A new titanium-covered transobturator tape for surgical treatment of stress urinary incontinence
| Autor: | Anne-Claude Fahrni, Anis Feki, Jean-Bernard Dubuisson, A. L. Major, Cornelia Betschart, Jean Bouquet de Jolinière |
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| Přispěvatelé: | University of Zurich, Major, Attila Louis |
| Rok vydání: | 2021 |
| Předmět: |
2748 Urology
Male Transobturator tape medicine.medical_specialty Urinary Incontinence Stress Urology 610 Medicine & health Urinary incontinence Transobturator sling Polypropylenes Patient satisfaction medicine Humans Prospective Studies Surgical treatment Prospective cohort study Titanium Suburethral Slings business.industry Urinary retention Obstetrics and Gynecology 2729 Obstetrics and Gynecology 10174 Clinic for Gynecology Surgery Treatment Outcome Urinary Incontinence Urologic Surgical Procedures Female medicine.symptom business Sexual function |
| Zdroj: | International Urogynecology Journal. 33:911-918 |
| ISSN: | 1433-3023 0937-3462 |
| DOI: | 10.1007/s00192-021-04976-8 |
| Popis: | Introduction and hypothesis To assess the long-term satisfaction, cure rate and safety of a new titanium-covered transobturator tape compared to polypropylene tape for the treatment of stress urinary incontinence (SUI). Methods A prospective study was conducted with 151 patients. Seventy patients underwent transobturator sling surgery with titanium tape from 2011 to 2019, and a historical control group (CG) of 81 patients was treated with a noncoated tape and underwent incontinence surgery from 1999 to 2009. We compared patient-reported outcome measures (PROMs) with the incontinence outcome questionnaire (IOQ). Results The median follow-up was 2½ years in both groups. Based on responses to the IOQ, a statistically significantly shorter time of recovery (IOQ 15: 21.3 ± 26.4 [TG], 40.2 ± 38.5 [CG], p = 0.02), improvement of sex life (IOQ 13: 34.1 ± 29.4 [TG] vs. 65.3 ± 35.6 [CG], p = 0.01) and less voiding dysfunction (IOQ 19: 30.9 ± 28.1 [CG], 9.3 ± 18.6 [TG], p = 0.01) were observed in the TG. Objectively, no postoperative urinary retention was observed in the TG, but four cases were described in the CG. Ten patients needed a reoperation for SUI in the CG compared to three in the TG (p = 0.03). Conclusion The titanium-covered transobturator sling had superior recovery time, improved sexual function and reduced reoperation rate compared to a historical polypropylene group. |
| Databáze: | OpenAIRE |
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