Quality of life improvement following trans-obturator tape procedure in stress urinary incontinence: a prospective observational study
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20262533Keywords:
ICIQ-SF, Quality of life, Stress urinary incontinence, Trans obturator slingAbstract
Background: Stress urinary incontinence (SUI) is a common but under reported condition in women that adversely affects day to day activity and overall well-being. The transobturator tape (TOT) procedure has emerged as a minimally invasive surgical option with favorable outcomes. This study aimed to assess improvement in quality of life (QoL) following TOT using a validated questionnaire.
Methods: A prospective observational study was conducted in the department of obstetrics and gynecology, on 68 women diagnosed with SUI at a tertiary care institution. All participants underwent TOT surgery. Quality of life was evaluated using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) before surgery and at 6 months follow-up. Surgical success and complications were also analyzed.
Results: The average age of participants was 46.2±8.5 years. The mean ICIQ-SF score showed a significant reduction from 16.8±2.3 preoperatively to 3.2±1.6 postoperatively (p<0.001). Successful outcomes were observed in 66 patients (97.1%), with 2 cases categorized as failures. Most women (95.6%) reported marked improvement in QoL. Minor complications included transient groin discomfort (8.8%) and short-term urinary retention (2.9%).
Conclusions: TOT is an effective and safe surgical modality for SUI, resulting in substantial improvement in quality of life with a high success rate and low complication profile.
References
Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004;23(4):322-30.
Delorme E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol. 2001;11(6):1306-13.
de Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 2003;44:724-30. Eur Urol. 2004;46(1):136.
Costa P, Grise P, Droupy S, Monneins F, Assenmacher C, Ballanger P, et al. Surgical treatment of female stress urinary incontinence with a trans-obturator-tape (T.O.T.) Uratape: short term results of a prospective multicentric study. Eur Urol. 2004;46(1):102-7.
Latthe PM, Foon R, Toozs-Hobson P. Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. BJOG. 2007;114(5):522-31.
Current Opinion in Urology. Current world literature. Curr Opin Urol. 2010;20(6):533-8.
Neuman M. TVT and TVT-Obturator: comparison of two operative procedures. Eur J Obstet Gynecol Reprod Biol. 2007;131(1):89-92.
Ford AA, Rogerson L, Cody JD, Aluko P, Ogah JA. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2017;7(7):CD006375.
Karmakar D, Mostafa A, Abdel‐Fattah M. Long‐term outcomes of transobturator tapes in women with stress urinary incontinence: E‐TOT randomised controlled trial. BJOG: Int J Obstet Gynaecol. 2017;124(6):973-81.
Serati M, Ghezzi F, Cattoni E, Braga A, Siesto G, Torella M, et al. Tension-free vaginal tape for the treatment of urodynamic stress incontinence: efficacy and adverse effects at 10-year follow-up. Eur Urol. 2012;61(5):939-946.
Barber MD, Kleeman S, Karram MM, Paraiso MF, Walters MD, Vasavada S, et al. Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence: a randomized controlled trial. Obstet Gynecol. 2008;111(3):611-21.
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