Tension-free vaginal tape versus transobturator tape for treatment of stress urinary incontinence: A comparative randomized clinical trial study

Shirvan, Maliheh Keshvari; Rahimi, Hamid Reza; Mahboub, Mohammad Reza Darabi; Sheikhi, Z.

doi:10.1016/j.urols.2013.11.005

Cited by 10 publications

(7 citation statements)

References 18 publications

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“…In our work, the mean age of the patients in group I was 56.27 ± 9.06 years and these results agree with the results of other study [7] in which the mean age was 50 years and the mean age of the patients in group II was 52.73 ± 8.87 years and these results are comparable to that of another work [16] in which mean age was 52.27 years. This is in agreement with the results of similar study [17] in which the mean age of patients in group I was 59.9 and 60.6 years in group II.…”

Section: Baseline Characteristics Of the Studied Groupssupporting

confidence: 92%

“…No intraoperative complications as iatrogenic bladder perforation or urethral injury were reported in any of the included groups which is consistent with the results reported [8,9,23] and agreed with other studies [16,21] which reported no organ perforation but other study [24] reported 3 cases of bladder perforation especially with previous prolapse surgery also another one [19] reported vaginal perforation in 2 patients of the TOT group.…”

Section: Baseline Characteristics Of the Studied Groupssupporting

confidence: 90%

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Handmade Needleless Midurethral Sling In Comparison With Transobturator Tension-Free Vaginal Tape In Treatment Of Genuine Female Stress Urinary Incontinence

Shaher

Eltabey

elnasr

et al. 2023

Benha Medical Journal

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Backgrounds: Stress urinary incontinence is a widely experienced condition among females. Our aim was to compare TOT and handmade needleless midurethral sling regarding safety and effectiveness for management of genuine stress urinary incontinence in females. Methods: Sixty female cases with genuine SUI randomly allocated to 2 groups: Group I: 30 patients were operated on using handmade needleless mid urethral sling (Prolene, Ethicon, USA) mesh 15 x15 cm by cutting 134 mm x 20 mm tape). Group II: 30 patients were using TOT (Obtryx transobturator sling system, Boston Scientific, USA) "outside-in" technique. Post-operative evaluation at 3, 6 and 12 months by cough stress test, post-voiding residual urine and uroflowmetry, a negative cough stress test with absence of urine leakage indicated cure.Results: Group I demonstrated a shorter Operative time than group II 14.17±2.82 min and 25.23±2.63 min respectively (P value <0.05) however, the postoperative hospital stay and complications were insignificantly different in both groups (P value <0.05). Also, insignificant differences were detected in both groups regarding cure, improvement and failure rate where the cure rate in group I was 90%, in group II was 86.7%, the improvement rate in group I was 6.7%, group II was 10% and the failure only affected one case each group.Conclusions: Handmade needleless midurethral sling is a good tool for treatment of genuine female stress urinary incontinence with encouraging results, less operative time, side effects and cost in comparison to commercial TOT especially in developing countries.

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Section: Baseline Characteristics Of the Studied Groupssupporting

confidence: 92%

Section: Baseline Characteristics Of the Studied Groupssupporting

confidence: 90%

Handmade Needleless Midurethral Sling In Comparison With Transobturator Tension-Free Vaginal Tape In Treatment Of Genuine Female Stress Urinary Incontinence

Shaher

Eltabey

elnasr

et al. 2023

Benha Medical Journal

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“…However, no obvious difference was observed between TOT, TVT, TVT‐O, and Ajust in the outcomes of both objective and subjective cure rate. This result had been proved by large amount of reviews and classic meta‐analyses; (2) TOT, TVT, and TVT‐O had analogous postoperative complication rate. While TOT and TVT‐O were associated with a lower risk of bladder perforation than TVT.…”

Section: Discussionmentioning

confidence: 84%

“…After removing 25 duplicates, 905 were excluded by screening their titles, and abstracts. With the full‐text assessment, 45 RCTs with a number of 7295 patients were enrolled into our analysis. Most of the trials were two‐arm trials, and there were two three‐arm trials .…”

Section: Resultsmentioning

confidence: 99%

The efficacy and safety comparison of surgical treatments for stress urinary incontinence: A network meta‐analysis

Song

Wen

Huang

et al. 2018

Neurourology and Urodynamics

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“…in 2001 described the TOT technique for the treatment of SUI that involved the tension-free insertion of a polypropylene tape through a tunnel in a horizontal plane under the midurethra between the two obturator foramina in an outside-in orientation. [ 3 ] The TOT is a tension-free sling as the resting urethral angle is not changed by the procedure, nor is it necessary to correct urethral hypermobility. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%

Five-Year Follow-up in Patients with Transobturator Tape – A Retrospective Observational Study

Verneker

Mishra

Tutwala

et al. 2022

Journal of Mid-Life Health

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Background: Stress urinary incontinence (SUI) could be due to urethral hypermobility due to the weakening of the pelvic floor muscles which support the urethra and bladder or the intrinsic sphincter deficiency. The mid-urethral tape acts as an anchored pubo-urethral neo-ligament thus increasing the level of mid-urethral support. The purpose of this study is to evaluate the safety and efficacy of transobturator tape (TOT) for SUI at 5 years of follow-up. Materials and Methods: This was a retrospective observational single-arm study of 40 patients. Ten patients were lost to follow-up; hence, only 30 patients were included in the study. Patients who underwent TOT from 2010 to 2012 were followed up till December 2017. Patients were evaluated for early and late postoperative complications and efficacy of the tape at 5 years. Results: The mean age of the patients with SUI was 48.07 (standard deviation ± 9.38). About 76.66% (n = 23) of patients had only pure stress incontinence, whereas 23.3% of patients (n = 7) had mixed urinary incontinence (MUI). The cure rate in our study was 93.33% at 5 years. Out of the seven patients with MUI, urge incontinence was cured in 71.42% (n = 5). De novo urgency was observed in 6.6% (n = 2). No major complications such as bladder and bowel perforation, vascular hemorrhage, or mesh erosion were seen. Patient satisfaction was graded as excellent in 46.66% (n = 14), good in 30% (n = 9), and poor in 23% (n = 7). Conclusion: TOT for stress incontinence has a high cure rate and very good efficacy at 5 years. No major complications are seen when the procedure is performed by expert hands.

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Tension-free vaginal tape versus transobturator tape for treatment of stress urinary incontinence: A comparative randomized clinical trial study

Cited by 10 publications

References 18 publications

Handmade Needleless Midurethral Sling In Comparison With Transobturator Tension-Free Vaginal Tape In Treatment Of Genuine Female Stress Urinary Incontinence

Handmade Needleless Midurethral Sling In Comparison With Transobturator Tension-Free Vaginal Tape In Treatment Of Genuine Female Stress Urinary Incontinence

The efficacy and safety comparison of surgical treatments for stress urinary incontinence: A network meta‐analysis

Five-Year Follow-up in Patients with Transobturator Tape – A Retrospective Observational Study

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