Study of outcomes of transobturator tape fixation in management of stress urinary incontinence

Manali Anil Chaudhari; Sameer P. Darawade; Aparna Amol Sasane; Nikita Medankar

doi:10.18203/2320-1770.ijrcog20251226

Authors

Manali Anil Chaudhari Department of Obstetrics and Gynecology, SKNMCGH, Pune, Maharashtra, India
Sameer P. Darawade Department of Obstetrics and Gynecology, SKNMCGH, Pune, Maharashtra, India
Aparna Amol Sasane Department of Obstetrics and Gynecology, SKNMCGH, Pune, Maharashtra, India
Nikita Medankar Department of Obstetrics and Gynecology, SKNMCGH, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20251226

Keywords:

Stress urinary incontinence, Transobturator tape

Abstract

Background: Stress urinary incontinence (SUI) is one of the most chronic conditions significantly impacting the quality of daily life of 15-40% of female population because of the involuntary escape of urine on exertion due to sudden rise in intraabdominal pressure. Transobturator tape (TOT) fixation is the leading surgical intervention in managing SUI if the conservative management fails because of its lesser postoperative complications, shorter hospital stay, lesser recurrence rate and easy to perform compared to other surgical interventions available hence enhancing the quality of life with women with SUI. TOT fixation therefore has the full potential to be the gold standard in the management of SUI.

Methods: It is a prospective observational study conducted in the Gyanecology ward of SKNMCGH, Pune for 3 years with apparatus and material available in the institute on 32 patients based on the inclusion criteria; all females with stress urinary incontinence willing for surgical management. Women not willing for surgical intervention, also women with mixed urinary incontinence and patients who had previous corrective surgery for stress urinary incontinence were excluded. The TOT procedure was performed by outside in technique.

Results: Success rate of TOT fixation was 96.9%. A total of 31 patients (96.9%) were cured whereas 1 (3.1%) experienced surgical failure.

Conclusions: Transobturator tape fixation is an effective method of management for SUI as it is associated with low morbidity, lesser postoperative complications and therefore has full potential to be the new gold standard for treating SUI.

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References

Deval B, Ferchaux J, Berry R, Costa P, Debodinance P, Haab F, et al. Objective and subjective cure rates after trans-obturator tape treatment of female urinary incontinence. Eur Urol. 2006;49(2):73-7. DOI: https://doi.org/10.1016/j.eururo.2005.11.012

Delorme E, Droupy S, de Tayrac R, Delmas V. Transobturator tape (Uratape): a new minimally invasive method in the treatment of urinary incontinence in women. Prog Urol. 2003;13(4):656-9.

Van der Aa F, Deprest J, De Ridder D. Surgical treatment of female stress urinary incontinence: do tapes stand the test of time? Eur Urol. 2017;72(4):592-3. DOI: https://doi.org/10.1016/j.eururo.2017.05.013

Pankaj S, Singh M, Prasad D, Singh K, Choudhary V. An evaluation of use of transobturator tape in the current surgical management of female stress urinary incontinence. Int J Sci Stud. 2014;2(4):25-8.

Fusco F, Abdel-Fattah M, Chapple CR, Creta M, La Falce S, Waltregny D, et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol. 2017;72(4):567-91. DOI: https://doi.org/10.1016/j.eururo.2017.04.026

Pardo Schanz J, Ricci Arriola P, Tacia Femandez XI, Betancourt Ortiz E. Transobturator tape (TOT) in the treatment of stress incontinence: a three-year experience with 200 patients. Acta Urol Esp. 2007;31(10):1141-7. DOI: https://doi.org/10.4321/S0210-48062007001000008

Yonguc T, Gunlusoy B, Degirmenci T, Kozacioglu Z, Bozkurt IH, Arslan B, et al. Are the outcomes of transobturator tape procedure for female stress urinary incontinence durable in long-term follow-up? Int Urol Nephrol. 2014;46:1295-300. DOI: https://doi.org/10.1007/s11255-013-0639-0

Kaelin-Gambirasio I, Jacob S, Boulvain M, Dubuisson JB, Dällenbach P. Complications associated with transobturator sling procedures: a 3-year follow-up study. BMC Womens Health. 2009;9:28. DOI: https://doi.org/10.1186/1472-6874-9-28

Domingo S, Alama P, Ruiz N, Perales A, Pellicer A. Diagnosis, management and prognosis of vaginal erosion after transobturator suburethral tape procedure using a non-woven thermally bonded polypropylene mesh. J Urol. 2005;173(5):1627-30. DOI: https://doi.org/10.1097/01.ju.0000154941.24547.0f

Grise P, Droupy S, Saussine C, Ballanger P, Monneins F, Hermieu JF, et al. Transobturator tape sling for female stress incontinence with polypropylene tape and outside-in procedure: prospective study with 1 year of minimal follow-up and review of transobturator tape sling. Urology. 2006;68(4):759-63. DOI: https://doi.org/10.1016/j.urology.2006.04.020