Peri-Operative Complications and Pain After the Suburethral Sling Procedure for Urinary Stress Incontinence: A French Prospective Randomised Multicentre Study Comparing the Retropubic and Transobturator Routes

David-Montefiore, Emmanuel; Frobert, J.L.; Grisard-Anaf, M.; Lienhart, Jean; Bonnet, K.; Poncelet, Christophe; Daraı̈, Émile

doi:10.1016/j.eururo.2005.09.019

Cited by 105 publications

(68 citation statements)

References 22 publications

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“…[13][14][15][16]18 Using these categories, we defined subjective success as women who reported being either "dry" or "improved" and failures as women who were "unchanged or worse". Overall, 12 women out of 210 (5.7%) who underwent TO and 17 women out of 217 (7.8%) who underwent the RP approach had subjective failures.…”

Section: Subjective Outcomesmentioning

confidence: 99%

Comparison of retropubic vs transobturator approach to midurethral slings: a systematic review and meta-analysis

Sung

Schleinitz

Rardin

et al. 2007

American Journal of Obstetrics and Gynecology

141

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OBJECTIVE-To systematically review the literature and to quantitatively compare outcomes and complications following retropubic versus transobturator approach to midurethral slings.STUDY DESIGN-We searched PUBMED, OVID, EMBASE, CINAHL, POPLINE, Web of Science, Cochrane Collaboration resources, TRIP, Global Health databases and abstracts from relevant meetings from 1990-2006. We included all studies that compared retropubic and transobturator approaches to midurethral slings and defined outcomes. We used random effects models to estimate pooled odds ratios and 95% confidence intervals for objective and subjective failure, complications, and de novo irritative voiding symptoms.RESULTS-Six randomized trials and eleven cohort studies compared transobturator and retropubic approaches to midurethral slings. There was insufficient evidence to support if one approach leads to better objective outcomes. We found no difference in subjective failure between the two approaches after pooling data from randomized trials (pooled OR 0.85 [95% CI, 0.38-1.92]). The transobturator approach was associated with a decreased risk of complications (pooled OR 0.40 [95% CI,). CONCLUSIONS-The transobturator approach to midurethral slings is associated with a lower risk of complications; however, it is still unclear if one approach results in superior objective or subjective outcomes.

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Section: Subjective Outcomesmentioning

confidence: 99%

Comparison of retropubic vs transobturator approach to midurethral slings: a systematic review and meta-analysis

Sung

Schleinitz

Rardin

et al. 2007

American Journal of Obstetrics and Gynecology

141

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“…Technically bladder injury risk is higher than other organ injuries; however, the needle structure used with PVT, ensuring that the bladder is empty, and appropriate surgical tech- nique had significantly lower the risk of bladder injury. In spite of this, as stated in the literature, the bladder injury risk is higher than for TOT surgery [19][20][21]. In our patient group de-novo urge syndrome was the most frequently encountered complication (12.5%, n:6).…”

Section: Discussionmentioning

confidence: 43%

Percutaneous Vaginal Tape Surgery at Stress Urinary Incontinence: Our Medium-Term Results

İrkılata¹

2016

Ann Clin Anal Med

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Anahtar KelimelerGerilimsiz Vajinal Tape; Subüretral Sling; Stres Üriner İnkontinans; Ürodinami Abstract Aim: Percutaneous vaginal tape surgery is a cheap and effective choice among stress urinary incontinence surgeries. It is aimed to evaluate the characteristics and the treatment results of patients who underwent percutaneous vaginal tape surgery in this study. Material and Method: The clinical characteristics of 48 patients who underwent percutaneous vaginal tape surgery were retrospectively investigated. The patients were asked about ability to hold urine and quality of life during clinical check-ups and by telephone. Results: The average age of the 48 patients was 51.17±9.96 years. The average cystometric capacity was 445±107.08 ml and average Q max values before and after the operation were 31.10±11.38 ml/s and 23.20±14.27 ml/s (p=0.23). The general patient results after an average of over six months were 79.2% cure, 18.75% improvement and 2.05% unsuccessful. Of the 19 patients who remained for monitoring, after an average 58.4 month followup 16 (84.2%) patients fully cure, and 3 (15.8%) reported renewal of complaints after initial improvement. Discussion: Currently, application simplicity, short and medium-term successful results, and acceptable low complication rates make percutaneous vaginal tape surgery is a good treatment alternative that can be chosen for stress urinary incontinence cases.

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“…Therefore, it is highly recommended to inspect the lateral vaginal wall after passing the needle through transobturator foramen. 13 The most important step to avoid erosion and voiding dysfunction was found to be tape adjustment without any tension or any contact with the urethra. 14 We did not have any complaints of thigh pain in our series, which confirms recent findings of a meta-analysis that the outside-in technique is usually not associated with thigh pain.…”

Section: Discussionmentioning

confidence: 99%

Transobturator tape for female stress incontinence: follow-up after 24 months

Taweel

Rabah

2013

CUAJ

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Objective: The objective of this paper is to evaluate the effectiveness of transobturator vaginal tape (TOT) in the treatment of female stress urinary incontinence (SUI) and to analyze functional results and quality of life after 24 months follow-up. Methods:The study included all women with SUI who underwent a TOT procedure in which the sling passes from the obturator foramen from the outside to the inside, under general or regional anesthesia from December 2004 to January 2006. All study patients must have had a minimal follow-up of 24 months. The patients were prospectively evaluated, and the following factors were assessed: number of pads used per day, physical examination including pelvic examination, urinalysis, urogenital distress inventory (UDI-6), analog global satisfaction scale (GSS), pad weight test, and urodynamic studies including filling cystometry and Valsalva leak point pressure (VLPP) test.Results: Fifty-two consecutive patients who fulfilled the inclusion criteria underwent TOT procedure by 1 surgeon. The mean age was 50 ±9 (range 37-72) and minimal follow-up was 24 months (range 24-30 months). Two patients were lost to follow-up after 12 months and 3 patients did not come for the 24-month evaluation. The mean operative time was 18 minutes ±4 (range 15-31), with an average amount of bleeding 57 cc ±22cc. Our results demonstrate a 92% cure or improvement rate after 12 months, and an 85% after 24 months. Conclusion:The transobturator approach from outside to inside is a very effective treatment of SUI with low morbidity. However, longer follow-up in larger populations should assess the longterm reliability of this procedure.

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Peri-Operative Complications and Pain After the Suburethral Sling Procedure for Urinary Stress Incontinence: A French Prospective Randomised Multicentre Study Comparing the Retropubic and Transobturator Routes

Cited by 105 publications

References 22 publications

Comparison of retropubic vs transobturator approach to midurethral slings: a systematic review and meta-analysis

Comparison of retropubic vs transobturator approach to midurethral slings: a systematic review and meta-analysis

Percutaneous Vaginal Tape Surgery at Stress Urinary Incontinence: Our Medium-Term Results

Transobturator tape for female stress incontinence: follow-up after 24 months

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