Low-cost transobturator vaginal tape inside-out procedure for the treatment of female stress urinary incontinence using ordinary polypropylene mesh
Introduction and hypothesis The aim of this study is to describe the use of ordinary polypropylene mesh and our modified helical passers through a transobturator vaginal tape inside-out technique (TVT-O) as a low-cost alternative to available commercial kits in the treatment of stress urinary incont...
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| Veröffentlicht in: | International Urogynecology Journal 2015-04, Vol.26 (4), p.577-584 |
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| creator | ElSheemy, Mohammed S. Elsergany, Ragheb ElShenoufy, Ahmed |
| description | Introduction and hypothesis
The aim of this study is to describe the use of ordinary polypropylene mesh and our modified helical passers through a transobturator vaginal tape inside-out technique (TVT-O) as a low-cost alternative to available commercial kits in the treatment of stress urinary incontinence (SUI) with evaluation of its long-term safety and efficacy. This is important in developing countries due to limited health care resources.
Methods
Tailored (11 × 1.5 cm) polypropylene tape was inserted in 59 women from June 2006 to June 2009 at the Urology Department, Cairo University Hospitals as an open prospective study. SUI was diagnosed by positive cough stress test (CST) and abdominal leak point pressure (ALPP). Patients with post-void residual urine (PVRU) > 100 ml, bladder capacity |
| doi_str_mv | 10.1007/s00192-014-2552-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1666723052</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3641744331</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-7657dc4fc0bd3a0cf5edc8ded60eeae246b00c54684fe6d186f27a5f1c64540d3</originalsourceid><addsrcrecordid>eNp1kcuKFDEUhoMoTjv6AG4k4MZN9ORa3UsZxgs0zGZcF-nkpKeGqqRMUko_x7zwZKxRRHAVyPn-_5B8hLzm8J4DdB8KAN8JBlwxobVg_AnZcCUlkyDkU7KBneyYVEackRel3AKAAg3PyZnQUgvo5Ibc7dNP5lKptGYbSzrUJduaMv1hj0O0I612RjrEMnhkaal0zsmhXzLS0Kh6gy2Itk4YK02BBpzsiLS0y1LokltHPrW8S7EOEaNDupQhHmnKfp3NaTy10vk0YkQ6Ybl5SZ4FOxZ89Xiek2-fLq8vvrD91eevFx_3zMlOVNYZ3XmngoODlxZc0Ojd1qM3gGhRKHMAcFqZrQpoPN-aIDqrA3dGaQVenpN3a29b_33BUvtpKA7H0UZMS-m5MaYTErRo6Nt_0Nu05PY_v6hutzVCmEbxlXI5lZIx9HMepvbInkP_YKxfjfXNWP9grOct8-axeTlM6P8kfitqgFiB0kbxiPmv1f9tvQemUqVF</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1667986226</pqid></control><display><type>article</type><title>Low-cost transobturator vaginal tape inside-out procedure for the treatment of female stress urinary incontinence using ordinary polypropylene mesh</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>ElSheemy, Mohammed S. ; Elsergany, Ragheb ; ElShenoufy, Ahmed</creator><creatorcontrib>ElSheemy, Mohammed S. ; Elsergany, Ragheb ; ElShenoufy, Ahmed</creatorcontrib><description>Introduction and hypothesis
The aim of this study is to describe the use of ordinary polypropylene mesh and our modified helical passers through a transobturator vaginal tape inside-out technique (TVT-O) as a low-cost alternative to available commercial kits in the treatment of stress urinary incontinence (SUI) with evaluation of its long-term safety and efficacy. This is important in developing countries due to limited health care resources.
Methods
Tailored (11 × 1.5 cm) polypropylene tape was inserted in 59 women from June 2006 to June 2009 at the Urology Department, Cairo University Hospitals as an open prospective study. SUI was diagnosed by positive cough stress test (CST) and abdominal leak point pressure (ALPP). Patients with post-void residual urine (PVRU) > 100 ml, bladder capacity < 300 ml, or neurological lesions were excluded. The Stress and Urge Incontinence and Quality of Life Questionnaire (SUIQQ), urodynamic parameters, and other variables were compared pre- versus postoperatively with paired
t
, Wilcoxon signed rank, McNemar, or chi-square tests.
Results
The mean age was 47.47 ± 8.52 years. Twenty-one (35.6 %) patients had intrinsic sphincter deficiency (ISD). The mean operative time was 21.22 ± 4.26 min (15–30). Procedures for prolapse were done in four (6 %) patients. Complications were vaginal discharge (6 %), dyspareunia (1 %), groin pain (20 %), urinary tract infection (3 %), obstructive symptoms (1 %), accidental cut of polypropylene suture (1 %) and felt subcutaneous polypropylene sutures (3 %). We had no cases of erosions or de novo urgency. SUIQQ indices improved significantly, while urodynamic parameters showed no significant difference postoperatively. Of the patients, 54 (91 %) were cured and 3 (5 %) improved, while failure was detected in 2 (3 %) patients.
Conclusions
Our technique is safe with excellent 5-year results. It should be considered as a low-cost alternative to available commercial kits in the treatment of SUI mainly for public health systems with few financial resources.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-014-2552-1</identifier><identifier>PMID: 25352073</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Adult ; Aged ; Dyspareunia - etiology ; Female ; Follow-Up Studies ; Gynecology ; Humans ; Medicine ; Medicine & Public Health ; Middle Aged ; Operative Time ; Original Article ; Pain - etiology ; Polypropylenes - adverse effects ; Polypropylenes - economics ; Prospective Studies ; Quality of Life ; Severity of Illness Index ; Suburethral Slings - adverse effects ; Suburethral Slings - economics ; Surgical Mesh - adverse effects ; Surgical Mesh - economics ; Urinary Incontinence, Stress - surgery ; Urinary Tract Infections - etiology ; Urologic Surgical Procedures - adverse effects ; Urologic Surgical Procedures - instrumentation ; Urologic Surgical Procedures - methods ; Urology ; Vaginal Discharge - etiology</subject><ispartof>International Urogynecology Journal, 2015-04, Vol.26 (4), p.577-584</ispartof><rights>The International Urogynecological Association 2014</rights><rights>The International Urogynecological Association 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-7657dc4fc0bd3a0cf5edc8ded60eeae246b00c54684fe6d186f27a5f1c64540d3</citedby><cites>FETCH-LOGICAL-c372t-7657dc4fc0bd3a0cf5edc8ded60eeae246b00c54684fe6d186f27a5f1c64540d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-014-2552-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-014-2552-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25352073$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ElSheemy, Mohammed S.</creatorcontrib><creatorcontrib>Elsergany, Ragheb</creatorcontrib><creatorcontrib>ElShenoufy, Ahmed</creatorcontrib><title>Low-cost transobturator vaginal tape inside-out procedure for the treatment of female stress urinary incontinence using ordinary polypropylene mesh</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
The aim of this study is to describe the use of ordinary polypropylene mesh and our modified helical passers through a transobturator vaginal tape inside-out technique (TVT-O) as a low-cost alternative to available commercial kits in the treatment of stress urinary incontinence (SUI) with evaluation of its long-term safety and efficacy. This is important in developing countries due to limited health care resources.
Methods
Tailored (11 × 1.5 cm) polypropylene tape was inserted in 59 women from June 2006 to June 2009 at the Urology Department, Cairo University Hospitals as an open prospective study. SUI was diagnosed by positive cough stress test (CST) and abdominal leak point pressure (ALPP). Patients with post-void residual urine (PVRU) > 100 ml, bladder capacity < 300 ml, or neurological lesions were excluded. The Stress and Urge Incontinence and Quality of Life Questionnaire (SUIQQ), urodynamic parameters, and other variables were compared pre- versus postoperatively with paired
t
, Wilcoxon signed rank, McNemar, or chi-square tests.
Results
The mean age was 47.47 ± 8.52 years. Twenty-one (35.6 %) patients had intrinsic sphincter deficiency (ISD). The mean operative time was 21.22 ± 4.26 min (15–30). Procedures for prolapse were done in four (6 %) patients. Complications were vaginal discharge (6 %), dyspareunia (1 %), groin pain (20 %), urinary tract infection (3 %), obstructive symptoms (1 %), accidental cut of polypropylene suture (1 %) and felt subcutaneous polypropylene sutures (3 %). We had no cases of erosions or de novo urgency. SUIQQ indices improved significantly, while urodynamic parameters showed no significant difference postoperatively. Of the patients, 54 (91 %) were cured and 3 (5 %) improved, while failure was detected in 2 (3 %) patients.
Conclusions
Our technique is safe with excellent 5-year results. It should be considered as a low-cost alternative to available commercial kits in the treatment of SUI mainly for public health systems with few financial resources.</description><subject>Adult</subject><subject>Aged</subject><subject>Dyspareunia - etiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Original Article</subject><subject>Pain - etiology</subject><subject>Polypropylenes - adverse effects</subject><subject>Polypropylenes - economics</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Severity of Illness Index</subject><subject>Suburethral Slings - adverse effects</subject><subject>Suburethral Slings - economics</subject><subject>Surgical Mesh - adverse effects</subject><subject>Surgical Mesh - economics</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Urinary Tract Infections - etiology</subject><subject>Urologic Surgical Procedures - adverse effects</subject><subject>Urologic Surgical Procedures - instrumentation</subject><subject>Urologic Surgical Procedures - methods</subject><subject>Urology</subject><subject>Vaginal Discharge - etiology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kcuKFDEUhoMoTjv6AG4k4MZN9ORa3UsZxgs0zGZcF-nkpKeGqqRMUko_x7zwZKxRRHAVyPn-_5B8hLzm8J4DdB8KAN8JBlwxobVg_AnZcCUlkyDkU7KBneyYVEackRel3AKAAg3PyZnQUgvo5Ibc7dNP5lKptGYbSzrUJduaMv1hj0O0I612RjrEMnhkaal0zsmhXzLS0Kh6gy2Itk4YK02BBpzsiLS0y1LokltHPrW8S7EOEaNDupQhHmnKfp3NaTy10vk0YkQ6Ybl5SZ4FOxZ89Xiek2-fLq8vvrD91eevFx_3zMlOVNYZ3XmngoODlxZc0Ojd1qM3gGhRKHMAcFqZrQpoPN-aIDqrA3dGaQVenpN3a29b_33BUvtpKA7H0UZMS-m5MaYTErRo6Nt_0Nu05PY_v6hutzVCmEbxlXI5lZIx9HMepvbInkP_YKxfjfXNWP9grOct8-axeTlM6P8kfitqgFiB0kbxiPmv1f9tvQemUqVF</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>ElSheemy, Mohammed S.</creator><creator>Elsergany, Ragheb</creator><creator>ElShenoufy, Ahmed</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20150401</creationdate><title>Low-cost transobturator vaginal tape inside-out procedure for the treatment of female stress urinary incontinence using ordinary polypropylene mesh</title><author>ElSheemy, Mohammed S. ; Elsergany, Ragheb ; ElShenoufy, Ahmed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-7657dc4fc0bd3a0cf5edc8ded60eeae246b00c54684fe6d186f27a5f1c64540d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Dyspareunia - etiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Original Article</topic><topic>Pain - etiology</topic><topic>Polypropylenes - adverse effects</topic><topic>Polypropylenes - economics</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Severity of Illness Index</topic><topic>Suburethral Slings - adverse effects</topic><topic>Suburethral Slings - economics</topic><topic>Surgical Mesh - adverse effects</topic><topic>Surgical Mesh - economics</topic><topic>Urinary Incontinence, Stress - surgery</topic><topic>Urinary Tract Infections - etiology</topic><topic>Urologic Surgical Procedures - adverse effects</topic><topic>Urologic Surgical Procedures - instrumentation</topic><topic>Urologic Surgical Procedures - methods</topic><topic>Urology</topic><topic>Vaginal Discharge - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ElSheemy, Mohammed S.</creatorcontrib><creatorcontrib>Elsergany, Ragheb</creatorcontrib><creatorcontrib>ElShenoufy, Ahmed</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ElSheemy, Mohammed S.</au><au>Elsergany, Ragheb</au><au>ElShenoufy, Ahmed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low-cost transobturator vaginal tape inside-out procedure for the treatment of female stress urinary incontinence using ordinary polypropylene mesh</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>26</volume><issue>4</issue><spage>577</spage><epage>584</epage><pages>577-584</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
The aim of this study is to describe the use of ordinary polypropylene mesh and our modified helical passers through a transobturator vaginal tape inside-out technique (TVT-O) as a low-cost alternative to available commercial kits in the treatment of stress urinary incontinence (SUI) with evaluation of its long-term safety and efficacy. This is important in developing countries due to limited health care resources.
Methods
Tailored (11 × 1.5 cm) polypropylene tape was inserted in 59 women from June 2006 to June 2009 at the Urology Department, Cairo University Hospitals as an open prospective study. SUI was diagnosed by positive cough stress test (CST) and abdominal leak point pressure (ALPP). Patients with post-void residual urine (PVRU) > 100 ml, bladder capacity < 300 ml, or neurological lesions were excluded. The Stress and Urge Incontinence and Quality of Life Questionnaire (SUIQQ), urodynamic parameters, and other variables were compared pre- versus postoperatively with paired
t
, Wilcoxon signed rank, McNemar, or chi-square tests.
Results
The mean age was 47.47 ± 8.52 years. Twenty-one (35.6 %) patients had intrinsic sphincter deficiency (ISD). The mean operative time was 21.22 ± 4.26 min (15–30). Procedures for prolapse were done in four (6 %) patients. Complications were vaginal discharge (6 %), dyspareunia (1 %), groin pain (20 %), urinary tract infection (3 %), obstructive symptoms (1 %), accidental cut of polypropylene suture (1 %) and felt subcutaneous polypropylene sutures (3 %). We had no cases of erosions or de novo urgency. SUIQQ indices improved significantly, while urodynamic parameters showed no significant difference postoperatively. Of the patients, 54 (91 %) were cured and 3 (5 %) improved, while failure was detected in 2 (3 %) patients.
Conclusions
Our technique is safe with excellent 5-year results. It should be considered as a low-cost alternative to available commercial kits in the treatment of SUI mainly for public health systems with few financial resources.</abstract><cop>London</cop><pub>Springer London</pub><pmid>25352073</pmid><doi>10.1007/s00192-014-2552-1</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Aged Dyspareunia - etiology Female Follow-Up Studies Gynecology Humans Medicine Medicine & Public Health Middle Aged Operative Time Original Article Pain - etiology Polypropylenes - adverse effects Polypropylenes - economics Prospective Studies Quality of Life Severity of Illness Index Suburethral Slings - adverse effects Suburethral Slings - economics Surgical Mesh - adverse effects Surgical Mesh - economics Urinary Incontinence, Stress - surgery Urinary Tract Infections - etiology Urologic Surgical Procedures - adverse effects Urologic Surgical Procedures - instrumentation Urologic Surgical Procedures - methods Urology Vaginal Discharge - etiology |
| title | Low-cost transobturator vaginal tape inside-out procedure for the treatment of female stress urinary incontinence using ordinary polypropylene mesh |
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