Transobturator tape (TOT): Two years follow‐up

Juma, Saad; Brito, C. Gilberto

doi:10.1002/nau.20353

Cited by 62 publications

(48 citation statements)

References 18 publications

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“…Bizim çalışmamızda yaşam kalitesini olumsuz şekilde etkileyen de novo urge oranı (%4,2) literatür ile uyumlu şekilde düşük bulunmuştur (17)(18)(19).…”

Section: Discussionunclassified

The Effectiveness And Complications of Transobturator Tape Operation: Analysis of 120 cases

Afşar¹,

Üyetürk²,

Dilli³

et al. 2012

Turk J Bioch

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Amaç: Bu çalışmanın amacı; minimal-invazif bir teknik olarak tanımlanan transobturator tape (TOT) operasyonunun etkinliğinin ve komplikasyonlarının değerlendirilmesidir. Yöntemler: 2011-2012 yılları arasında saf stres üriner inkontinans (SÜİ) veya mikst üriner inkontinans (MÜİ) nedeniyle subüretral gergisiz vajinal TOT operasyonu yapılan 120 hasta çalışmaya alındı. Tüm operasyonlar dıştan-içe Obtryx™ (Boston Scientific, Natick, MA, USA) marka kit ile gerçekleştirildi. Hastalar postoperatif 1. ve 3. aylarda kontrollere çağrılarak ürojinekolojik muayeneleri yapıldı, operasyon başarısı ve perioperatif komplikasyonları değerlendirildi. Bulgular: Olguların tamamı multipardı ve yaş ortalaması 49,6±11,3 idi. Hastaların 47 (%39,2) tanesi postmenopozal, 73 (%60,8) tanesi ise premenopozal idi. Transobturator tape operasyonu olan olgulardan 36 (%30) tanesi ek cerrahi operasyon geçirdi. Olguların objektif kür oranı %91,7 ve subjektif kür oranı %88,3 idi. Tedavi başarısızlığı %8,3 olarak bulundu. Transobturator tape operasyonuna bağlı kan transfüzyonu gereksinimi sadece 1 hastada gerekli oldu. İntraoperatif 200ml üzerinde kanama 4 hastada izlendi. Vajinal forniks perforasyonu sadece 3 vakada izlendi. Perineal ağrı 2 olguda mevcuttu. De novo urge inkontinans postoperatif 5 hastada izlendi ve antikolinerjikler ile tedavi edildi. Vajinal erozyon görülen 4 hastada mesh eksize edildi ve vajen mukozası tekrar sütüre edildi. Sonuç: Stres üriner inkontinans cerrahi tedavisinde minimalinvazif, komplikasyon oranı düşük ve kür oranı yüksek bir yöntem olan transobturator tape operasyonu diğer tekniklere üstünlük sağlamıştır. Cerrahi tecrübe arttıkça komplikasyon oranları azalmakta ve bunların yönetimi kolaylaşmakta-dır.Objective: The aim of this study is to evaluate the effectiveness and complications of TOT (trans-obturator tape) operation which is a minimally-invasive technique. Methods: 120 patients who had suburethral tension-free vaginal TOT operation due to pure stress urinary incontinence (SUI) or mixt urinary incontinence (MUI) between 2011-2012 were reviewed. All of the operations were performed outside to inside with the Obtryx™ (Boston Scientific, Natick, MA, USA) trademark kit. Postoperatively patients were called at 1st and 3rd months; urogynecologic examinations were done, the success and perioperative complications of the operations were evaluated Results: All of the patients were multiparaous and median age was 49,6±11,3 years. Forty-seven (%39.2) patients were postmenaupausal and thirty-six patients (%30) who had TOT operation had extra surgery. Objective cure rates of the patients were %91.7 and subjective cure rates of the patients were %88.3. Treatment failure was %8.3. Only one patient had blood transfusion requirement due to TOT operation. Intraoperatively, 4 patients had bleeding more than 200 ml. Three patients had vaginal fornix perforation. Two patients had perineal pain. De novo urge incontinence was seen in 5 patients postoperatively and was treated with anticholinergic drugs. Mesh excisions were done...

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“…Bizim çalışmamızda yaşam kalitesini olumsuz şekilde etkileyen de novo urge oranı (%4,2) literatür ile uyumlu şekilde düşük bulunmuştur (17)(18)(19).…”

Section: Discussionunclassified

The Effectiveness And Complications of Transobturator Tape Operation: Analysis of 120 cases

Afşar¹,

Üyetürk²,

Dilli³

et al. 2012

Turk J Bioch

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“…The questionnaires used in the phone interview were written at our institute (Table-1). Questionnaires were designed in previous studies to determine the following: the current states of SUI, the reason for follow-up loss, subjective satisfaction, and complications after the surgery in the FU loss group (20)(21)(22)(23)(24).…”

Section: Methodsmentioning

confidence: 99%

Patients lost to follow-up after midurethral sling surgery: How are they?

et al. 2014

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ARTICLE INFO ______________________________________________________________ ______________________Purpose: To assess the ratio of patients lost to follow-up (FU) after midurethral sling surgery, to evaluate their success rate and current status, and to identify the reasons for FU loss. Materials and Methods: Two-hundred thirty-eight patients who received trans-obturator tape (TOT) surgery were reviewed. For patients lost to FU within 3 months, Stamey's outcome questionnaire and questions regarding the reasons for FU loss were submitted via phone interview. Results: One hundred forty-three (60.1%) patients (FU loss group) were lost to FU within 3 months postoperatively. In the FU loss group, phone interviews were conducted with 117 (81.8%) patients. Aside from the urgency rate (59.3% vs. 72.3%, p=0.049), there were no significant statistical differences in preoperative profiles between two group. The success rate of the FU loss group (80.3%, 94 of 117 patients) was lower than that of the FU group (95.8%, 91 of 95 patients) (p=0.001). The success rates in the FU loss group with mixed urinary incontinence (MUI) were significantly lower than in the FU group with MUI. As for the reason for FU loss, 74 patients (62.7%) were lost due to incontinence improvement, 19 patients (16.1%) cited personal problems, and 5 patients forgot the next follow-up date. Only 10 patients gave up further treatment despite their persisting incontinence. Conclusions: In our study, more than half of patients were lost to follow-up after midurethral sling surgery. The FU loss group showed a lower surgical success rate, particularly with MUI. Close FU is recommended for better consultation of patients' incontinence.

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“…Groin abscesses have been reported with TOT (56) and are more common with certain types of sling material (57,58). Late complications after TOT, as severe troubles during claudicatio, have never been reported with the retropubic and prepubic techniques (33,(59)(60)(61)(62)(63).…”

Section: Prepubic -Tvt Proceduresmentioning

confidence: 99%