Transobturator-tape outside in (TVT-O) as saviour for female stress urinary incontinence without available cystoscope for gynecologist: A case series
Published: 23 September 2022
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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.
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Citations
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
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Transobturator-tape outside in (TVT-O) as saviour for female stress urinary incontinence without available cystoscope for gynecologist: A case series. (2022). Urogynaecologia, 34(1). https://doi.org/10.4081/uij.2022.296
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