Transobturator Tape

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Sue Ross - One of the best experts on this subject based on the ideXlab platform.

Magali Robert - One of the best experts on this subject based on the ideXlab platform.

Philippe Grise - One of the best experts on this subject based on the ideXlab platform.

  • female sexual function following surgery for stress urinary incontinence tension free vaginal versus Transobturator Tape procedure
    International Urogynecology Journal, 2009
    Co-Authors: Loic Sentilhes, Aurelien Berthier, Cecile Loisel, Philippe Descamps, L Marpeau, Philippe Grise
    Abstract:

    The aim of this study was to compare sexual function outcome following tension-free vaginal (TVT) versus Transobturator Tape (TOT) for stress urinary incontinence (SUI). All women who underwent TVT or TOT procedures for SUI with no concomitant prolapse repair between January 2002 and July 2007 were sent a retrospective pre-post questionnaire. Eighty-one and 64 women were sexually active before and after TVT and TOT procedures, respectively. Sexual function outcome did not differ pre- and postoperatively for the TVT and TOT groups, and postoperatively between the two groups. Responders reported an improvement of intercourse satisfaction in 23 (29.5%) and 21 (32.9%) cases, whereas 14 (17.3%) and eight (12.5%) complained of sexual function deterioration after TVT and TOT procedure, respectively (p = 0.43). This study suggests that anti-incontinence surgery can have a positive and negative outcome on sexual function, with no significant differences between the TVT and TOT procedures.

  • Transobturator Tape sling for female stress incontinence with polypropylene Tape and outside-in procedure: prospective study with 1 year of minimal follow-up and review of Transobturator Tape sling.
    Urology, 2006
    Co-Authors: Philippe Grise, Stéphane Droupy, Christian Saussine, Philippe Ballanger, François Monneins, Jean Francois Hermieu, Gérard Serment, Pierre Costa
    Abstract:

    Abstract Objectives To assess the efficacy and safety of a minimally invasive surgical procedure using a polypropylene Transobturator Tape to treat female stress urinary incontinence during a minimal follow-up of 1 year and to present a review of this technique. Methods A total of 206 women with stress urinary incontinence who underwent the Transobturator Tape procedure in a French multicenter prospective open tracker study, with a minimal follow-up of 1 year (range 12 to 33 months), were assessed. A nonelastic, polypropylene Tape was placed under the mid-urethra. The surgical placement technique used a vaginal and Transobturator percutaneous approach. Postoperative assessments included clinical examination, cough-stress test (full bladder), uroflowmetry, and postvoid residual urine volume performed after 1, 6, 12, 18, and 24 months. Results The mean follow-up was 16 months (range 12 to 33). Of the 206 patients, 79.1% were completely cured, 13% improved, and 7% failed. No vascular, nervous system, or digestive perioperative complications were observed; however, 2.4% of the patients had postoperative urinary retention. Conclusions The results of the present study have confirmed the optimal results in stress incontinence previously reported in short-term studies. These results suggest that the Transobturator Tape procedure is a valuable alternative to the transvaginal Tape procedure, with a low rate of complications.

  • Can Transobturator Tape for urinary incontinence cause complete urinary retention
    Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie, 2004
    Co-Authors: Baptiste Albouy, Charles Sambuis, Andréas Andreou, Louis Sibert, Philippe Grise
    Abstract:

    The surgical management of stress urinary incontinence has been revolutionized with the development of minimally invasive suburethral Tape techniques, which ensure a high continence rate by means of a rapid procedure with a short hospital stay. Although morbidity and adverse effects are uncommon, they must be kept in mind in order to adopt an appropriate strategy designed to prevent their development. Urinary retention is the most frequent postoperative complication of retropubic Tape. The recent Transobturator Tape technique modifies the location of the Tape with an angulation more close resembling that of fascial support tissues, thereby decreasing the theoretical risk of retention. The authors report the first case of complete urinary retention and discuss the mechanism and therapeutic strategy.

Richard Hiscock - One of the best experts on this subject based on the ideXlab platform.

  • Three-year follow-up of tension-free vaginal Tape compared with Transobturator Tape in women with stress urinary incontinence and intrinsic sphincter deficiency.
    Obstetrics & Gynecology, 2012
    Co-Authors: Lore Schierlitz, Peter L. Dwyer, Anna Rosamilia, Christine Murray, Elizabeth Thomas, Alison De Souza, Richard Hiscock
    Abstract:

    OBJECTIVE:To compare the efficacy of tension-free vaginal Tape (TVT) to Transobturator Tape in the treatment of women with stress urinary incontinence (SUI) and intrinsic sphincter deficiency at 3-year follow-up.METHODS:One hundred sixty-four women were randomized to either TVT or Transobturator tap

  • Three-year follow-up of tension-free vaginal Tape compared with Transobturator Tape in women with stress urinary incontinence and intrinsic sphincter deficiency.
    Obstetrics and gynecology, 2012
    Co-Authors: Lore Schierlitz, Peter L. Dwyer, Anna Rosamilia, Christine Murray, Elizabeth Thomas, Alison De Souza, Richard Hiscock
    Abstract:

    To compare the efficacy of tension-free vaginal Tape (TVT) to Transobturator Tape in the treatment of women with stress urinary incontinence (SUI) and intrinsic sphincter deficiency at 3-year follow-up. One hundred sixty-four women were randomized to either TVT or Transobturator Tape after diagnosis of urodynamic stress incontinence and intrinsic sphincter deficiency. Concomitant pelvic organ prolapse surgery was not an exclusion criterion. The primary outcome assessed at 3-year follow-up was symptomatic stress incontinence requiring repeat surgery. Secondary outcomes were quality-of-life parameters assessed by validated questionnaires and numerical success score. One hundred sixty-four women were enrolled in the study. At 3 years, 15 of the 75 (20%) women in the Transobturator Tape group underwent repeat surgery to correct SUI compared with one of the 72 (1.4%) in the TVT group. In other words, if TVT had been used exclusively, repeat surgery would have been avoided in one in six patients. The risk ratio of repeat surgery was 15 (95% confidence interval 2-113; P<.001) times greater in the Transobturator Tape group. In the Transobturator Tape group, the median time to repeat surgery was 15.6 months compared with 43.7 months for TVT (P<.001). The quality-of-life outcomes did show an improvement in both groups before and after surgery but no difference between the two slings in the Urogenital Distress Inventory short form, the Incontinence Impact Questionnaire short form, and a patient-rated numerical success score. The long-term cure rates for retropubic TVT are significantly greater than for Transobturator Tape in women with urodynamic stress incontinence and intrinsic sphincter deficiency. Urethral functions tests such as urethral closure pressure and Valsalva leak point pressures are of value in determining what surgery to perform. Australian New Zealand Clinical Trials Registry, www.anzctr.org.au, ACTRN12608000093381. I.

  • Effectiveness of tension-free vaginal Tape compared with Transobturator Tape in women with stress urinary incontinence and intrinsic sphincter deficiency: a randomized controlled trial
    Obstetrics and gynecology, 2008
    Co-Authors: Lore Schierlitz, Peter L. Dwyer, Anna Rosamilia, Christine Murray, Elizabeth Thomas, Alison De Souza, Yik N. Lim, Richard Hiscock
    Abstract:

    OBJECTIVE: To compare efficacy of Transobturator Tape with tension-free vaginal Tape (TVT) in the treatment of stress urinary incontinence in women with intrinsic sphincter deficiency. METHODS: One hundred sixty-four women diagnosed with urodynamic stress incontinence and intrinsic sphincter deficiency with or without concomitant pelvic organ prolapse repair were randomized to receive TVT or Transobturator Tape. The primary outcome was the presence or absence of urodynamic stress incontinence at 6 months postoperatively. Secondary outcomes were the rate of operative complications, symptomatic stress incontinence requiring further surgery, and quality-of-life questionnaires. RESULTS: Of 180 women eligible to participate, 164 were enrolled and underwent surgery. Of the 138 patients assessed at 6 months with urodynamic studies, 14 of 67 (21%) had urodynamic stress incontinence in the TVT group compared with 32 of 71 (45%) in the Transobturator Tape group (P=.004), with nine women in the Transobturator Tape group having repeat sling surgery compared with none in the TVT group. In the intention-totreat analysis, the incident rate difference for request of repeat surgery was 9.7% (95% confidence interval [Cl] 0-19.9); repeat surgery would be requested in one of every six Transobturator Tape procedures compared with 1 of every 16 TVT procedures. The risk ratio of repeat surgery was 2.6 (95% Cl 0.9-9.3) times higher in the Transobturator Tape group. CONCLUSION: Retropubic TVT is a more effective operation than the Transobturator Tape sling in women with urodynamic stress incontinence and intrinsic sphincter deficiency.

Deborah Poplawsky - One of the best experts on this subject based on the ideXlab platform.

  • Bilateral bladder erosion of a Transobturator Tape mesh.
    Obstetrics and gynecology, 2006
    Co-Authors: Mitesh H Parekh, Vatche A Minassian, Deborah Poplawsky
    Abstract:

    The Transobturator Tape procedure is reported to be an effective procedure with low complication rates. A 45-year-old woman underwent surgery for prolapse and incontinence. The surgery included Transobturator Tape. Intraoperative cystoscopy was not performed. Postoperatively, a mesh erosion into the bladder on the left side and a large cystocele were diagnosed. The patient underwent a combined transurethral and suprapubic mesh resection. Six months later, she had another mesh erosion on the contralateral side. This time, a complete vaginal resection of the mesh was performed. Intraoperative cystoscopy should be considered after a Transobturator Tape procedure. Bilateral mesh erosion may result from motion of a cystocele against a fixed Transobturator Tape. Concurrent repair of the cystocele to prevent future mesh erosions may be warranted.

  • Bilateral bladder erosion of a Transobturator Tape mesh
    Obstetrics & Gynecology, 2006
    Co-Authors: Mitesh Parekh, Vatche A Minassian, Deborah Poplawsky
    Abstract:

    BACKGROUND: The Transobturator Tape procedure is reported to be an effective procedure with low complication rates. CASE: A 45-year-old woman underwent surgery for prolapse and incontinence. The surgery included Transobturator Tape. Intraoperative cystoscopy was not performed. Postoperatively, a mesh erosion into the bladder on the left side and a large cystocele were diagnosed. The patient underwent a combined transurethral and suprapubic mesh resection. Six months later, she had another mesh erosion on the contralateral side. This time, a complete vaginal resection of the mesh was performed. CONCLUSION: Intraoperative cystoscopy should be considered after a Transobturator Tape procedure. Bilateral mesh erosion may result from motion of a cystocele against a fixed Transobturator Tape. Concurrent repair of the cystocele to prevent future mesh erosions may be warranted.