Abstract
BackgroundPreviously, we presented the short-term outcomes of surgeon-tailored mesh in patients with SUI undergoing TOT. In this report, we aim to highlight the two-year outcomes of surgeon tailored mesh in terms of subjective and objective cure rates, as well as late complications.MethodsWe performed a randomized, open-label comparative trial that recruited women with SUI who were scheduled to undergo TOT. Eligible patients were randomly allocated in a 1:1 ratio to receive traditional TOT mesh or surgeon-tailored polyethylene mesh. All patients were followed up for two years.ResultsAt the end of the follow-up, there were 13 women in the traditional TOT mesh group and 14 patients in the surgeon-tailored polyethylene mesh group. Concerning the primary outcome of the present study, the cure rate was 100% in the surgeon-tailored polyethylene mesh (n = 14) and 92.9% in the traditional TOT mesh group (p = 0.39). One woman reported improved symptoms in the traditional TOT mesh group. There were no reported failures in both groups. Concerning safety, the incidence of de novo urgency was 0% in the surgeon-tailored polyethylene mesh group, compared to 7.1% in the traditional TOT mesh group (p = 0.34). None of the women in both groups reported mesh erosions, dyspareunia, or need for reoperation.ConclusionSurgeon-tailored mesh for patients undergoing TOT is a cost-effective technique, which has comparable long-term outcomes, in terms of cure rate and complications, to the traditional costly meshes. Larger multicentre studies should confirm our results.
Highlights
We presented the short-term outcomes of surgeon-tailored mesh in patients with Stress urinary incontinence (SUI) undergoing Trans obturator tape (TOT)
*Correspondence: Salahshebl@yahoo.com; Salahshebl@azhar.edu.eg Urology Department, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt (MUS) is a highly effective, minimally-invasive, surgical approach for SUI that is based on the passing of a small band of a synthetic mesh into either the retropubic space or through the obturator foramen [3]
The 30 women were randomly allocated to the traditional TOT mesh (n = 15 women) or surgeon-tailored polyethylene mesh (n = 15 women)
Summary
We presented the short-term outcomes of surgeon-tailored mesh in patients with SUI undergoing TOT. We aim to highlight the two-year outcomes of surgeon tailored mesh in terms of subjective and objective cure rates, as well as late complications. Previous reports showed that MUS achieves a cure rate of up to 94% [4], with a low risk of postoperative complications, such as visceral injuries and retention [5]. A number of surgeon-tailored meshes were proposed to reduce the cost of the procedure, with maintaining the postoperative and long-term outcomes [10]. We presented the short-term outcomes of surgeon-tailored mesh in patients with SUI undergoing TOT [11].
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