Medium-term safety outcomes in patients undergoing tension free vaginal tape obturator for stress urinary incontinence in Murcia, Spain. Historical cohort

Marín-Martínez, Florencio Manuel; Oñate-Celdrán, Julián; Molina-Hernández, Olimpia; Artés-Artés, Miriam; Bobadilla-Romero, Emny Rochell; García-Porcel, Víctor Javier; Valls, Pablo Luis Guzmán-Martínez; Andreu-García, Angel; Sánchez-Rodríguez, Carlos; García-Escudero, Damián; Suárez-Pineda, Mabel Coromoto; Valdelvira-Nadal, Pedro

doi:10.18597/rcog.3613

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…The degree of satisfaction remained above 80% during the first year, with PGI-1 scores of 1-2, similar to that reported by other authors [7][13][14] [15] and with better results compared to another 4-year followup study [17]. The subjective cure rate decreases over time, partly due to the appearance of aging-related symptoms such as urgency.…”

Section: Discussionsupporting

confidence: 88%

Results of Treatment of Female Stress Urinary Incontinence Treated with Transobturator Suburethral Banding: 9-Years Follow-Up. An Observational Prospective, Single-Center Study.

Cuaresma-González¹

2022

JOGRS

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Background: tension-free suburethral bands represent the "gold standard" for the surgical treatment of stress urinary incontinence (SUI). Specifically, the transobturator approach is the most widely used because of its high cure rates in the medium term, and its good safety profile. These data support the use of suburethral bands and, since the beginning of this century, they have displaced retropubic colposuspension. Objective: Study the long-term efficacy and safety (9 years) of transobturator suburethral band surgery (TOT) in the treatment of SUI. Material and methods: An observational descriptive study with N=133 patients operated with TOT between 2012 and 2021 at the Valladolid University Clinical Hospital (Spain), who had completed at least one year of postoperative follow-up. Variables analyzed: total continence and objective healing rates, subjective healing rate and postoperative complications. Statistics: Statistics: Student t-test or U-Mann-Whitney for quantitative variables, Chi-Square for categorical variables. Results: total continence rate from 1 to 9 years: 70.7%, 63.4%, 63.9%, 55.4%, 54.2%, 51.2%, 52.4%, 33.3%, and 100%. Objective cure rate from 1 to 9 years: 92.1%, 91.5%, 89.7%, 80%, 85.4%, 75.6%, 71.4%, 66.7%, and 100%. Subjective cure rate according to the median score on the ICIQ-IU-SF questionnaire from 1 to 9 years: 0, 1.5, 2, 4, 4, 6, 8, 12, and 0. Immediate complications were reported in 12.8% of cases, intermediate in 5.3%, and late in 30.1%. Of note was the occurrence of “de novo” urge urinary incontinence (UUI) in 8.3% and recurrence of SUI in 12%. Conclusions: TOT surgery is one of the main therapeutic tools in the surgical treatment of SUI, with high efficacy and a good safety profile. However, more long-term studies are needed to consolidate the results obtained with this technique.

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Section: Discussionsupporting

confidence: 88%

Results of Treatment of Female Stress Urinary Incontinence Treated with Transobturator Suburethral Banding: 9-Years Follow-Up. An Observational Prospective, Single-Center Study.

Cuaresma-González¹

2022

JOGRS

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“…Midurethral sling surgery is the most widely studied surgical treatment method with a high safety profile for female SUI. The sling contributes to good short- and medium-term results, irrespective of the method of insertion [ 16 ]. In recent years, there have been reports on LSC for patients with POP [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical Efficacy of LSC and TVT-O for Stress Urinary Incontinence Complicated with Pelvic Organ Prolapse and Factors Influencing Postoperative Urinary Function Recovery

Zhi-hu²,

Wang

2022

Journal of Healthcare Engineering

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Pelvic organ prolapse is caused by various causes, which leads to the weakness of the tissue supporting the pelvic floor and then causes the downward displacement of female reproductive organs and adjacent organs. Clinical studies have shown that pop is often associated with stress urinary incontinence. This research project aimed to clarify the clinical effect of laparoscopic sacrocolpopexy (LSC) and tension-free vaginal tape obturator (TVT-O) for stress urinary incontinence (SUI) complicated with pelvic organ prolapse (POP) and the influencing factors of postoperative urinary function (UF) recovery. The clinical data of 125 patients with SUI complicated with POP treated in Wenzhou Central Hospital and Beidahuang Industry Group General Hospital between March 2018 and December 2019 were retrospectively analyzed. Patients were assigned to the following two arms based on different treatment methods: the combination group (n = 65, treated with LSC plus TVT-O) and the control group (n = 60, treated with LSC). The alterations of perioperative clinical and urodynamic indexes were analyzed. The objective and subjective response rates were observed and compared. The degree of POP before and after surgery was evaluated. According to the urinary function recovery time, the patients were divided into the fast and non-fast recovery groups, and then, the factors influencing postoperative UF recovery were analyzed between groups. The combination group showed statistically longer operation time (OT) and postoperative indwelling catheter and higher intraoperative blood loss (IBL) than the control group (all P < 0.05 ), but the anal exhaust time and postoperative length of stay (LOS) differed insignificantly between the two arms. The combination group outperformed the control group in the objective response rate, as well as the scores of illness, quality of life (QOL), and sexual life (all P < 0.05 ). Menopause, maximum flow rate (MFR), and preoperative residual urine volume were identified as the influencing factors for normal urination. For patients with SUI complicated with POP, the efficacy of laparoscopic sacrocolpopexy was limited, while combining with TVT-O would obtain more significant short-term and long-term efficacy, which can significantly improve patients’ urination and long-term quality of life, with higher safety and clinical promotion value.

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Long-Term Subjective Efficacy of Female Stress Urinary Incontinence with Tension-Free Vaginal Tape-Obturator Technique

Nian,

Wang,

2024

Int Urogynecol J

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Introduction and Hypothesis The objective was to evaluate the long-term subjective efficacy of the tension-free vaginal tape-obturator (TVT-O) technique in the treatment of female stress urinary incontinence (SUI). Methods A retrospective analysis was performed on 84 patients who underwent TVT-O surgery for SUI in a tertiary center between January 2007 and December 2013. All patients filled in the Urinary Incontinence Quality of Life Questionnaire (I-QOL), the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire short form (PISQ-12). Subjective efficacy, including surgical efficacy, clinical severity of SUI, improvement in quality of life (QoL), and sexual activity with regard to TVT-O were compared before and after surgery (≥ 10 years). Results The average postoperative follow-up time was 12.6 ± 1.9 years, range, 10–16 years. The overall subjective effectiveness of the surgery was 94.0% (79 out of 84). The subjective clinical severity significantly improved more than 10 years after surgery compared with the preoperative value (p = 0.000). The median I-QOL score was 88.1 (84.1–92.0) preoperatively and 98.3 (94.3–99.7) postoperatively, and the long-term QoL of postoperative patients was significantly improved (p < 0.05). The median ICIQ-SF score was 10.5 (8–15) preoperatively, and 3 (0–5) postoperatively, and the ICIQ-SF score before and after surgery showed significant improvement in urinary incontinence symptoms (p < 0.05). No difference was observed in the PISQ-12 scores before and after surgery in the sexually active population. Conclusions The TVT-O technique still has good subjective efficacy in SUI more than 10 years after surgery and significantly improves the QoL of patients.

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Medium-term safety outcomes in patients undergoing tension free vaginal tape obturator for stress urinary incontinence in Murcia, Spain. Historical cohort

Cited by 3 publications

References 24 publications

Results of Treatment of Female Stress Urinary Incontinence Treated with Transobturator Suburethral Banding: 9-Years Follow-Up. An Observational Prospective, Single-Center Study.

Results of Treatment of Female Stress Urinary Incontinence Treated with Transobturator Suburethral Banding: 9-Years Follow-Up. An Observational Prospective, Single-Center Study.

Clinical Efficacy of LSC and TVT-O for Stress Urinary Incontinence Complicated with Pelvic Organ Prolapse and Factors Influencing Postoperative Urinary Function Recovery

Long-Term Subjective Efficacy of Female Stress Urinary Incontinence with Tension-Free Vaginal Tape-Obturator Technique

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