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Long-term outcome of transobturator suburethral tape procedure for treatment of female stress urinary incontinence

OBJECTIVE: The aim is to evaluate the long-term safety and efficacy of transobturator tape (TOT) procedure in the treatment of women with stress urinary incontinence (SUI) by subjective and objective measures. PATIENTS AND METHODS: A total 48 women with SUI underwent the TOT procedure during the per...

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Autores principales: El-Eweedy, Sayed M., Abd El-Rahim, Ahmed F., Abd-Alkhalek, Mohamed A., Abdellatif, Ashraf H., Anwer, Ahmed S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4127861/
https://www.ncbi.nlm.nih.gov/pubmed/25125897
http://dx.doi.org/10.4103/0974-7796.134281
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author El-Eweedy, Sayed M.
Abd El-Rahim, Ahmed F.
Abd-Alkhalek, Mohamed A.
Abdellatif, Ashraf H.
Anwer, Ahmed S.
author_facet El-Eweedy, Sayed M.
Abd El-Rahim, Ahmed F.
Abd-Alkhalek, Mohamed A.
Abdellatif, Ashraf H.
Anwer, Ahmed S.
author_sort El-Eweedy, Sayed M.
collection PubMed
description OBJECTIVE: The aim is to evaluate the long-term safety and efficacy of transobturator tape (TOT) procedure in the treatment of women with stress urinary incontinence (SUI) by subjective and objective measures. PATIENTS AND METHODS: A total 48 women with SUI underwent the TOT procedure during the period from December 2005 to February 2008. The follow-up period ranged between 60 and 84 months (mean 71 months). Mean age was 44.21 ± 7.52 (range: 30-58). Preoperative and early postoperative data were retrieved from the patient's medical files. Follow-up evaluation was carried out every 3 months during the 1(st) year and yearly afterwards by history taking (including incontinence and quality-of-life questionnaire), clinical examination, urine analysis, abdominopelvic ultrasonography, and urodynamic studies when indicated. RESULTS: At 12-month follow-up, the cure, improvement, and failure rates were 39 patients (81.25%), 5 (10.42%) and 4 (8.33%), respectively. The corresponding rates at the last follow-up were 38 (79.15%), 5 (10.42%) and 5 (10.42%) respectively. The postvoid residual urine and peak flow rates did not differ significantly between the preoperative values and at the last follow-up. The complication rates after a mean 71-month included one patient with voiding difficulty and two patients with de novo urgency. No case was recorded with retention of urine or erosion. CONCLUSIONS: Transobturator tape procedure appeared to be effective minimally invasive procedure for SUI with low rate of complication and good long-term outcome.
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spelling pubmed-41278612014-08-14 Long-term outcome of transobturator suburethral tape procedure for treatment of female stress urinary incontinence El-Eweedy, Sayed M. Abd El-Rahim, Ahmed F. Abd-Alkhalek, Mohamed A. Abdellatif, Ashraf H. Anwer, Ahmed S. Urol Ann Original Article OBJECTIVE: The aim is to evaluate the long-term safety and efficacy of transobturator tape (TOT) procedure in the treatment of women with stress urinary incontinence (SUI) by subjective and objective measures. PATIENTS AND METHODS: A total 48 women with SUI underwent the TOT procedure during the period from December 2005 to February 2008. The follow-up period ranged between 60 and 84 months (mean 71 months). Mean age was 44.21 ± 7.52 (range: 30-58). Preoperative and early postoperative data were retrieved from the patient's medical files. Follow-up evaluation was carried out every 3 months during the 1(st) year and yearly afterwards by history taking (including incontinence and quality-of-life questionnaire), clinical examination, urine analysis, abdominopelvic ultrasonography, and urodynamic studies when indicated. RESULTS: At 12-month follow-up, the cure, improvement, and failure rates were 39 patients (81.25%), 5 (10.42%) and 4 (8.33%), respectively. The corresponding rates at the last follow-up were 38 (79.15%), 5 (10.42%) and 5 (10.42%) respectively. The postvoid residual urine and peak flow rates did not differ significantly between the preoperative values and at the last follow-up. The complication rates after a mean 71-month included one patient with voiding difficulty and two patients with de novo urgency. No case was recorded with retention of urine or erosion. CONCLUSIONS: Transobturator tape procedure appeared to be effective minimally invasive procedure for SUI with low rate of complication and good long-term outcome. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4127861/ /pubmed/25125897 http://dx.doi.org/10.4103/0974-7796.134281 Text en Copyright: © Urology Annals http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
El-Eweedy, Sayed M.
Abd El-Rahim, Ahmed F.
Abd-Alkhalek, Mohamed A.
Abdellatif, Ashraf H.
Anwer, Ahmed S.
Long-term outcome of transobturator suburethral tape procedure for treatment of female stress urinary incontinence
title Long-term outcome of transobturator suburethral tape procedure for treatment of female stress urinary incontinence
title_full Long-term outcome of transobturator suburethral tape procedure for treatment of female stress urinary incontinence
title_fullStr Long-term outcome of transobturator suburethral tape procedure for treatment of female stress urinary incontinence
title_full_unstemmed Long-term outcome of transobturator suburethral tape procedure for treatment of female stress urinary incontinence
title_short Long-term outcome of transobturator suburethral tape procedure for treatment of female stress urinary incontinence
title_sort long-term outcome of transobturator suburethral tape procedure for treatment of female stress urinary incontinence
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4127861/
https://www.ncbi.nlm.nih.gov/pubmed/25125897
http://dx.doi.org/10.4103/0974-7796.134281
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