Short-term complications of the trans-obturator foramen procedure for urinary stress incontinence

Tahseen, Samina; Reid, PC; Charan, P.

doi:10.1080/01443610701405770

Cited by 5 publications

(4 citation statements)

References 14 publications

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“…In some studies, the percentage of complications reached 21% [14]; in our study, the percentage of complications was only 12%, and the majority of those were late postoperative complications, which is similar to the previous study by Kaelin-Gambirasio et al [14]. Nevertheless, although the complications reported in the literature are fewer for the transobturator method, there is still an elevated percentage of abrasions and lacerations acquired during the procedure, which indicates that we are obliged to further improve and refine the technique [15]. …”

Section: Discussionsupporting

confidence: 69%

Complications from the Placement of a Tension-Free Suburethral Sling Using the Transobturator and Retropubic Methods for Treatment of Female Urinary Incontinence

Arrabal-Polo¹,

Palao-Yago²,

Zuluaga-Gomez³

et al. 2012

Urol Int

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Objective: The aim of our study was to retrospectively analyze surgical complications arising from the collocation of suburethral mesh in the lower urinary tract, using both the transobturator and retropubic methods. Patients and Methods: During the period between November 2002 and June 2011, we retrospectively studied 190 patients that were treated for stress urinary incontinence using a tension-free suburethral sling. 50 patients were treated using the retropubic route (SPARC®), and 140 patients were treated using a transobturator (MONARC®). Results: In total, 16.57% of the patients presented with intraoperative, immediate postoperative or later postoperative complications. We observed a higher rate of complications with patients who were operated on retropubically (26%) than with patients who were operated on using the transobturator method (12%). Conclusions: The rate of complications for our study was low, and was even lower in the case of transobturator tape. Thus, we usually used transobturator tape in the treatment of stress incontinence.

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Section: Discussionsupporting

confidence: 69%

Complications from the Placement of a Tension-Free Suburethral Sling Using the Transobturator and Retropubic Methods for Treatment of Female Urinary Incontinence

Arrabal-Polo¹,

Palao-Yago²,

Zuluaga-Gomez³

et al. 2012

Urol Int

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“…In cases of extrusion of non-type I mesh, complete removal of as much of the material as possible is recommended. Grafts that have shown themselves to be in this category include a thermally bonded polypropylene [10,11,12], a collagen-coated polyester [13], and silicone [14,15], among others. Often, a pseudocapsule or infection associated with these materials, which fail to be incorporated by the host tissue, allows the material to be removed without much dissection or difficulty.…”

Section: Discussionmentioning

confidence: 99%

Management of Erosion of Graft Materials in Pelvic Floor Reconstruction

Kobashi

2009

The Scientific World JOURNAL

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We present an overview of the current literature and management techniques for vaginal extrusion or urinary tract erosion of graft materials used in pelvic floor reconstruction. A MEDLINE search was performed to identify literature pertaining to the incidence and management of vaginal or urinary tract exposure of graft materials commonly used in anti-incontinence and pelvic floor reconstructive procedures. Dependent on the type of mesh material used, a vaginal extrusion rate of up to 77% has been reported. The currently accepted, loosely woven, monofilament type I polypropylene meshes appear to have acceptable lower exposure rates in the range of 1–3% for slings, but with the larger area of mesh used in prolapse repairs, the rate increases to up to 10%. With the current widespread use of graft materials to reinforce pelvic floor reconstructive techniques, it is imperative for surgeons to be familiar with potential complications related to the materials and proper management of these complications. Although it is beginning to appear that the benefit of using some synthetic materials may outweigh the risks, proper management and understanding of the risks is important in order to counsel our patients appropriately and responsibly prior to their surgeries.

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“…Most importantly, the procedure improved QOL of the patients. After tape procedure for mixed incontinence, the preoperative irritative symptoms disappeared in 65-75% of the patients [15,21]. According to the integral theory, this improvement is due to correction of the urethrovesical geometry and subsequently the function [8].…”

Section: Discussionmentioning

confidence: 99%

The use of polypropylene mesh as a transobturator sling for the treatment of female stress urinary incontinence (early experience with 40 cases)

et al. 2008

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This study evaluated the use of traditional polypropylene mesh, used in hernias repair, as a sling in the treatment of female stress urinary incontinence (SUI). Forty patients diagnosed with SUI underwent transobturator sling fashioned from the ordinary polypropylene mesh (vypro II). Each lateral end of the tape is secured by a zero prolene suture. The procedure was then done outside-in, and the patients were followed up. The mean operative time was 40-60 min when the procedure was performed alone or accompanied with associated pelvic floor repair. Thirty-five patients (87.5%) were cured, and two patients (5%) significantly improved, but the procedure failed in three patients (7.5%), and the slings were removed because of vaginal erosion. Polypropylene mesh transobturator sling is an easy and cheap method for the treatment of female SUI with a high success rate.

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Short-term complications of the trans-obturator foramen procedure for urinary stress incontinence

Cited by 5 publications

References 14 publications

Complications from the Placement of a Tension-Free Suburethral Sling Using the Transobturator and Retropubic Methods for Treatment of Female Urinary Incontinence

Complications from the Placement of a Tension-Free Suburethral Sling Using the Transobturator and Retropubic Methods for Treatment of Female Urinary Incontinence

Management of Erosion of Graft Materials in Pelvic Floor Reconstruction

The use of polypropylene mesh as a transobturator sling for the treatment of female stress urinary incontinence (early experience with 40 cases)

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