Transobturator tape sling for female stress incontinence with polypropylene tape and outside-in procedure: Prospective study with 1 year of minimal follow-up and review of transobturator tape sling

Grise, P.; Droupy, S.; Saussine, C.; Ballanger, P.; Monneins, F; Hermieu, J.-F.; Serment, G; Costa, P.

doi:10.1016/j.urology.2006.04.020

Cited by 48 publications

(38 citation statements)

References 24 publications

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“…It has been demonstrated that the risk of bleeding increases when there is a previous history of incontinence surgery [19]. In such case, the TVT-O approach seems to be more reasonable to perform [27]. Urinary tract infections were significantly more in the TVT group, probably due to intraoperative cyctoscopy.…”

Section: Discussionmentioning

confidence: 99%

Transvaginal vs transobturator approach for synthetic sling placement in patients with stress urinary incontinence

et al. 2007

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We present comparative short-term experience with the transvaginal (TVT) and the transobturator (TVT-O) approaches for the treatment of stress urinary incontinence (SUI). We studied 315 women with SUI, treated with a tension-free tape placement. The TVT approach was applied in 265 women, while 50 women were treated by the TVT-O approach. The mean operation time was 25 and 17 min in the TVT and TVT-O group, respectively (p<0.001). In the TVT group, continence rates were 87% after 1 year, while in the TVT-O group, the continence rate was 94%. Postoperative pain was reported in 14.4 and 28% of the TVT and TVT-O patients, respectively (p=0.02). Complications such as bladder perforation, retropubic hematoma, and urinary retention took place only in the TVT group. Urinary tract infections were recorded in 20 and 8% of the TVT and TVT-O patients, respectively (p=0.04), while vaginal erosion took place in 1.5 and 2% and de novo urgency in 14 and 8%. Both approaches show high rates of cure at the first postoperative year, while complications are less with the TVT-O procedure.

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Section: Discussionmentioning

confidence: 99%

Transvaginal vs transobturator approach for synthetic sling placement in patients with stress urinary incontinence

et al. 2007

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“…Major organ ve damar yaralanmaları retropubik yaklaşımda (TVT) vasküler yapılara oldukça yakın trokar girişi nedeniyle daha sık görülmektedir (%0.8). Yine literatürde mesane yaralanması vakaların %0-0.5'inde ve üretra yaralanması ise vakaların %0-1.1'inde bildirilmiştir [6][7][8][9][10][11][12]. Operasyon sırasında sistoskopi yapılması gerekliliği tartışılmakla birlikte mesane ve üretra yaralanmasının erken tanısında oldukça etkilidir.…”

Section: Discussionunclassified

“…Günümüzde stres tip idrar kaçırmanın cerrahi tedavisinde yaygın olarak kullanılan bu operasyon sonrası komplikasyonlar nadirdir [7]. Postoperatif en sık görülen komplikasyonlar ise; idrar retansiyonu, işeme disfonksiyonu, yeni gelişen sıkışma, mesane veya üretra yaralanması ve meş erozyonudur [8][9]. Meş erozyonu küçük bir alanda görüldüğünde vajinal topikal östrojen tedavisi ile giderilebilmekte ancak geniş alanlı meş erozyonunda ya da enfekte meş varlığında meşin eksize edilmesi önerilmektedir [10].…”

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Skin and vaginal erosion after adjustable miduretral sling operation

Alkış¹,

Zümrütbaş²,

Özlülerden³

et al. 2014

Pau Med J

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ÖzetMeş erozyonu, transobturator tape (TOT) uygulaması sonrası görülen nadir bir komplikasyondur. Meş erozyonu küçük bir alanda görüldüğünde vajinal topikal östrojen tedavisi ile giderilebilmekte ancak geniş alanlı meş erozyonunda ya da enfekte meş varlığında meşin eksize edilmesi önerilmektedir. Burada, transobturator tape uygulaması sonrasında vajina ve ciltte meş erozyonu gelişen bir olguda lokal meş eksizyonu ve vajinal mukoza onarımı sunulmuştur. Derg 2014;7(3):230-233 Anahtar sözcükler: Stres tip idrar kaçırma, Transobtrator tape, Meş erozyonu. Pam Tıp AbstractMesh erosion is a rare complication of the transobturator tape (TOT) procedure. Mesh erosion can be treated with topical estrogen therapy if it is seen in a small area, however excision of the mesh is necessary when the erosion is larger or if any infection is present. In this case, we report a patient who had mesh erosion after the TOT procedure. Her treatment consisted of surgical excision of the mesh and primary closure of the wound after adequate debridement.Pam Med J 2014;7(3):230-233

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“…The retropubic sling has reported success rates of 80% -89%, but requires blind passage through the retropubic space, posing risks for bowel injury, bladder injury, major vascular injury, and nerve injury [3,4].The tran- ternational Urogynecology Journal and injuries and is as efficacious as the retropubic method with a reduction in adverse events [8][9][10]. Single incision slings provide the latest advance in midurethral tensionless sling technology and require only one small vaginal incision placed beneath the urethra thereby potentially reducing post-operative pain and risk of complications.…”

Section: Discussionmentioning

confidence: 99%

“…Bladder perforation using the transobturator approach have reported rates as low as 0%, considerably less than those reported for the retropubic procedure [5]. Recent studies report that the transobturator method provides intermediate-term efficacy results that are comparable to the retropubic method with a reduction in major complication risks [8][9][10]. As a result, the transobturator approach has increased in popularity for midurethral sling placement in many centers due to its efficacy and low morbidity.…”

Section: Introductionmentioning

confidence: 99%

Cadaveric Assessment of Synthetic Mid-Urethral Sling Placement

Serels¹

2011

OJU

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Purpose: To determine if 3 types of mid-urethral synthetic slings are visually the same. Materials and Methods: A retropubic, obturator, and single incision sling was individually placed in three cadavers. Tension was set using a spacer (obturator and retropubic). Single incision sling (SIS) tension was set by visual inspection. Thirty physicians were asked to determine placement method, tension, and location of the 3 slings. Results: Physicians were composed of 5 urologists, 7 urogynecologist, and 18 general gynecologists, with an average of 53 slings performed per year. Conclusions: This study showed that after placement of a sling it is hard to tell how the sling was placed and that most physicians felt the SIS was tensioned the best and most likely at the mid-urethra. RetropubicObturator SIS % correctly identified sling 40% 43% 23%% thought tension was just right 33% 47% 73% % thought sling was at mid-urethra 50% 67% 83%

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Transobturator tape sling for female stress incontinence with polypropylene tape and outside-in procedure: Prospective study with 1 year of minimal follow-up and review of transobturator tape sling

Cited by 48 publications

References 24 publications

Transvaginal vs transobturator approach for synthetic sling placement in patients with stress urinary incontinence

Transvaginal vs transobturator approach for synthetic sling placement in patients with stress urinary incontinence

Skin and vaginal erosion after adjustable miduretral sling operation

Cadaveric Assessment of Synthetic Mid-Urethral Sling Placement

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