SURGICAL TREATMENT OF STRESS URINARY INCONTINENCE: A 3-YEAR FOLLOW-UP
OBJECTIVES: To evaluate the objective and subjective midterm outcomes of transobturator tape (TOT) in the treatment of female stress urinary incontinence (SUI). MATERIALS AND METHODS: A total of 114 consecutive patients affected by stress urinary incontinence (mean age 59±10 years), who underwent th...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2010-07-01
|
| Series: | Urogynaecologia International Journal |
| Subjects: | |
| Online Access: | http://www.urogynaecologia.org/index.php/uij/article/view/11 |
| _version_ | 1818180165077827584 |
|---|---|
| author | S. Bandiera G. Giunta A. Aloisi M. Arena I. Iozza M.G. Matarazzo R. Morello G. Raciti F. Rapisarda S.G. Vitale A. Cianci |
| author_facet | S. Bandiera G. Giunta A. Aloisi M. Arena I. Iozza M.G. Matarazzo R. Morello G. Raciti F. Rapisarda S.G. Vitale A. Cianci |
| author_sort | S. Bandiera |
| collection | DOAJ |
| description | OBJECTIVES: To evaluate the objective and subjective midterm outcomes of transobturator tape (TOT) in the treatment of female stress urinary incontinence (SUI). MATERIALS AND METHODS: A total of 114 consecutive patients affected by stress urinary incontinence (mean age 59±10 years), who underwent the TOT procedure between July 2004 and May 2008 (46 patients received the Safyre, 30 patients the PelviLace, 20 patients the Monarc, 10 patients the DynaMesh and 8 the Align sling), were assessed in June 2008. An evaluation of the patients, based on history, physical examination, stress test, urodynamic tests, and the compilation of two specific quality of life questionnaires, was performed before and after surgery. RESULTS: The therapeutic midterm failure rate for the TOT procedure was 4.4% (5 of 114 patients). The midterm cure rate was 95.6% (109 of 114 patients), 7 (6.1%) of those patients only improved, still with minimal residual urinary leakage. Clinical signs for bowel, urethral, or bladder injuries were undetectable. Intraoperative bleeding, postoperative field infections, or postoperative pelvic floor relaxations were not noted. Three patients (2.6%) presented a little small area of mesh erosion within 6 months from surgery. We also noticed a few obstructive symptoms and irritative symptoms: 4 of 114 (3.,5%) patients showed urge de novo urge symptoms. A high grade degree of satisfaction was assessed reported by QoL questionnaires ( p<0.001). CONCLUSIONS : The midterm results of this study show that the TOT procedure is a simple, safe, and effective technique in thefor treatingment of female stress urinary incontinence. |
| first_indexed | 2024-12-11T21:15:26Z |
| format | Article |
| id | doaj.art-6128e74c398047bca2abe5b4f294676a |
| institution | Directory Open Access Journal |
| issn | 1121-3086 2038-8314 |
| language | English |
| last_indexed | 2024-12-11T21:15:26Z |
| publishDate | 2010-07-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Urogynaecologia International Journal |
| spelling | doaj.art-6128e74c398047bca2abe5b4f294676a2022-12-22T00:50:35ZengPAGEPress PublicationsUrogynaecologia International Journal1121-30862038-83142010-07-0122110.4081/uij.2008.1.15SURGICAL TREATMENT OF STRESS URINARY INCONTINENCE: A 3-YEAR FOLLOW-UPS. Bandiera0G. Giunta1A. Aloisi2M. Arena3I. Iozza4M.G. Matarazzo5R. Morello6G. Raciti7F. Rapisarda8S.G. Vitale9A. Cianci10Department of Gynaecology and Microbiology, S. Bambino Hospital, Catania University, Catania,Department of Gynaecology and Microbiology, S. Bambino Hospital, Catania University, Catania,Department of Gynaecology and Microbiology, S. Bambino Hospital, Catania University, Catania,Department of Gynaecology and Microbiology, S. Bambino Hospital, Catania University, Catania,Department of Gynaecology and Microbiology, S. Bambino Hospital, Catania University, Catania,Department of Gynaecology and Microbiology, S. Bambino Hospital, Catania University, Catania,Department of Gynaecology and Microbiology, S. Bambino Hospital, Catania University, Catania,Department of Gynaecology and Microbiology, S. Bambino Hospital, Catania University, Catania,Department of Gynaecology and Microbiology, S. Bambino Hospital, Catania University, Catania,Department of Gynaecology and Microbiology, S. Bambino Hospital, Catania University, Catania,Department of Gynaecology and Microbiology, S. Bambino Hospital, Catania University, Catania,OBJECTIVES: To evaluate the objective and subjective midterm outcomes of transobturator tape (TOT) in the treatment of female stress urinary incontinence (SUI). MATERIALS AND METHODS: A total of 114 consecutive patients affected by stress urinary incontinence (mean age 59±10 years), who underwent the TOT procedure between July 2004 and May 2008 (46 patients received the Safyre, 30 patients the PelviLace, 20 patients the Monarc, 10 patients the DynaMesh and 8 the Align sling), were assessed in June 2008. An evaluation of the patients, based on history, physical examination, stress test, urodynamic tests, and the compilation of two specific quality of life questionnaires, was performed before and after surgery. RESULTS: The therapeutic midterm failure rate for the TOT procedure was 4.4% (5 of 114 patients). The midterm cure rate was 95.6% (109 of 114 patients), 7 (6.1%) of those patients only improved, still with minimal residual urinary leakage. Clinical signs for bowel, urethral, or bladder injuries were undetectable. Intraoperative bleeding, postoperative field infections, or postoperative pelvic floor relaxations were not noted. Three patients (2.6%) presented a little small area of mesh erosion within 6 months from surgery. We also noticed a few obstructive symptoms and irritative symptoms: 4 of 114 (3.,5%) patients showed urge de novo urge symptoms. A high grade degree of satisfaction was assessed reported by QoL questionnaires ( p<0.001). CONCLUSIONS : The midterm results of this study show that the TOT procedure is a simple, safe, and effective technique in thefor treatingment of female stress urinary incontinence.http://www.urogynaecologia.org/index.php/uij/article/view/11SUITransobturator tapeobturator foramenerosionpolypropylene tapeQoL. |
| spellingShingle | S. Bandiera G. Giunta A. Aloisi M. Arena I. Iozza M.G. Matarazzo R. Morello G. Raciti F. Rapisarda S.G. Vitale A. Cianci SURGICAL TREATMENT OF STRESS URINARY INCONTINENCE: A 3-YEAR FOLLOW-UP Urogynaecologia International Journal SUI Transobturator tape obturator foramen erosion polypropylene tape QoL. |
| title | SURGICAL TREATMENT OF STRESS URINARY INCONTINENCE: A 3-YEAR FOLLOW-UP |
| title_full | SURGICAL TREATMENT OF STRESS URINARY INCONTINENCE: A 3-YEAR FOLLOW-UP |
| title_fullStr | SURGICAL TREATMENT OF STRESS URINARY INCONTINENCE: A 3-YEAR FOLLOW-UP |
| title_full_unstemmed | SURGICAL TREATMENT OF STRESS URINARY INCONTINENCE: A 3-YEAR FOLLOW-UP |
| title_short | SURGICAL TREATMENT OF STRESS URINARY INCONTINENCE: A 3-YEAR FOLLOW-UP |
| title_sort | surgical treatment of stress urinary incontinence a 3 year follow up |
| topic | SUI Transobturator tape obturator foramen erosion polypropylene tape QoL. |
| url | http://www.urogynaecologia.org/index.php/uij/article/view/11 |
| work_keys_str_mv | AT sbandiera surgicaltreatmentofstressurinaryincontinencea3yearfollowup AT ggiunta surgicaltreatmentofstressurinaryincontinencea3yearfollowup AT aaloisi surgicaltreatmentofstressurinaryincontinencea3yearfollowup AT marena surgicaltreatmentofstressurinaryincontinencea3yearfollowup AT iiozza surgicaltreatmentofstressurinaryincontinencea3yearfollowup AT mgmatarazzo surgicaltreatmentofstressurinaryincontinencea3yearfollowup AT rmorello surgicaltreatmentofstressurinaryincontinencea3yearfollowup AT graciti surgicaltreatmentofstressurinaryincontinencea3yearfollowup AT frapisarda surgicaltreatmentofstressurinaryincontinencea3yearfollowup AT sgvitale surgicaltreatmentofstressurinaryincontinencea3yearfollowup AT acianci surgicaltreatmentofstressurinaryincontinencea3yearfollowup |