Transobturator Tape (Uratape®): A New Minimally-Invasive Procedure to Treat Female Urinary Incontinence

Delorme, E.; Droupy, S.; Tayrac, Renaud de; Delmas, V.

doi:10.1016/j.eururo.2003.12.001

Cited by 406 publications

(336 citation statements)

References 8 publications

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“…Although the transobturator tape (TOT) procedure launched by Delorme [10] became a mainstay of SUI operation because of a high success rate and low risk of bladder perforation, only few data are available to assess the impact of obesity on the TOT procedure. Therefore, we investigated the influence of obesity on clinical characteristics, quality of life (QoL), and outcomes in patients with SUI who underwent the TOT surgery.…”

Section: Introductionmentioning

confidence: 99%

Influence of Obesity on Short-term Surgical Outcome of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence

Tchey

Kim

et al. 2010

Int Neurourol J

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Purpose: The purpose of our study was to evaluate the influence of obesity on clinical characteristics, quality of life (QoL), and outcomes in patients with stress urinary incontinence (SUI) who underwent the transobturator tape (TOT) surgery. Materials and Methods: The medical records of SUI patients who underwent the TOT operation from January 2007 to February 2009 were retrospectively reviewed. Patients with any neurologic diseases that affect the voiding pattern were excluded, and 107 patients were enrolled. The patients were divided into nonobese (BMI<25) and obese (BMI≥25) groups. The preoperative evaluation consisted of history taking, physical examination, cystometrography, 3-day frequency-volume chart, King's Health Questionnaire (KHQ), and symptom perception scale questionnaires. Results:The nonobese group consisted of 55 (51.4%) patients and the obese group of 52 (48.6%). The median age was 49.0 (range, 30.8-73.5) years in the nonobese group and 52.7 (range, 35.5-73.5) years in the obese group (p>0.05). The obese group showed a higher SUI symptom grade, urethral hypermobility, urgency, and urge incontinence scale than did the nonobese group (each p<0.05). Neither the domains of the KHQ nor the items on the 3-day frequency-volume chart differed between the two groups (each p>0.05). After the operation, the symptom scales and parameters in the 3-day frequency-volume chart of the obese group were similar to those of the nonobese group (each p>0.05). The objective success, recurrence, and complication rates at 1year were similar in the two groups (each p>0.05). Conclusions: Obese SUI patients had worse SUI symptom grade, urgency, and urge incontinence symptoms than did nonobese patients. However, surgical correction by the TOT operation could restore the symptoms and voiding parameters as effectively in obese patients as in nonobese patients.

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Section: Introductionmentioning

confidence: 99%

Influence of Obesity on Short-term Surgical Outcome of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence

Tchey

Kim

et al. 2010

Int Neurourol J

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“…The complications observed in TVT prompted the development of the Trans Obturator Taping (TOT) by Delorme in 2001, to reduce retropubic routeassociated complications [22] . TOT involves placement of midurethral tape and anchoring it through the obturator foramen.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Retropubic Colposuspension, TVT and TOT in Management of Stress Urinary Incontinence: A Tertiary Care Centre Experience

Vazhayil¹

2017

JMSCR

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“…3,4 In 2003, de leval developed INSIDE-OUT technique with comparable results of Delorme's OUTSIDE-IN technique. 5 As with retropubic synthetic slings, this is a minimally invasive midurethral sling using a synthetic tape; specially designed needles are passed from vagina to inner groin.…”

Section: Introductionmentioning

confidence: 99%

Long term safety, efficacy and clinical outcomes of transobturator tension free tape (inside-out technique) in women with stress urinary incontinence

Penmetsa¹,

Guntoory²,

Namburi³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Stress urinary incontinence (SUI) is commonly encountered in Gynaecological practice. The management of stress urinary incontinence underwent a paradigm shift with focus changing from bladder neck suspension to support of mid urethra in the last two decades. The aim of our study is to know the safety, efficacy, subjective and objective outcomes of Transobturator Tension Free Tape (TOT) (in-out technique) in women with Stress urinary incontinence.Methods: This is a prospective study conducted in the departments of Gynaecology and Urology at Maharajah’s Institute of Medical Sciences, Nellimerla, Vizianagaram district, Andhra Pradesh, India. 62 patients were treated with Tension Free Trans-obturator tape with inside-out technique using polypropylene mesh. This study was conducted from June 2012 to May 2014. These women were followed up annually for a period of 3 years af-ter surgery. 3 year subjective and objective outcomes were assessed. Subjective outcome is defined as no loss or leak of urine on physical activity and objective outcome is defined as negative Pad test.Results: The subjective and objective cure rates were 91.93% and 95.16% respectively.Conclusions: Transobturator Tension free Tape is an effective treatment for Stress urinary in-continence in women providing high subjective and objective efficacy upto 3 years after surgery.

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Transobturator Tape (Uratape®): A New Minimally-Invasive Procedure to Treat Female Urinary Incontinence

Cited by 406 publications

References 8 publications

Influence of Obesity on Short-term Surgical Outcome of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence

Influence of Obesity on Short-term Surgical Outcome of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence

Comparison of Retropubic Colposuspension, TVT and TOT in Management of Stress Urinary Incontinence: A Tertiary Care Centre Experience

Long term safety, efficacy and clinical outcomes of transobturator tension free tape (inside-out technique) in women with stress urinary incontinence

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