Open AccessTrans‐obturator suburethral tape for female stress incontinence: a cohort of 254 women with 1‐year to 2‐year follow‐up
Author(s) -
POZA JOSÉ L.,
PLA FRANCESC,
SABADELL JORDI,
SÁNCHEZIGLESIAS JOSÉ L.,
MARTÍNEZGÓMEZ XAVIER,
XERCAVINS JORDI
Publication year - 2008
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1080/00016340701837454
Subject(s) - medicine , urinary incontinence , occult , cohort , surgery , cohort study , cure rate , stress incontinence , alternative medicine , pathology
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.