Patients with transobturator tape: a retrospective observational study of ten-year follow-up

Submitted: 14 September 2023
Accepted: 19 December 2023
Published: 17 January 2024
Abstract Views: 466
PDF: 166
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Stress urinary incontinence (SUI) may result from intrinsic sphincter weakness or urethral hypermobility brought on by weakened muscles in the pelvic floor that sustain the urethra and bladder. The amount of mid-urethral support is increased by the mid-urethral tape's function to serve as an anchored pubo-urethral neo-ligament. This study's objective is to assess the safety and effectiveness of transobturator tape (TOT) for SUI after a 10-year follow-up period. There were 103 patients included in this retrospective observational single-arm research. Only 95 participants were included in the trial since 8 patients were lost to follow-up. Patients who had TOT between 2010 and 2013 were monitored until December 2022. The effectiveness of the tape was assessed at 10 years for both early and late surgical problems in the patients. Those diagnosed with SUI were 52.27 years old on average (standard deviation ±8.48). 24% of patients (n=21) experienced mixed urinary incontinence (MUI), compared to 79.61% (n=82) of patients who had just pure stress incontinence. At 10 years, the success rate in our research was 97.09%. Demand incontinence was healed in 57.14% (n=12) of the 21 MUI patients. 7.69% of de novo urgency was noted (n=7). There were no significant side effects including mesh erosion, bladder and intestine perforation, or vascular hemorrhage. Excellent patient satisfaction was rated in 43% of cases (n=44), good in 54% of cases (n=56), and low in 3% of cases (n=3). At 10 years, TOT for SUI shows an impressive cure rate and excellent effectiveness. When the treatment is carried out by experienced hands, there are no significant difficulties.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Dass AK, Lo TS, Khanuengkitkong S, Tan YL. Diagnosis and conservative management of female stress urinary incontinence. Gynecol Minim Invasive Ther 2013;2:48-51. DOI: https://doi.org/10.1016/j.gmit.2013.02.005
Viereck V, Bader W, Lobodasch K, et al. Guideline-based strategies in the surgical treatment of female urinary incontinence: the new gold standard is almost the same as the old one. Geburtshilfe Frauenheilkd 2016;76:865-8. DOI: https://doi.org/10.1055/s-0042-107079
Shirvan K, Rahimi HR, Mahboub MRD, Sheikhi Z. Tension-free vaginal tape versus transobturator tape for treatment of stress urinary incontinence: a comparative randomized clinical trial study. Urol Sci 2014;25:54-7. DOI: https://doi.org/10.1016/j.urols.2013.11.005
Magon N, Chopra SV. Transobturator tape in treatment of stress urinary incontinence: it is time for a new gold standard. N Am J Med Sci 2012;4:226-30. DOI: https://doi.org/10.4103/1947-2714.95905
Chughtai B, Laor L, Dunphy C, et al. Diagnosis, evaluation, and treatment of mixed urinary incontinence in women. Rev Urol 2015;17:78-83.
Law TSM, Cheung RYK, Chung TKH, Chan SSC. Efficacy and outcomes of transobturator tension-free vaginal tape with or without concomitant pelvic floor repair surgery for urinary stress incontinence: five-year follow-up. Hong Kong Med J 2015;21:333-8. DOI: https://doi.org/10.12809/hkmj144397
Natale F, Illiano E, Marchesi A, et al. Transobturator tape: over 10 years follow-up. Urology 2019;129:48-53. DOI: https://doi.org/10.1016/j.urology.2019.03.003
Aygül C, Özyurt R, Şık BA, Kumbasar S. Evaluation of the efficacy of transobturator tape surgery in the treatment of stress urinary incontinence using urodynamics and questionnaires. Turk J Obstet Gynecol 2016;13:172-7. DOI: https://doi.org/10.4274/tjod.46034
Ford AA, Rogerson L, Cody JD, Ogah JA. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev 2017;7:CD006375. DOI: https://doi.org/10.1002/14651858.CD006375.pub4
Cetinel B, Tarcan T. Management of complications after tension-free midurethral slings. Korean J Urol 2013;54:651-9. DOI: https://doi.org/10.4111/kju.2013.54.10.651
Arslan B, Onuk O, Eroglu A, et al. Female sexual function following a novel transobturator sling procedure without paraurethral dissection (modified-TOT). Int Braz J Urol 2017;43:142-9. DOI: https://doi.org/10.1590/s1677-5538.ibju.2016.0270
Petri E, Ashok K. Comparison of late complications of retropubic and transobturator slings in stress urinary incontinence. Int Urogynecol J 2012;23:321-5. DOI: https://doi.org/10.1007/s00192-011-1535-8
Nitti VW. Complications of midurethral slings and their management. Can Urol Assoc J 2012;6:S120-2. DOI: https://doi.org/10.5489/cuaj.1462
Wu YM, Welk B. Revisiting current treatment options for stress urinary incontinence and pelvic organ prolapse: a contemporary literature review. Res Rep Urol 2019;11:179-88. DOI: https://doi.org/10.2147/RRU.S191555
Cubuk A, Yanaral F, Savun M, et al. Modified autologous transobturator tape surgery - evaluation of short term results. Ginekol Pol 2020;91:51-6. DOI: https://doi.org/10.5603/GP.2020.0016

How to Cite

Mishra, V., Solanki, S., Aggarwal, R., & Shajan, A. (2024). Patients with transobturator tape: a retrospective observational study of ten-year follow-up. Urogynaecologia, 36(1). https://doi.org/10.4081/uij.2024.318