2009, Number 02
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Ginecol Obstet Mex 2009; 77 (02)
Results and complications following the placement of the transobturator tension free tape for the treatment of stress urinary incontinence
Rodríguez CES, Escobar del BLG, Gorbea CV, Bautista GEJ, González GER
Language: Spanish
References: 15
Page: 77-81
PDF size: 41.18 Kb.
ABSTRACT
Objective: Evaluate the complications and short term sucess rate of the transobturator tape for the treatment of stress urinary incontinence.
Material and methods: It is a retrospective study of the transobturator tapes perform in 2005 and 2006. All the procedures were done with epidural anesthesia. The sucess rate, the inmediate, short-term and long term complications were recorded at the first, second and third year.
Results: 28 women were included in the study, 54% of them with stress urinary incontinence. 25% were solely transobturator procedures. Among the complications were 2 vesical puntures, 1 periurethral fascia trauma and 5 urinary retention during the first 24 hours. In the 1 and 2 year follow-up were 2 cases of overactive detrusor. Objective sucess was 90% and subjective sucess was 92%.
Conclusions: Transobturator tape is a highly successful and a low morbility procedure.
REFERENCES
Ulmsten U, Petros P. Intravaginal slingplasty (IVS): anambulatory procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 1995;29:75-82.
Rardin CR, Rosenblatt PL, Kohli N, Miklos JR, et al. Release of tension-free vaginal tape for the treatment of refractory postoperative voiding dysfunction. Obstet Gynecol 2002;100:898-902.
Aungst M, Wagner M. Foley balloon to tamponade bleeding in the retropubic space. Obstet Gynecol 2003;102:1037-8.
Kobashi KC, Govier FE. Management of vaginal erosion of polypropylene mesh slings. J Urol 2003;169:2242-3.
Fourie T, Cohen PL. Delayed bowel erosion by tension free vaginal tape (TVT). Int Urogynecol J Pelvic Floor Dysfunct 2003;14:362-4.
Delorme E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 2001;11:1306-13.
Abrams P, Cardozo L, Fall M, Griffiths D, et al. The standardization of terminology of lower urinary tract function: report from the standardization subcommittee of the International Continence Society. Neurourol Urodyn 2002;21:167-78.
Delorme E, Droupy S, deTayrac R, Delma V. Transobturator tape (Uratape): a new minimally-invasive procedure to treat female urinary incontinence. Eur Urol 2004;45:203-7.
Costa P, Grise P, Droupy S, Monneins F, et al. Surgical treatment of female stress urinary incontinence with a transobturator- tape (T.O.T.) Uratape: short term results of a prospective multicentric study. Eur Urol 2004; 46:102-6.
Bonnet P, Waltregny D, Reul O, de Leval J. Transobturator vaginal tape inside out for the surgical treatment of female stress urinary incontinence: anatomical considerations. J Urol 2005;173:1223-8.
Abdel-Fattah M, Ramsay I, Pringle S. Lower urinary tract injuries after transobturator tape insertion by different routes: a large retrospective study. BJOG 2006;113:1377-81.
Waltregny D, Reul O, Mathantu B, Gaspar Y, et al. Inside out transobturator vaginal tape for the treatment of female stress urinary incontinence: interim results of a prospective study after a 1-year minimum followup. J Urol 2006;175:2191-5.
Minaglia S, Ozel B, Klutke C, Ballard C, Klutke J. Bladder injury during transobturator sling. Urology 2006;64:376-7.
Morey AF, Medendorp AR, Noller MW, Mora RV, et al. Transobturator versus transabdominal mid urethral slings: a multiinstitutional comparison of obstructive voiding complications. J Urol 2006;175:1014-7.
Domingo S, Alama P, Ruiz N, Perales A, Pellicer A. Diagnosis, management and prognosis of vaginal erosion after transobturator suburethral tape procedure using a nonwoven thermally bonded polypropylene mesh. J Urol 2005;173:1627-30.