https://doi.org/10.4081/uij.2022.296
Transobturator-tape outside in (TVT-O) as saviour for female stress urinary incontinence without available cystoscope for gynecologist: A case series
Submitted: 29 June 2022
Accepted: 12 September 2022
Published: 23 September 2022
Accepted: 12 September 2022
Abstract Views: 730
PDF: 345
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
SUI affects quality of life. Ulmsten and Petros reported mid urethral sling operations using Tension-free Vaginal Tape (TVT) and Delorme used Transobturator Tape (TOT). Cystoscopy is often used in retropubic sling procedures to identify lower urinary tract injury. Cystoscopy protects patients and accurately identifies iatrogenic injuries. The goal is to evaluate the efficacy of a standard Trans-Obturator (TOT-O) mid urethral sling for female Stress Urinary Incontinence (SUI) without intraoperative cystoscopy. A total of 120 female SUI patients from 2014 to 2019 were studied. Stress-related incontinence and diaper use were preoperative variables. Under spinal anesthesia, the procedure improved stress incontinence, sexual dysfunction, complications, and overall satisfaction. All patients improved after the procedure, and 116 (96.6%) completely resolved. Post-operative complications included urinary retention in 3 patients (2.5%), increased daytime urinary frequency in 3 (2.5%), urge incontinence in 4 (3.33%), groin/thigh pain in 2 (1.66%), and local mesh excision for mesh erosion in 1 (0.83%). Open EPI software calculated insignificant p values for clinical profile and satisfaction with symptom resolution. Brief Index of SF for Women was used to assess sexual function. At 6-month followup, all patients were satisfied with sexual function. TOT-O technique for female stress urinary incontinence is easy to learn and reproducible for beginners.
Ulmsten U, Petros P. Intravaginal slingplasty (IVS): An ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 1995;29:75-82.
DOI: https://doi.org/10.3109/00365599509180543
Delorme E. Transobturator urethral suspension: Mini invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 2001;11:1306-13.
Hunskaar S, Burgio K, Clark A, et al. Epidemiology of urinary (UI) and faecal (FI) incontinence and pelvic organ prolapse (POP). In: WHO-ICS International Consultation on Incontinence. 3rd ed. Paris: Health Publications Ltd; 2005.
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.
DOI: https://doi.org/10.1016/j.eururo.2003.09.003
Bullock TL, Ghoniem G, Klutke CG et al: Advances in female stress urinary incontinence: mid-urethral slings. BJU Int 2006;98:32–40.
DOI: https://doi.org/10.1111/j.1464-410X.2006.06361.x
De Lancey JO. Structural support of the urethra as it relates to stress urinary incontinence: The hammock hypothesis. Am J Obstet Gynecol 1994;170:1713-20.
DOI: https://doi.org/10.1016/S0002-9378(12)91840-2
Petros PE, Ulmsten UI. An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand Suppl 1990;153:7–31.
DOI: https://doi.org/10.1111/j.1600-0412.1990.tb08027.x
Sung VW, Schleinitz MD, Rardin CR, et al. Comparison of retropubic vs transobturator approach to midurethral slings: A systematic review and meta-analysis. Am J Obstet Gynecol 2007;197:3-11.
DOI: https://doi.org/10.1016/j.ajog.2006.09.025
Altaman DG, Bland JM. Statistics notes. Treatment allocation in controlled trails: Why randomize? BMJ 1999;318:1209.
DOI: https://doi.org/10.1136/bmj.318.7192.1209
Abrams P, Andersson KE, Birder L, et al. Fourth international consultation on incontinence recommendations of the international scientific committee: Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn 2010;29:213-40.
DOI: https://doi.org/10.1002/nau.20870
Schofer LR, Friedman JM, Weiler SJ, et al. Multiaxial problem-oriented diagnostic system for sexual dysfuntions. Arch Gen Psych 1982;39:614–9.
DOI: https://doi.org/10.1001/archpsyc.1982.04290050080015
Corton MM. Critical anatomic concepts for safe surgical mesh. Clin Obstet Gynecol 2013;56:247–56.
DOI: https://doi.org/10.1097/GRF.0b013e31828e629c
Hinoul P, Vanormelingen L, Roovers JP, et al. Anatomical variability in the trajectory of the inside out transobturator vaginal tape technique (TVT-O). Int Urogynecol J Pelvic Floor Dysfunct 2007;18:1201–6.
DOI: https://doi.org/10.1007/s00192-007-0303-2
Tincello DG, Botha T, Grier D, et al. The TVT Worldwide Observational Registry for Long-Term Data: safety and efficacy of suburethral sling insertion approaches for stress urinary incontinence in women. J Urol 2011;186:2310–5.
DOI: https://doi.org/10.1016/j.juro.2011.07.078
Wang YJ, Li FP, Wang Q, et al. Comparison of three mid-urethral tension-free tapes (TVT, TVT-O, and TVT-Secur) in the treatment of female stress urinary incontinence: 1-year follow-up. Int Urogynecol J 2011;22:1369–74.
DOI: https://doi.org/10.1007/s00192-011-1445-9
Dyrkorn OA, Kulseng-Hanssen S, Sandvik L. TVT compared with TVT-O and TOT: results from the Norwegian National Incontinence Registry. Int Urogynecol J 2010;21:1321.
DOI: https://doi.org/10.1007/s00192-010-1195-0
Kaelin-Gambirasio I, Jacob S, Boulvain M, et al. Complications associated with transobturator sling procedures: analysis of 233 consecutive cases with a 27 months follow-up. BMC Womens Health 2009;9:28.
DOI: https://doi.org/10.1186/1472-6874-9-28
Ogah J, Cody JD, Rogerson L. Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev 2009;4:CD006375.
DOI: https://doi.org/10.1002/14651858.CD006375.pub2
Abdel-Fattah M, Ramsay I, Pringle S. Lower urinary tract injuries after transobturator tape insertion by different routes: a large retrospective study. BJOG 2006;113:1377–81.
DOI: https://doi.org/10.1111/j.1471-0528.2006.01097.x
How to Cite
Bashir, F., Khawaja, A. R., Dar, Y., Dar, T., & Magray, J. (2022). Transobturator-tape outside in (TVT-O) as saviour for female stress urinary incontinence without available cystoscope for gynecologist: A case series. Urogynaecologia, 34(1). https://doi.org/10.4081/uij.2022.296
Copyright (c) 2022 The Authors
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
An Open Access Publication is one that meets the following two conditions:
- the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.
- a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Similar Articles
- B. Adile, P. Palma, A. Pollina, S. Bandiera, M.L. Amico, A. Mercurio, G. Gugliotta, IMPACT OF URINARY INCONTINENCE ON THE QUALITY OF LIFE AND FEMALE SEXUALITY , Urogynaecologia: Vol. 20 No. 1 (2006)
- Ali Mahmood, Prianka Gajula, The role of the urogynecologist with sphincteroplasty: a multidisciplinary approach to a very common, yet devastating problem , Urogynaecologia: Vol. 26 No. 1 (2012)
- Barbara Cristina Gentile, Roberto Giulianelli, Luca Albanesi, Gabriella Mirabile, Francesco Pisanti, Transobturator tension-free vaginal tape is the most common procedure in women with stress urinary incontinence: our experience , Urogynaecologia: Vol. 28 No. 1 (2014)
- Chendrimada Madhu, Ayshini Samarasinghe, Oluseyi Taiye-Akinsun, Harnek Rai, Labial fusion presenting as voiding dysfunction and pseudoincontinence , Urogynaecologia: Vol. 26 No. 1 (2012)
- Hanchao Zhang, Ashok Kumar Kunwar, Yi Dai, Deyi Luo, Hong Shen, Application of the Monti channel in female adult with urethral injuries in pelvic trauma , Urogynaecologia: Vol. 25 No. 1 (2011)
- Jan Groen, Wouter J.C. Marchand, Bertil F.M. Blok, Gert R. Dohle, Low dose intradetrusor injections of onabotulinumtoxinA in women with overactive bladder symptoms or the painful bladder syndrome: unfavorable balance between clinical efficacy and the need for catheterization , Urogynaecologia: Vol. 26 No. 1 (2012)
- Sabine Schütze, Ulf Göretzlehner, Elisabeth Mian, Fabienne Schochter, Wolfgang Janni, Miriam Deniz, A retrospective evaluation after insertion of the MicroGYNious single incision sling in cases of stress urinary incontinence , Urogynaecologia: Vol. 33 No. 1 (2021)
- Eboo Versi, Ron Corey, THE PREVALENCE, IMPACT AND MANAGEMENT OF URINARY INCONTINENCE IN THE FEMALE POPULATION OF THE USA , Urogynaecologia: Vol. 16 No. 2 (2002)
- Sivakumar S. Balakrishnan, Delayed complications of intravaginal slingplasty multifilament tape: two case reports , Urogynaecologia: Vol. 27 No. 1 (2013)
- Gabriela Marini, Angélica M. Pascon Barbosa, Débora C. Damasceno, Selma M. Michelin Matheus, Rodrigo de Aquino Castro, Manoel João B. Castello Girão, Marilza V. Cunha Rudge, Morphological changes in the fast vs slow fiber profiles of the urethras of diabetic pregnant rats , Urogynaecologia: Vol. 25 No. 1 (2011)
You may also start an advanced similarity search for this article.