Exploring the Challenges of Using Minimal Invasive Surgery to Treat Stress Urinary Incontinence: Insights from a Retrospective Case-Control Study
Stress urinary incontinence (SUI) is a significant global health issue that particularly affects females, leads to notable societal and economic challenges and significantly affects the quality of life. This study focuses on the comparative analysis of two established surgical interventions, tension...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/14/3/323 |
| _version_ | 1827354771612237824 |
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| author | Adrian Hașegan Ionela Mihai Cosmin Adrian Teodoru Ioana Bogdan Matacuta Horațiu Dura Samuel Bogdan Todor Cristian Ichim Denisa Tanasescu Nicolae Grigore Ciprian Nicolae Bolca Cosmin Ioan Mohor Călin Ilie Mohor Nicolae Bacalbașa Dan Georgian Bratu Adrian Boicean |
| author_facet | Adrian Hașegan Ionela Mihai Cosmin Adrian Teodoru Ioana Bogdan Matacuta Horațiu Dura Samuel Bogdan Todor Cristian Ichim Denisa Tanasescu Nicolae Grigore Ciprian Nicolae Bolca Cosmin Ioan Mohor Călin Ilie Mohor Nicolae Bacalbașa Dan Georgian Bratu Adrian Boicean |
| author_sort | Adrian Hașegan |
| collection | DOAJ |
| description | Stress urinary incontinence (SUI) is a significant global health issue that particularly affects females, leads to notable societal and economic challenges and significantly affects the quality of life. This study focuses on the comparative analysis of two established surgical interventions, tension-free vaginal tape (TVT) and transobturator tape (TOT), at a single center and applied to 455 women suffering from SUI, with a mean follow-up period of 102 ± 30 months for TVT and 80.4 ± 13 months for TOT. Our findings indicate that, in comparison to TVT, the TOT procedure demonstrates fewer early and late post-operative complications in patient outcomes (1.41% vs. 17.64% and; 5.66% vs. 12.74%, both respectively). However, the TVT procedure shows a modestly favorable outcome in the risk of recurrence of SUI, compared to TOT (0% vs. 3.7%); the TOT procedure has also proven to be more effective in alleviating of urgency symptoms, although not at a statistically significant level (<i>p</i> = 0.072). Univariable and multivariable analysis of factors that predict late complications showed that only obesity can predict a worse outcome [OR]: 1.125 CI 95%: 1.105–1.533, <i>p</i> = 0.037), when adjustments are made for symptoms presented before surgery and procedure type. While both methods are safe and effective, the choice between them should be based on the specific characteristics of each case. |
| first_indexed | 2024-03-08T03:58:29Z |
| format | Article |
| id | doaj.art-3e686f21b7474bb2a85832993784c9ca |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-08T03:58:29Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-3e686f21b7474bb2a85832993784c9ca2024-02-09T15:10:13ZengMDPI AGDiagnostics2075-44182024-02-0114332310.3390/diagnostics14030323Exploring the Challenges of Using Minimal Invasive Surgery to Treat Stress Urinary Incontinence: Insights from a Retrospective Case-Control StudyAdrian Hașegan0Ionela Mihai1Cosmin Adrian Teodoru2Ioana Bogdan Matacuta3Horațiu Dura4Samuel Bogdan Todor5Cristian Ichim6Denisa Tanasescu7Nicolae Grigore8Ciprian Nicolae Bolca9Cosmin Ioan Mohor10Călin Ilie Mohor11Nicolae Bacalbașa12Dan Georgian Bratu13Adrian Boicean14Faculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaSurgery Department, Universite de Sherbrooke, Sherbrooke, QC J1K 2R1, CanadaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaSurgery Department, University of Medicine and Pharmacy “Carol Davila” Bucharest, 020021 Bucharest, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaStress urinary incontinence (SUI) is a significant global health issue that particularly affects females, leads to notable societal and economic challenges and significantly affects the quality of life. This study focuses on the comparative analysis of two established surgical interventions, tension-free vaginal tape (TVT) and transobturator tape (TOT), at a single center and applied to 455 women suffering from SUI, with a mean follow-up period of 102 ± 30 months for TVT and 80.4 ± 13 months for TOT. Our findings indicate that, in comparison to TVT, the TOT procedure demonstrates fewer early and late post-operative complications in patient outcomes (1.41% vs. 17.64% and; 5.66% vs. 12.74%, both respectively). However, the TVT procedure shows a modestly favorable outcome in the risk of recurrence of SUI, compared to TOT (0% vs. 3.7%); the TOT procedure has also proven to be more effective in alleviating of urgency symptoms, although not at a statistically significant level (<i>p</i> = 0.072). Univariable and multivariable analysis of factors that predict late complications showed that only obesity can predict a worse outcome [OR]: 1.125 CI 95%: 1.105–1.533, <i>p</i> = 0.037), when adjustments are made for symptoms presented before surgery and procedure type. While both methods are safe and effective, the choice between them should be based on the specific characteristics of each case.https://www.mdpi.com/2075-4418/14/3/323stress urinary incontinencesurgerytransobturator tapetension-free vaginal tape |
| spellingShingle | Adrian Hașegan Ionela Mihai Cosmin Adrian Teodoru Ioana Bogdan Matacuta Horațiu Dura Samuel Bogdan Todor Cristian Ichim Denisa Tanasescu Nicolae Grigore Ciprian Nicolae Bolca Cosmin Ioan Mohor Călin Ilie Mohor Nicolae Bacalbașa Dan Georgian Bratu Adrian Boicean Exploring the Challenges of Using Minimal Invasive Surgery to Treat Stress Urinary Incontinence: Insights from a Retrospective Case-Control Study Diagnostics stress urinary incontinence surgery transobturator tape tension-free vaginal tape |
| title | Exploring the Challenges of Using Minimal Invasive Surgery to Treat Stress Urinary Incontinence: Insights from a Retrospective Case-Control Study |
| title_full | Exploring the Challenges of Using Minimal Invasive Surgery to Treat Stress Urinary Incontinence: Insights from a Retrospective Case-Control Study |
| title_fullStr | Exploring the Challenges of Using Minimal Invasive Surgery to Treat Stress Urinary Incontinence: Insights from a Retrospective Case-Control Study |
| title_full_unstemmed | Exploring the Challenges of Using Minimal Invasive Surgery to Treat Stress Urinary Incontinence: Insights from a Retrospective Case-Control Study |
| title_short | Exploring the Challenges of Using Minimal Invasive Surgery to Treat Stress Urinary Incontinence: Insights from a Retrospective Case-Control Study |
| title_sort | exploring the challenges of using minimal invasive surgery to treat stress urinary incontinence insights from a retrospective case control study |
| topic | stress urinary incontinence surgery transobturator tape tension-free vaginal tape |
| url | https://www.mdpi.com/2075-4418/14/3/323 |
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