DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20172325

Efficacy and safety of the trans-obturator tape for female stress urinary incontinence

Priyankur Roy, Bivas Biswas, Shaheen Hokabaj, Ruchika Garg, Sujatha M. S.

Abstract


Background: To assess the safety and efficacy of Trans-obturator tape (TVT-O) for female stress urinary incontinence (SUI).

Methods: A cohort of 35 cases of SUI and underwent TVT-O procedure over a period of 4 years. Pre-operative evaluation included pelvic examination, one hour pad test, urodynamic study, urinary diary and baseline haematological tests. Post-operatively all women had post-void residual volume and were followed up for 3 years.

Results: The mean age of the patients was 47±9.5 years. TVT-O alone was done in 58.1% of cases. 41.9% of cases had TVT-O done as a concomitant procedure. The median duration of follow-up was 48 months. The overall objective and subjective cure rate was 92.3% with failure rate of 7.7%, 12.9% of women reported post-operative thigh pain and 6.5% patients had immediate post-operative urinary retention. 16.1% of the patients had post-operative voiding dysfunction. No major complications were encountered in these patients.

Conclusions: TVT-O is a safe, easy and effective minimally invasive procedure for female SUI with minimal acceptable complications.


Keywords


Female stress, Stress urinary incontinence, TVT-O

Full Text:

PDF

References


Abraham P, Cardazo L, Fall M. The standardization of terminology of lower urinary tract function: repon from the standardization subcommittee of the ICS. Am J Obstet Gynecol. 2002;187:116-26.

Petrol PE, Ulmsten UI. An Integral theory-its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol Suppl. 1993; 153:1-93.

Nilsson CG, Palva K, Rezapour M, Falconer C. Eleven years prospective follow up of tension free vaginal tape procedure for SUI. Int Urogynecol J Pelvic Floor Dysfunction. 2008;19:1043-47.

Ulmster U, Petros P. Intravaginal slingplasty (IVS) an ambulatory surgical procedure for management of female SUI. Scand J Urol Nephrol. 1995;106:345-50.

Nilsson GC, Kuuva N, Falconer C et. al. Long term results of the TVT procedure for the surgical treatment of female stress urinary continence. Int Urogynecol J Pelvic Floor DysfunctION. 2001;12:5-8.

Moran PA, Ward K, Johnson D. TVT for primary genuine stress incontinence: a two centre follow study. BJU Int. 2002;86:39-42.

Hermieu JF, Messas A, Delmas. Bladder injury after TVT transobturator. Prog Urol. 2003;13:115-7.

Detro Delorome E, Droupsy S, de Tayrac R, Delmas V. Trans-obturator tape (Uratape)-A new minimally invasive procedure to treat female urinary incontinence. Eur Urol. 2004;45:203-7.

de Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol. 2003;44(6):724-30.

Collinet P, Ciofu C, Costa P. The safety of the inside-out transobturator approach for transvaginal tape (TVT-O) treatment in stress urinary incontinence: French registry data on 984 women. Int Urogynecol J. 2008;19:711-15.

Jose L, Poza, Francerc. Trans-obturator sub-urethral tape for female SUI-A cohort of 254 women with 1 year to 2 years follow-up. Acta Obstet Gynecol. 2008;87:232-39.

Waltregny D, Gravanate Y, Reul O. TVT-O for the management of female SUI: Results of a prospective study after 3 year minimum follow-up. Eur Urol. 2008;53:401-8.

Tsung Hsien SU, Huang WC, Mei Yu Lee, Lin TY, Chang HC, Ping C. Tension free vaginal tape obturator procedure for management of severe urodynamic SUI-subjective and objective outcome during 2 year follow-up. J Obstet Gynecol. 2009;35(6):1077-82.

Domingo S, Alama P, Ruiz N, Lazaro G, Morell M, Pellicer A. Trans-obturator tape procedure outcome- A clinical and quality of life analysis of a 1 year follow-up. Int Urogynecol J Pelvic Floor Dysfunction. 2007;18:895-900.

Tsivian A, Benjamin S, Tsivian M, Rikovar M, Moguta B, Sldi A. Trans-obturator tape procedure with or without concomitant vaginal surgery. The J of Urology. 2009;182:1068-71.

Sokol AI, Jelovsek JE, Walters MD. Incidence and predictors of prolonged urinary retention after TVT with or without concomitant prolapsed surgery. Am J Obstet Gynecol. 2005;192:1537-41.

Lee KS, Han DH, Choi YS. A prospective trial comparing TVT and TOT inside-out for the surgical treatment of female SUI: 1 year follow up. The J of Urology. 2007;177:214-18.

Mellier G, Benayed B, Bretones S, Pasquier JC. Suburethral tape via the obturator route: Is the TVT-O a simplification of the TVT? Int Urogynecol J Pelvic Floor Dysfunction. 2004;15:227-32.

de Tayrac R, Deffieux D, Droupy S. A prospective randomized trial camparing tension-free vaginal tape and trans-obturator suburethral tape for surgical treatment of stress urinary incontinence. Am J Obstet Gynecol. 2004;190:602-8.

Krauth JS, Barletta H, Anab M. Suburethral tape management for female SUI – Morbidity assessment of the TO route and new tape (I-STOP): A multi-centric trial involving 104 cases. Eur Urol. 2005;47: 102-7.

Merlin T, Arnold E, Petros P. A systematic review of Tension-free urethropexy for SUI: IVS and TVT procedures. BJU Int. 2001;88:871.

Lo TS. TVT procedures in women with SUI with and without co-existing genital prolapsed. Curr Opin Obstet Gynecol. 2004;16:399.

Nilsson CG, Falconer C, Rezapour M. Seven year follow-up of the TVT procedure for the treatment of SUI. Obstet Gynecol. 2004;104:1259.

Kobi Stav, Peter L Dwyer, Anna Rosamilia et. al. Repeat synthetic mid-urethral sling procedure for women with recurrent SUI. The J of Urology. 2010; 183:241-6.

Roumeguere T, Bollens R, Quackels T. TVT-O for female SUI one year follow-up in 120 patients. Eur Urol. 2005;48:305-9.

Cindolo L, Salzano L, Rota G. TVT-O approach for female SUI. Minerva Urol Nephrol. 2003;55:89-98.

Costa P, Grise P, Ballanger P. Surgical treatment of female SUI with a TVT-O Uratape-A short term results of a prospective multicentric study. Eur Urol. 2004;46:102-6.

Lose G. Urethral pressure measurement. Acta Obstet Gynecol Scand Supp. 1997;166:39.

Boyles SH, Edwards R, Gregory W. Complications associated with Trans-obturator sling procedures. Int Urogynecol J Pelvic Floor Dysfunction. 2007;18:19-22.

Karsentry G, Boman J. Severe soft tissue infection of the thigh after vaginal erosion of TVT-O for SUI. Int Urogynecol J Pelvic Floor Dysfunction. 2007;18: 207-12.