (1.52%) had intra-operative bladder perforation.Conclusions: These results demonstrate the safety and e⁄cacy of the TOT. The short hospitalization and catheterization, low incidence of de novo urge incontinence and obstructive voiding o¡ers a distinct advantage over existing techniques. No signi¢cant di¡erence in outcome between patients with VLPP 60 cm H 2 O, and patients with VLPP >60 cm H 2 O was observed. Neurourol.

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Section: Discussionmentioning

confidence: 99%

Transobturator tape (TOT): Two years follow‐up

Juma¹,

Brito

2006

Neurourology and Urodynamics

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“…Long-term results are good [6] and registries showing low rates of complications have been established [7,8]. Case reports on bowel and major blood vessel injuries [9][10][11][12] have, however, led to the development of the obturator route of mid-urethra tape placement [13,14]. The postulation has been that the obturator route is as effective as the retropubic one in terms of cure rates and that the rate of both minor and major complications are lower utilizing the obturator route.…”

Section: Introductionmentioning

confidence: 99%

A randomized trial comparing TVT with TVT-O: 12-month results

et al. 2008

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The aim of this randomized clinical trial was to compare the cure rate and the rate of complications of the tension-free vaginal tape (TVT) with those of the tension free vaginal tape obturator (TVT-O) procedure after one year of follow-up. The study was powered to show a ten per cent difference in cure rate and/or rate of complications. Of the initially treated 267 women 134 in the TVT group and 131 in the TVT-O group were evaluated. A cough stress test and a 24 h pad test were used as objective outcome measures. Subjective outcome was assessed by different condition-specific quality of life questionnaires and general health by the EQ-5D questionnaire. Objective cure rate was 95.5% in the TVT patients and 93.1% in TVT-O patients. Subjective cure rates showed significant improvement at one the year follow up in both groups. No significant differences in cure rates between groups were seen. The complication rate was equal in both groups.

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“…No life-threatening complications occurred [29]. Some serious complications related to TVT have been detailed in case reports (bowel perforations, necrotizing fasciitis) [30][31][32][33]. Such data relating to laparoscopic procedures are lacking, probably due to under-reporting.…”

Section: Complicationsmentioning

confidence: 99%