Management of stress urinary incontinence using transobturator tape: a case series

Submitted: 18 July 2023
Accepted: 1 March 2024
Published: 8 July 2024
Abstract Views: 674
PDF: 138
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Authors

Urinary incontinence is a health problem for women and the elderly, both physically and psychologically. To cure it, mid-urethral sling surgery is used. Moreover, the transobturator tape (TOT) appears to reduce the incidence of bladder injuries. This case series aims to assess the safety and efficacy of TOT at Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia. We present eleven female patients diagnosed with stress urinary incontinence (SUI) and complaints of involuntary leakage during sneezing, coughing, or laughing. All patients underwent a TOT operation, which included a coughing test, pad test, residual volume, and urinalysis to rule out the infection. Out of the eleven patients, eight showed the reported urinary leakage at the first follow-up, and three did not attend the follow-up. The pad test post-operative results from five patients were obtained: four patients revealed 0 g in their pad test, while one showed 3 g. No patient experienced sling erosion during control or follow-up management. The low erosion rate was due to the usage of type 1 polypropylene mashes (macropore, monofilament), and the procedure was done with the correct technique. The sling TOT procedure seems effective and has the potential to become the new gold standard in the management of true SUI with low morbidity.

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Citations

Sumardi R, Mochtar CA, Junizaf, et al. Prevalence of urinary incontinence, risk factors and its impact: multivariate analysis from Indonesian nationwide survey. Acta Med Indones 2014;46:175-82.
Chrysostomou A. The management of stress urinary incontinence using transobturator tapes in a tertiary hospital in South Africa. Pelviperineology 2012;31:82-6.
Kwon BE, Kim GY, Son YJ, et al. Quality of life of women with urinary incontinence: a systematic literature review. Int Neurourol J 2010;14:133-8. DOI: https://doi.org/10.5213/inj.2010.14.3.133
Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1996;7:81-5. DOI: https://doi.org/10.1007/BF01902378
Delorme E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 2001;11:1306-13. [Article in French].
De Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 2003;44:724-30. DOI: https://doi.org/10.1016/j.eururo.2003.09.003
DeTayrac R, Deffieux X, Droupy S, et al. A prospective randomized trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. Am J Obstet Gynecol 2004;190:602-8. Retraction in: Am J Obstet Gynecol 2005;192:339. DOI: https://doi.org/10.1016/j.ajog.2003.09.070
Domingo S, Alamá P, Ruiz N, et al. Transobturator tape procedure outcome: a clinical and quality of life analysis of a 1-year follow-up. Int Urogynecol J Pelvic Floor Dysfunct 2007;18:895-900. DOI: https://doi.org/10.1007/s00192-006-0263-y
Tamussino KF, Hanzal E, Kölle D, et al. Tension-free vaginal tape operation: results of the Austrian registry. Obstet Gynecol 2001;98:732-6. DOI: https://doi.org/10.1016/S0029-7844(01)01565-4
Latthe PM, Foon R, Toozs-Hobson P. Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. BJOG 2007;114:522-31. DOI: https://doi.org/10.1111/j.1471-0528.2007.01268.x
Bukowski R, Malone FD, Porter F, et al. 5: Preconceptional folate prevents preterm delivery. Am J Obstet Gynecol 2007;197. DOI: https://doi.org/10.1016/j.ajog.2007.10.006
Deval B, Ferchaux J, Berry R, et al. Objective and subjective cure rates after trans-obturator tape (OBTAPE) treatment of female urinary incontinence. Eur Urol 2006;49:373-7. DOI: https://doi.org/10.1016/j.eururo.2005.11.012
Feng CL, Chin HY, Wang KH. Transobturator vaginal tape inside out procedure for stress urinary incontinence: results of 102 patients. Int Urogynecol J Pelvic Floor Dysfunct 2008;19:1423-7. DOI: https://doi.org/10.1007/s00192-008-0658-z

How to Cite

Djusad, S., Hakim, S., Priyatini, T., Moegni, F., Meutia, A. P., Ksyatria, Y., & Gede Manu, I. (2024). Management of stress urinary incontinence using transobturator tape: a case series. Urogynaecologia, 36(1). https://doi.org/10.4081/uij.2024.315

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