Trans-obturator suburethral tape for female stress incontinence: a cohort of 254 women with 1-year to 2-year follow-up
Background. A clinical cohort study of 254 women undergoing trans-obturator surgery for stress urinary incontinence was conducted to assess the efficacy of the trans-obturator suburethral tape (TOT) after a follow-up of 1 year (251 evaluable patients) and 2 years (62 patients). Results. Seventy-five...
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| Veröffentlicht in: | Acta obstetricia et gynecologica Scandinavica 2008-01, Vol.87 (2), p.232-239 |
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| container_title | Acta obstetricia et gynecologica Scandinavica |
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| creator | Poza, José L. Pla, Francesc Sabadell, Jordi Sánchez-Iglesias, José L. Martínez-Gómez, Xavier Xercavins, Jordi |
| description | Background. A clinical cohort study of 254 women undergoing trans-obturator surgery for stress urinary incontinence was conducted to assess the efficacy of the trans-obturator suburethral tape (TOT) after a follow-up of 1 year (251 evaluable patients) and 2 years (62 patients). Results. Seventy-five patients had previous gynaecologic surgery. Overall cure and improvement rates were 82% at 6 and 12 months, and 90% at 24 months. The most favourable results were obtained in patients with occult incontinence and urethral hypermobility. The relative risk (RR) for failure in patients with a history of gynaecologic surgery was 3.3 (95% CI: 1.1-14.7). There were 8 cases of bladder perforation (3.1%) during the learning phase with the TOT procedure, 20 of urinary retention (7.9%) - in 1 patient the tape was released after 12 days of insertion - and 3 of tape erosion (1.2%). Conclusion. Results are encouraging but should be substantiated on a larger series over a longer follow-up. |
| doi_str_mv | 10.1080/00016340701837454 |
| format | Article |
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A clinical cohort study of 254 women undergoing trans-obturator surgery for stress urinary incontinence was conducted to assess the efficacy of the trans-obturator suburethral tape (TOT) after a follow-up of 1 year (251 evaluable patients) and 2 years (62 patients). Results. Seventy-five patients had previous gynaecologic surgery. Overall cure and improvement rates were 82% at 6 and 12 months, and 90% at 24 months. The most favourable results were obtained in patients with occult incontinence and urethral hypermobility. The relative risk (RR) for failure in patients with a history of gynaecologic surgery was 3.3 (95% CI: 1.1-14.7). There were 8 cases of bladder perforation (3.1%) during the learning phase with the TOT procedure, 20 of urinary retention (7.9%) - in 1 patient the tape was released after 12 days of insertion - and 3 of tape erosion (1.2%). Conclusion. Results are encouraging but should be substantiated on a larger series over a longer follow-up.</description><identifier>ISSN: 0001-6349</identifier><identifier>EISSN: 1600-0412</identifier><identifier>DOI: 10.1080/00016340701837454</identifier><identifier>PMID: 18231894</identifier><identifier>CODEN: AOGSAE</identifier><language>eng</language><publisher>Oxford, UK: Informa UK Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Female ; Female stress urinary incontinence ; Follow-Up Studies ; Gynecology. Andrology. Obstetrics ; Humans ; Intraoperative Complications ; intrinsic sphincter deficiency ; Medical sciences ; Middle Aged ; mixed incontinence ; Nephrology. Urinary tract diseases ; Postoperative Complications ; Prospective Studies ; Sampling Studies ; Suburethral Slings ; tension-free suburethral band ; trans-obturator approach ; Treatment Outcome ; Urethra - physiopathology ; urethral hypermobility ; Urinary Bladder - injuries ; Urinary Incontinence, Stress - surgery ; Urinary Retention - etiology ; Urinary system involvement in other diseases. Miscellaneous ; Urinary Tract Infections - etiology ; Urinary tract. Prostate gland ; Urodynamics - physiology ; Uterine Prolapse - surgery ; Vagina - injuries</subject><ispartof>Acta obstetricia et gynecologica Scandinavica, 2008-01, Vol.87 (2), p.232-239</ispartof><rights>2008 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2008</rights><rights>Acta Obstet Gynecol Scand 2008</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4655-e6d1d03a8acbbf4f028cc3de5630199e0de6fc7cb4587da3b538f20350eda7a33</citedby><cites>FETCH-LOGICAL-c4655-e6d1d03a8acbbf4f028cc3de5630199e0de6fc7cb4587da3b538f20350eda7a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1080%2F00016340701837454$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1080%2F00016340701837454$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20113328$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18231894$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Poza, José L.</creatorcontrib><creatorcontrib>Pla, Francesc</creatorcontrib><creatorcontrib>Sabadell, Jordi</creatorcontrib><creatorcontrib>Sánchez-Iglesias, José L.</creatorcontrib><creatorcontrib>Martínez-Gómez, Xavier</creatorcontrib><creatorcontrib>Xercavins, Jordi</creatorcontrib><title>Trans-obturator suburethral tape for female stress incontinence: a cohort of 254 women with 1-year to 2-year follow-up</title><title>Acta obstetricia et gynecologica Scandinavica</title><addtitle>Acta Obstet Gynecol Scand</addtitle><description>Background. A clinical cohort study of 254 women undergoing trans-obturator surgery for stress urinary incontinence was conducted to assess the efficacy of the trans-obturator suburethral tape (TOT) after a follow-up of 1 year (251 evaluable patients) and 2 years (62 patients). Results. Seventy-five patients had previous gynaecologic surgery. Overall cure and improvement rates were 82% at 6 and 12 months, and 90% at 24 months. The most favourable results were obtained in patients with occult incontinence and urethral hypermobility. The relative risk (RR) for failure in patients with a history of gynaecologic surgery was 3.3 (95% CI: 1.1-14.7). There were 8 cases of bladder perforation (3.1%) during the learning phase with the TOT procedure, 20 of urinary retention (7.9%) - in 1 patient the tape was released after 12 days of insertion - and 3 of tape erosion (1.2%). Conclusion. Results are encouraging but should be substantiated on a larger series over a longer follow-up.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Female stress urinary incontinence</subject><subject>Follow-Up Studies</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Intraoperative Complications</subject><subject>intrinsic sphincter deficiency</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>mixed incontinence</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Postoperative Complications</subject><subject>Prospective Studies</subject><subject>Sampling Studies</subject><subject>Suburethral Slings</subject><subject>tension-free suburethral band</subject><subject>trans-obturator approach</subject><subject>Treatment Outcome</subject><subject>Urethra - physiopathology</subject><subject>urethral hypermobility</subject><subject>Urinary Bladder - injuries</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Urinary Retention - etiology</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary Tract Infections - etiology</subject><subject>Urinary tract. Prostate gland</subject><subject>Urodynamics - physiology</subject><subject>Uterine Prolapse - surgery</subject><subject>Vagina - injuries</subject><issn>0001-6349</issn><issn>1600-0412</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtvEzEURkcIRNPCD2CDvIHdgJ9jB1ZVKCmoopsiltYdz7UyZWYcbA8h_x5HicoCCVZ-nXNtf7eqXjD6hlFD31JKWSMk1ZQZoaWSj6oFayitqWT8cbU4nNcFWJ5V5yndlxXX0jytzpjhgpmlXFQ_7yJMqQ5tniPkEEma2zli3kQYSIYtEl82PY4wIEk5Ykqkn1yYcj_h5PAdAeLCJsRMgidcSbILI05k1-cNYfUeIZIcCD_OfBiGsKvn7bPqiYch4fPTeFF9_Xh1t7qub27Xn1aXN7WTjVI1Nh3rqAADrm299JQb50SHqhGULZdIO2y8066VyugORKuE8ZwKRbEDDUJcVK-Pdbcx_JgxZTv2yeEwwIRhTlZTLhvNdQHZEXQxpBTR223sR4h7y6g9hG3_Crs4L0_F53bE7o9xSrcAr04AJAeDL1G7Pj1wnDImBDeFU0du1w-4___N9vJ2rZkqXn30-pTx14MH8btttNDKfvuytnRlrj-sPit7eM_7Ez-Vro6wQRjyxkFEex_mOJVO_OO7vwErXbeN</recordid><startdate>20080101</startdate><enddate>20080101</enddate><creator>Poza, José L.</creator><creator>Pla, Francesc</creator><creator>Sabadell, Jordi</creator><creator>Sánchez-Iglesias, José L.</creator><creator>Martínez-Gómez, Xavier</creator><creator>Xercavins, Jordi</creator><general>Informa UK Ltd</general><general>Blackwell Publishing Ltd</general><general>Taylor & Francis</general><scope>BSCLL</scope><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20080101</creationdate><title>Trans-obturator suburethral tape for female stress incontinence: a cohort of 254 women with 1-year to 2-year follow-up</title><author>Poza, José L. ; Pla, Francesc ; Sabadell, Jordi ; Sánchez-Iglesias, José L. ; Martínez-Gómez, Xavier ; Xercavins, Jordi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4655-e6d1d03a8acbbf4f028cc3de5630199e0de6fc7cb4587da3b538f20350eda7a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Female stress urinary incontinence</topic><topic>Follow-Up Studies</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Intraoperative Complications</topic><topic>intrinsic sphincter deficiency</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>mixed incontinence</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Postoperative Complications</topic><topic>Prospective Studies</topic><topic>Sampling Studies</topic><topic>Suburethral Slings</topic><topic>tension-free suburethral band</topic><topic>trans-obturator approach</topic><topic>Treatment Outcome</topic><topic>Urethra - physiopathology</topic><topic>urethral hypermobility</topic><topic>Urinary Bladder - injuries</topic><topic>Urinary Incontinence, Stress - surgery</topic><topic>Urinary Retention - etiology</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary Tract Infections - etiology</topic><topic>Urinary tract. Prostate gland</topic><topic>Urodynamics - physiology</topic><topic>Uterine Prolapse - surgery</topic><topic>Vagina - injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Poza, José L.</creatorcontrib><creatorcontrib>Pla, Francesc</creatorcontrib><creatorcontrib>Sabadell, Jordi</creatorcontrib><creatorcontrib>Sánchez-Iglesias, José L.</creatorcontrib><creatorcontrib>Martínez-Gómez, Xavier</creatorcontrib><creatorcontrib>Xercavins, Jordi</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Poza, José L.</au><au>Pla, Francesc</au><au>Sabadell, Jordi</au><au>Sánchez-Iglesias, José L.</au><au>Martínez-Gómez, Xavier</au><au>Xercavins, Jordi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trans-obturator suburethral tape for female stress incontinence: a cohort of 254 women with 1-year to 2-year follow-up</atitle><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle><addtitle>Acta Obstet Gynecol Scand</addtitle><date>2008-01-01</date><risdate>2008</risdate><volume>87</volume><issue>2</issue><spage>232</spage><epage>239</epage><pages>232-239</pages><issn>0001-6349</issn><eissn>1600-0412</eissn><coden>AOGSAE</coden><abstract>Background. A clinical cohort study of 254 women undergoing trans-obturator surgery for stress urinary incontinence was conducted to assess the efficacy of the trans-obturator suburethral tape (TOT) after a follow-up of 1 year (251 evaluable patients) and 2 years (62 patients). Results. Seventy-five patients had previous gynaecologic surgery. Overall cure and improvement rates were 82% at 6 and 12 months, and 90% at 24 months. The most favourable results were obtained in patients with occult incontinence and urethral hypermobility. The relative risk (RR) for failure in patients with a history of gynaecologic surgery was 3.3 (95% CI: 1.1-14.7). There were 8 cases of bladder perforation (3.1%) during the learning phase with the TOT procedure, 20 of urinary retention (7.9%) - in 1 patient the tape was released after 12 days of insertion - and 3 of tape erosion (1.2%). Conclusion. Results are encouraging but should be substantiated on a larger series over a longer follow-up.</abstract><cop>Oxford, UK</cop><pub>Informa UK Ltd</pub><pmid>18231894</pmid><doi>10.1080/00016340701837454</doi><tpages>8</tpages></addata></record> |
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| ispartof | Acta obstetricia et gynecologica Scandinavica, 2008-01, Vol.87 (2), p.232-239 |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Female Female stress urinary incontinence Follow-Up Studies Gynecology. Andrology. Obstetrics Humans Intraoperative Complications intrinsic sphincter deficiency Medical sciences Middle Aged mixed incontinence Nephrology. Urinary tract diseases Postoperative Complications Prospective Studies Sampling Studies Suburethral Slings tension-free suburethral band trans-obturator approach Treatment Outcome Urethra - physiopathology urethral hypermobility Urinary Bladder - injuries Urinary Incontinence, Stress - surgery Urinary Retention - etiology Urinary system involvement in other diseases. Miscellaneous Urinary Tract Infections - etiology Urinary tract. Prostate gland Urodynamics - physiology Uterine Prolapse - surgery Vagina - injuries |
| title | Trans-obturator suburethral tape for female stress incontinence: a cohort of 254 women with 1-year to 2-year follow-up |
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