Cihan Aygül1, Ramazan Özyurt1, Bulat Aytek Şık2, Serkan Kumbasar3. 1. İstanbul Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey. 2. İstanbul Aydın University Faculty of Medicine, Department of Obstetrics and Gynecology, İstanbul, Turkey. 3. Sakarya Training and Research Hospital, Clinic of Obstetrics and Gynecology, Sakarya, Turkey.
Abstract
OBJECTIVE: To measure the efficiency of transobturator tape (TOT) surgery using urodynamics and questionnaires in stress urinary incontinence. MATERIALS AND METHODS: Ninety-two patients with stress and mixed urinary incontinency who underwent TOT surgery were selected for the study. We retrospectively examined the patients' urodynamics, ultrasonography, demographic characteristics, incontinency surveys, life quality scores [incontinence impact questionnaire, (IQ-7) and urinary distress inventory (UDI-6)], diagnostic findings, Q-type test, surgical records, and complications. Patients treatment adherence, life quality scores, and urodynamics were evaluated as per the findings and complications following discharge of the patients between 12 and 36 months. Patients with a surgical history as the result of incontinence were excluded from the study. RESULTS: Prior to surgery, 57 (61%, 95) patients had stress urinary incontinence (SUI), and 35 (38%, 05) patients had mixed urinary incontinence (MUI). During surgery, 45 (48%, 91) patients underwent extra pelvic surgical intervention. The mean follow-up time was 22.17±7.55 months. Our subjective success rate was 91%, 3 and the objective success rate was 78%, 3. In the life quality evaluation, a statistically significant improvement was found between IIQ-7 and UDI-6 scores. Parity over 4 was an important failure reason. Two (2%, 17) patients developed vaginal erosion, 2 (2%, 17) of the patients developed temporary urine retention, and 1 (1%, 08) patient developed nova urge incontinence. CONCLUSION: Our study demonstrates that TOT surgery provides high objective and subjective success and has a positive impact on life quality. The ease of application and lower complication rate makes TOT a valuable alternative for other treatment approaches in the surgical treatment of SUI.
OBJECTIVE: To measure the efficiency of transobturator tape (TOT) surgery using urodynamics and questionnaires in stress urinary incontinence. MATERIALS AND METHODS: Ninety-two patients with stress and mixed urinary incontinency who underwent TOT surgery were selected for the study. We retrospectively examined the patients' urodynamics, ultrasonography, demographic characteristics, incontinency surveys, life quality scores [incontinence impact questionnaire, (IQ-7) and urinary distress inventory (UDI-6)], diagnostic findings, Q-type test, surgical records, and complications. Patients treatment adherence, life quality scores, and urodynamics were evaluated as per the findings and complications following discharge of the patients between 12 and 36 months. Patients with a surgical history as the result of incontinence were excluded from the study. RESULTS: Prior to surgery, 57 (61%, 95) patients had stress urinary incontinence (SUI), and 35 (38%, 05) patients had mixed urinary incontinence (MUI). During surgery, 45 (48%, 91) patients underwent extra pelvic surgical intervention. The mean follow-up time was 22.17±7.55 months. Our subjective success rate was 91%, 3 and the objective success rate was 78%, 3. In the life quality evaluation, a statistically significant improvement was found between IIQ-7 and UDI-6 scores. Parity over 4 was an important failure reason. Two (2%, 17) patients developed vaginal erosion, 2 (2%, 17) of the patients developed temporary urine retention, and 1 (1%, 08) patient developed nova urge incontinence. CONCLUSION: Our study demonstrates that TOT surgery provides high objective and subjective success and has a positive impact on life quality. The ease of application and lower complication rate makes TOT a valuable alternative for other treatment approaches in the surgical treatment of SUI.
Authors: R Marijn Houwert; Pieter L Venema; Annelies E Aquarius; Hein W Bruinse; Jan Paul W R Roovers; Harry A M Vervest Journal: Am J Obstet Gynecol Date: 2009-06-26 Impact factor: 8.661
Authors: J S Krauth; H Rasoamiaramanana; H Barletta; P Y Barrier; M Grisard-Anaf; J Lienhart; J Mermet; R Vautherin; J L Frobert Journal: Eur Urol Date: 2005-01 Impact factor: 20.096
Authors: Philippe Grise; Stephane Droupy; Christian Saussine; Philippe Ballanger; Francois Monneins; Jean Francois Hermieu; Gerard Serment; Pierre Costa Journal: Urology Date: 2006-10 Impact factor: 2.649
Authors: Rıza Dur; İltaç Akkurt; Bora Coşkun; Gamze Dur; Buğra Çoşkun; Mehmet Ünsal; Ahmet Akın Sivaslıoğlu Journal: Turk J Obstet Gynecol Date: 2019-10-10