Outcomes Of Transobturator Tape Procedure Research Articles

Outcome of Trans-obturator Tape Procedure in the treatment of Stress Urinary Incontinence at Kathmandu Model Hospital

Aims: To evaluate the improvement in the quality of life of women with stress urinary incontinence who were treated with trans-obturator tape procedure.
 Methods: This is a cross-sectional study of treatment of stress urinary incontinence using trans-obturator tape at Kathmandu Model Hospital from February 2018 to December 2019. The outcome of the procedure in terms of improvement in quality of life and surgical complications were assessed.
 Results: Out of 16 cases of stress urinary incontinence half of them were post-menopausal. One each had intra-operative bladder injury, urinary retention and urinary tract infection; 14 cases improved completely by a week, one had some improvement and one didn’t improve. At six months follow-up one case had no improvement and one developed urge incontinence.
 Conclusions: Trans-obturator tape has been found a good procedure for the treatment of stress urinary incontinence in our setting and hence led to high rate of improvement in quality of life with minimal and minor complications.
 Key words: Complications; quality of life; stress urinary incontinence; trans-obturator tape

3 Long-term outcomes of transobturator tape procedure in women with stress and mixed urinary incontinence: 5-year follow-up

3 Long-term outcomes of transobturator tape procedure in women with stress and mixed urinary incontinence: 5-year follow-up

382 Are the outcomes of transobturator tape procedure for female stress urinary incontinence durable in long term follow up?

382 Are the outcomes of transobturator tape procedure for female stress urinary incontinence durable in long term follow up?

761 Outcomes of transobturator tape procedure for the treatment of stress incontinence in females with neuropathic bladders

761 Outcomes of transobturator tape procedure for the treatment of stress incontinence in females with neuropathic bladders

Are the outcomes of transobturator tape procedure for female stress urinary incontinence durable in long-term follow-up?

To evaluate long-term cure rates and late complication rates after treatment for female stress urinary incontinence (SUI) with transobturator tape (TOT) procedure and to compare the outcomes of 1st year versus 5th year. We analyzed 138 women who underwent TOT procedure for pure SUI and mixed urinary incontinence in two institutions during the time period of June 2005-May 2008 retrospectively. We used two kinds of polypropylene monofilament tapes (Heine Medizinurethral support system, Germany and I-STOPCL Medical, France) for the standard outside-in TOT in similar numbers. All patients were evaluated with pelvic examination including cough stress test and International Consultation on Incontinence Questionnaire-Short Form at 3 and 12 months and annually. Our primary outcome measures were rates of objective cure, subjective cure, patient satisfaction and failure for long-term follow-up. The objective cure, subjective cure and patient satisfaction rates of the 126 women at 1 year were 89.6, 86.5 and 92% respectively. During 5-year follow-up, objective cure rate was stable with 87.3% rate (p = 0.554), whereas subjective cure and patient satisfaction rates were decreased to 65.9 and 73%, respectively (p = 0.001). Complications are reported according to the Clavien-Dindo classification with Gr I 14.3%, Gr II 64.3%, Gr IIIa 7.1% and Gr IIIb 14.3 %. TOT procedure is an effective minimal invasive procedure with satisfactory results for female SUI in short term. Although recovery in SUI symptoms was stable during 5-year follow-up, subjective cure and patient satisfaction rates decreased significantly due to urge urinary incontinence symptoms.

Long-Term Surgical Outcomes of Transobturator Tape Procedure in Women With Mixed Urinary Incontinence

Long-Term Surgical Outcomes of Transobturator Tape Procedure in Women With Mixed Urinary Incontinence

Surgical outcome of transobturator tape procedure in obese and non-obese women

The objective of this study was to assess the impact of body mass index (BMI) on transobturator tape (TOT) success rates, patient acceptability and complications 1 year following surgery. The medical records of stress urinary incontinence (SUI) and mixed urinary incontinence (MUI) patients who underwent the TOT operation were retrospectively reviewed. The patients were divided into non-obese (BMI < 25) and obese (BMI ≥ 30) groups. Baseline and 1 year post-surgical outcomes were assessed by including multichannel urodynamics, Urogenital Distress Inventory (UDI-6) scores, Incontinence Impact Questionnaire (IIQ-7) scores and cure, failure and success rates. There were no significant differences between groups in terms of urodynamic parameters, objective cure rate and subjective success, quality of life scores, or postoperative complications. Both obese and non-obese patients had cure and/or improvement of their symptoms and had better quality-of-life in the postoperative period. As a conclusion, BMI does not affect the clinical effectiveness of TOT operation in the treatment of female SUI or MUI.

UP-2.27: The effect of postoperative physical activity on the outcomes of transobturator tape procedure

UP-2.27: The effect of postoperative physical activity on the outcomes of transobturator tape procedure

The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up

The aim of this study is to investigate the effect of intrinsic sphincter deficiency (ISD) and urethral hypermobility on the outcome of the transobturator tape (TOT). Sixty-five women were divided into three groups: group I, ISD with hypermobile urethra (n = 18); group II, ISD with fixed urethra (n = 16); and group III, hypermobile urethra without ISD (n = 31). Cure of stress urinary incontinence was defined if the patient had negative cough stress test. Cure and improvement rates were compared at 6, 12, and 24 months. The cure and improvement rates of groups I and III were similar at 6, 12, and 24 months (96.1% vs 96.6%, 96.1% vs 96.6%, and 87.5 vs %96.4%, respectively). Group II had the lowest cure and improvement rates (68.7%, 66.7%, and 66.7%, respectively). A lack of urethral hypermobility may be a risk factor for TOT failure.