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
| Autor: | Christian Saussine, François Monneins, Jean Francois Hermieu, Philippe Grise, Pierre Costa, Gérard Serment, Philippe Ballanger, Stéphane Droupy |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Transobturator tape Stress incontinence medicine.medical_specialty Sling (implant) Urinary Incontinence Stress Urology Biocompatible Materials Physical examination Urinary incontinence Polypropylenes medicine Humans Minimally Invasive Surgical Procedures Prospective Studies Prospective cohort study medicine.diagnostic_test business.industry Urinary retention Perioperative medicine.disease Surgery Urodynamics Treatment Outcome Urologic Surgical Procedures Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Urology. 68:759-763 |
| ISSN: | 0090-4295 |
| Popis: | Objectives To assess the efficacy and safety of a minimally invasive surgical procedure using a polypropylene transobturator tape to treat female stress urinary incontinence during a minimal follow-up of 1 year and to present a review of this technique. Methods A total of 206 women with stress urinary incontinence who underwent the transobturator tape procedure in a French multicenter prospective open tracker study, with a minimal follow-up of 1 year (range 12 to 33 months), were assessed. A nonelastic, polypropylene tape was placed under the mid-urethra. The surgical placement technique used a vaginal and transobturator percutaneous approach. Postoperative assessments included clinical examination, cough-stress test (full bladder), uroflowmetry, and postvoid residual urine volume performed after 1, 6, 12, 18, and 24 months. Results The mean follow-up was 16 months (range 12 to 33). Of the 206 patients, 79.1% were completely cured, 13% improved, and 7% failed. No vascular, nervous system, or digestive perioperative complications were observed; however, 2.4% of the patients had postoperative urinary retention. Conclusions The results of the present study have confirmed the optimal results in stress incontinence previously reported in short-term studies. These results suggest that the transobturator tape procedure is a valuable alternative to the transvaginal tape procedure, with a low rate of complications. |
| Databáze: | OpenAIRE |
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