Efficacité de la voie trans-obturatrice dans le traitement de l’incontinence urinaire d’effort par insuffisance sphinctérienne urétrale : à propos de 61 cas

Abstract

Objectives To evaluate the effectiveness of the transobturator route in the treatment of intrinsic sphincter deficiency in the stress urinary incontinence. Patients and methods This is a retrospective multicenter study. Sixty-one patients with a low-uretral closure pressure were treated for stress urinary incontinence using the transobturator route. The intrinsic sphincter deficiency was defined according to criteria of the Société internationale francophone urodynamique (Sifud). The satisfaction of the patients was appreciated in postoperative consultation in the short run (six to 12 months) and by using the questionnaire “Contilife ®” evaluating the quality of postoperative life in the long run. The failure was defined when the patients declared themselves dissatisfied during the postoperative consultation and/or if their “Contilife ®” score was lower than seven (out of 10). Results The short-term evaluation reveals a rate of satisfaction of 92%. The questionnaire “Contilife ®” reveals 70% of very satisfied or satisfied patients. Eighteen percent of failure is noted. The majority of the patients in failure had urinary urgencies and/or overactive bladder. Discussion and conclusion Transobturator vaginal tape can be used in the treatment of patients having a low-uretral closure pressure. The patients must be informed of a success rate slightly lower than in women having a primary genuine stress incontinence.