scholarly journals Tension free vaginal tape (TVT) vs transobturator tape(TOT) complications and outcomes

2014 ◽  
Vol 61 (1) ◽  
pp. 81-84 ◽  
Author(s):  
Milan Potic ◽  
Ivan Ignjatovic ◽  
Dragoslav Basic
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Test ◽  
Transobturator Tape ◽  
Urogenital Distress Inventory ◽  
Additional Surgery ◽  
Lower Complication ◽  
Cure Rates

Background: Stress urinary incontinence (SUI) is managed with both TVT and TOT. The TVT route of placement could result in a higher complication rate. The aim of this study is to analyze and compare outcomes and complications of TVT and TOT in SUI treatment. Methods: Prospective study in 64 women with isolated SUI was validated through Urogenital Distress Inventory (UDI-6), Incontinence Impact questionnaire (IIQ-7) and International Continence Impact Questionnaire (ICIQ5-SF). Intraoperative and postoperative complications were noted. Patients were considered cured when negative on stress test and with no need for additional surgery during follow up, after one and three months. Results: The cure rates for both TVT 26/30 (86,6%) and TOT 30/34 (88,2) were comparable. Higher rates of bleeding, bladder perforations, pain and dyspareunia are recorded in TVT group. Quality of life graded on the questionnaire basis proved significant improvement in both procedures. Conclusion: Both TVT and TOT have comparable cure results in the treatment of SUI. The TOT is equally effective in the SUI treatment with significantly lower complication incidence.

scholarly journals The outcomes of transobturator tape intervention in the treatment of stress urinary incontinence: Two years’ follow-up

2019 ◽  
Vol 35 (2) ◽  
Author(s):  
Bulat Aytek Şık ◽  
Hanife Copur ◽  
Yılda Arzu Aba
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Transobturator Tape ◽  
Mixed Urinary Incontinence ◽  
Perineal Pain ◽  
Cure Rate ◽  
Objective Cure

Objective: To evaluate the clinical outcomes and the effects on quality of life of transobturator tape surgery during a 2-year follow-up period in our clinics. Methods: Eighty-seven patients with stress or mixed urinary incontinence who underwent transobturator tape surgery were included in the study conducted in Istanbul. Taksim. Training. and Research Hospital Gynecology and Obstetrics Clinic, between 2011 and 2013. The patients’ demographic features, incontinence questionnaires, quality of life scores [Incontinence Impact Questionnaire (IIQ-7) and urinary distress inventories (UDI-6)], examination findings, urodynamic results, stress tests, Q tip tests, number of daily pads, ultrasonography, surgery, and cystoscopy results were recorded. Patients were evaluated 23-27 months (mean: 25.40±1.31 months) after their discharge in terms of symptoms, quality of life scores, urodynamic findings, complications, and stress test. Results: Sixty-three (72.4%) patients had stress incontinence and 24 (27.6%) patients had mixed urinary incontinence. No perioperative complications were observed in our study. After a follow-up period of two years, a significant improvement was detected in the IIQ-7 and UDI-6 questionnaires when compared with the preoperative period. Moreover, the objective cure rate was found as 88.5% (n=77). De novo urge incontinence was obtained in 5.7% (n=5) of patients and was treated with anticholinergics. Perineal pain was present in 3 (3.44%) patients and was treated with analgesics and cold packs. In 2 (2.29%) patients, vaginal mesh erosion was detected and full recovery was achieved with an excision. Urinary retention and bladder perforation was not seen in any patients. Conclusion: Our study revealed a high objective cure rate, and an improvement in symptoms and quality of life with the transobturator tape operation. How to cite this:Sik BA, Copur H, Yilda Arzu ABA. The outcomes of transobturator tape intervention in the treatment of stress urinary incontinence: Two years’ follow-up. Pak J Med Sci. 2019;35(2):---------. doi: https://doi.org/10.12669/pjms.35.2.603 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Burch Retropubic Urethropexy for Genuine Stress Urinary Incontinence: A Review of Eight Cases

2017 ◽  
Vol 5 (2) ◽  
pp. 129-132
Author(s):  
Disha A Rajput ◽  
Shalini M Valecha ◽  
Manisha Sarwade ◽  
Shrikant Dhumale
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Urinary Continence ◽  
Urgency Incontinence ◽  
Patient’S Satisfaction ◽  
Satisfaction Index ◽  
Genuine Stress Urinary Incontinence

ABSTRACT Introduction Urinary incontinence (UI) is more common than any other chronic disease with the prevalence of approximately 23 and 55%. Among the various forms of UI, stress incontinence (SUI) is the most common (49%), with urgency incontinence (UUI) representing 21% and mixed type (MUI) at 29%. As it affects the quality-of-life of women, the restoration of urinary continence is one of the greatest challenges. Aim To review the cases of genuine SUI treated surgically by Burch retropubic urethropexy. Results We have managed surgically eight cases of genuine SUI by Burch retropubic urethropexy. On 1-year follow-up, none of the patients had any urinary complaints. All had responded well to surgery and patient's satisfaction index was good. Conclusion Since SUI is the commonest among incontinences, it is a challenge to diagnose and treat to improve quality-of-life of patients. Burch retropubic urethropexy is the gold standard treatment for SUI, especially if other indications exist for abdominal surgery. Even in the present era of less invasive vaginal procedures, results are comparable. How to cite this article Rajput DA, Valecha SM, Sarwade M, Dhumale S. Burch Retropubic Urethropexy for Genuine Stress Urinary Incontinence: A Review of Eight Cases. J South Asian Feder Menopause Soc 2017;5(2):129-132.

scholarly journals Effects of Oral Amino Acid Supplements on Functional Capacity in Patients with Chronic Heart Failure

2014 ◽  
Vol 8 ◽  
pp. CMC.S14016 ◽  
Author(s):  
Carlo Lombardi ◽  
Valentina Carubelli ◽  
Valentina Lazzarini ◽  
Enrico Vizzardi ◽  
Filippo Quinzani ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
New York ◽  
Functional Capacity ◽  
Exercise Tolerance ◽  
Stress Test ◽  
Nyha Class ◽  
Heart Association

Amino acids (AAs) availability is reduced in patients with heart failure (HF) leading to abnormalities in cardiac and skeletal muscle metabolism, and eventually to a reduction in functional capacity and quality of life. In this study, we investigate the effects of oral supplementation with essential and semi-essential AAs for three months in patients with stable chronic HF. The primary endpoints were the effects of AA's supplementation on exercise tolerance (evaluated by cardiopulmonary stress test and six minutes walking test (6MWT)), whether the secondary endpoints were change in quality of life (evaluated by Minnesota Living with Heart Failure Questionnaire—MLHFQJ and N-terminal pro-brain natriuretic peptide (NT-proBNP) levels. We enrolled 13 patients with chronic stable HF on optimal therapy, symptomatic in New York Heart Association (NYHA) class II/III, with an ejection fraction (EF) <45%. The mean age was 59 ± 14 years, and 11 (84.6%) patients were male. After three months, peak VO2 (baseline 14.8 ± 3.9 mL/minute/kg vs follow-up 16.8 ± 5.1 mL/minute/kg; P = 0.008) and VO2 at anaerobic threshold improved significantly (baseline 9.0 ± 3.8 mL/minute/kg vs follow-up 12.4 ± 3.9 mL/minute/kg; P = 0.002), as the 6MWT distance (baseline 439.1 ± 64.3 m vs follow-up 474.2 ± 89.0 m; P = 0.006). However, the quality of life did not change significantly (baseline 21 ± 14 vs follow-up 25 ± 13; P = 0.321). A non-significant trend in the reduction of NT-proBNP levels was observed (baseline 1502 ± 1900 ng/L vs follow-up 1040 ± 1345 ng/L; P = 0.052). AAs treatment resulted safe and was well tolerated by all patients. In our study, AAs supplementation in patients with chronic HF improved exercise tolerance but did not change quality of life.

scholarly journals Quality-of-Life Impact of Primary Treatments for Localized Prostate Cancer in Patients Without Hormonal Treatment

2010 ◽  
Vol 28 (31) ◽  
pp. 4687-4696 ◽  
Author(s):  
Yolanda Pardo ◽  
Ferran Guedea ◽  
Ferrán Aguiló ◽  
Pablo Fernández ◽  
Víctor Macías ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Urinary Incontinence ◽  
Sexual Dysfunction ◽  
Radical Prostatectomy ◽  
Adverse Effects ◽  
Hormonal Treatment ◽  
External Radiotherapy

Purpose Earlier studies evaluating the effect on quality of life (QoL) of localized prostate cancer interventions included patients receiving adjuvant hormone therapy, which could have affected their outcomes. Our objective was to compare the QoL impact of the three most common primary treatments on patients who were not receiving adjuvant hormonal treatment. Patients and Methods This was a prospective study of 435 patients treated with radical prostatectomy, external-beam radiotherapy, or brachytherapy. QoL was assessed before and after treatment with the Short Form-36 and the Expanded Prostate Cancer Index Composite. Differences between groups were tested by analysis of variance. Distribution of outcome at 3 years was examined by stratifying according to baseline status. Generalized estimating equation models were constructed to assess the effect of treatment over time. Results Compared with the brachytherapy group, the prostatectomy group showed greater deterioration on urinary incontinence and sexual scores but better urinary irritative-obstructive results (−18.22, −13.19, and +6.38, respectively, at 3 years; P < .001). In patients with urinary irritative-obstructive symptoms at baseline, improvement was observed in 64% of those treated with nerve-sparing radical prostatectomy. Higher bowel worsening (−2.87, P = .04) was observed in the external radiotherapy group, with 20% of patients reporting bowel symptoms. Conclusion Radical prostatectomy caused urinary incontinence and sexual dysfunction but improved pre-existing urinary irritative-obstructive symptoms. External radiotherapy and brachytherapy caused urinary irritative-obstructive adverse effects and some sexual dysfunction. External radiotherapy also caused bowel adverse effects. Relevant differences between treatment groups persisted for up to 3 years of follow-up, although the difference in sexual adverse effects between brachytherapy and prostatectomy tended to decline over long-term follow-up. These results provide valuable information for clinical decision making.

Transobturator tape procedure outcome: a clinical and quality of life analysis of a 1-year follow-up

2006 ◽  
Vol 18 (8) ◽  
pp. 895-900 ◽  
Author(s):  
S. Domingo ◽  
P. Alamá ◽  
N. Ruiz ◽  
G. Lázaro ◽  
M. Morell ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Transobturator Tape ◽  
Life Analysis

Efficacy and quality of life after 10 years of transobturator tape surgery for stress urinary incontinence

Maturitas ◽  
2015 ◽  
Vol 81 (1) ◽  
pp. 204-205
Author(s):  
Antonio Cano ◽  
Paula Celada ◽  
Ester Ortiz ◽  
Patricia Cañete ◽  
Ana Castro
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Transobturator Tape

scholarly journals Safety and efficacy of surgical transobturator tape in the treatment of stress urinary incontinence in women - three years of follow-up

2021 ◽  
pp. 107-107
Author(s):  
Milos Pantelic ◽  
Marko Stojic ◽  
Aleksandar Curcic ◽  
Miso Dukic ◽  
Uros Kadic ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
De Novo ◽  
Elderly Women ◽  
Stress Test ◽  
Physical Exertion ◽  
Transobturator Tape ◽  
Leg Pain ◽  
Objective Stress

Introduction/Objective. Stress urinary incontinence (SUI) is defined as the complaint of involuntary loss of urine in effort or physical exertion, or on sneezing or coughing. It is a common clinical condition affecting 50% of middle-aged and elderly women. Mid-urethral slings (MUSs) are the gold standard in the treatment of SUI. The aim of this study was to investigate the success rate and complications of surgical treatment of SUI in women with transobturator tape (TOT) within the three years of follow-up. Methods. From January 2011 until January 2018, 86 women with predominantly SUI were operated by TOT procedure. In 61.6% of patients SUI was confirmed by preoperative urodynamic examination (cystometry, uroflowmetry, urethral presser profile) and in 38.4% of patients by clinical examination of stress test (cough provocation). All patients were invited for a follow-up examination 6, 12, 24 and 36 months after surgery. The result of the operation is defined as cured, improved or without success. Results. The average age was 55 (32-72) years. The most common complications were tape erosion (3.5%), incision bleeding (2.3%), transient leg pain (3.5%), dyspareunia (2.3%), vaginal erosion (3.5%) and de novo urge (5.8%). After three years of follow-up, 82.6% patients were cured. Conclusion. TOT is a safe, effective and successful procedure with 82.6% of cured patients during a three-year follow-up.

scholarly journals Transobturator tape for female stress incontinence: follow-up after 24 months

2013 ◽  
Vol 4 (1) ◽  
pp. 33
Author(s):  
Waleed Al Taweel ◽  
Danny M. Rabah
Keyword(s):  
Transobturator Tape ◽  
Satisfaction Scale ◽  
Improvement Rate ◽  
Urogenital Distress Inventory ◽  
Global Satisfaction ◽  
Protection Contre ◽  
Point Pressure ◽  
Lost To Follow Up

Objective: The objective of this paper is to evaluate the effectivenessof transobturator vaginal tape (TOT) in the treatment of femalestress urinary incontinence (SUI) and to analyze functional resultsand quality of life after 24 months follow-up.Methods: The study included all women with SUI who underwenta TOT procedure in which the sling passes from the obturatorforamen from the outside to the inside, under general or regionalanesthesia from December 2004 to January 2006. All study patientsmust have had a minimal follow-up of 24 months. The patientswere prospectively evaluated, and the following factors wereassessed: number of pads used per day, physical examinationincluding pelvic examination, urinalysis, urogenital distress inventory(UDI-6), analog global satisfaction scale (GSS), pad weighttest, and urodynamic studies including filling cystometry andValsalva leak point pressure (VLPP) test.Results: Fifty-two consecutive patients who fulfilled the inclusioncriteria underwent TOT procedure by 1 surgeon. The mean agewas 50 ±9 (range 37-72) and minimal follow-up was 24 months(range 24-30 months). Two patients were lost to follow-up after12 months and 3 patients did not come for the 24-month evaluation.The mean operative time was 18 minutes ±4 (range 15-31),with an average amount of bleeding 57 cc ±22cc. Our resultsdemonstrate a 92% cure or improvement rate after 12 months,and an 85% after 24 months.Conclusion: The transobturator approach from outside to inside isa very effective treatment of SUI with low morbidity. However,longer follow-up in larger populations should assess the longtermreliability of this procedure.Objectif : L’objectif de notre étude est d’évaluer l’efficacité de labandelette transobturatrice mise en place par voie vaginale dans letraitement de l’incontinence urinaire d’effort (IUE) et d’analyser lesrésultats fonctionnels et la qualité de vie après un suivi de 24 mois.Méthodologie : Notre étude a inclus toutes les femmes atteintesd’IUE chez qui on avait posé une bandelette transobturatrice passantpar le trou obturateur de l’extérieur vers l’intérieur, sousanesthésie générale ou régionale entre décembre 2004 et janvier2006. Toutes les patientes devaient avoir été suivies pendant unminimum de 24 mois après l’intervention. Les patientes étaientévaluées de façon prospective, et les facteurs suivants ont étéévalués : nombre de culottes de protection contre les fuites urinairesutilisées chaque jour, examen physique comprenant unexamen pelvien, analyse d’urines, questionnaire UDI-6 (urogenitaldistress inventory), échelle analogique de satisfaction globale,test du poids de la culotte de protection, et études urodynamiquescomprenant une cystométrie de remplissage et une évaluation duseuil de pression de fuite de Valsalva (méthode VLPP).Résultats : Cinquante-deux patientes consécutives répondant auxcritères d’inclusion se sont vu poser une bandelette transobturatricepar le même chirurgien. L’âge moyen était de 50 ans ± 9 (de37 à 72 ans) et le suivi minimal était de 24 mois (de 24 à 30 mois).Deux patientes avaient été perdues de vue lors du suivi après12 mois et 3 patientes ne se sont pas présentées à l’évaluation au24e mois. La durée moyenne de l’intervention était de 18 minutes± 4 (de 15 à 31 minutes), et la quantité moyenne de sang perdude 57 mL ± 22. Nos résultats montrent un taux de guérison oud’amélioration de 92 % après 12 mois, et de 85 % après 24 mois.Conclusion : La technique de la bandelette transobturatrice poséede l’extérieur vers l’intérieur est un traitement très efficace del’IUE accompagnée d’un faible taux de morbidité. Cependant, unsuivi plus long avec des cohortes plus importantes est requis pourévaluer la fiabilité à long terme de cette intervention.

scholarly journals IMPACT OF URINARY INCONTINENCE ON THE QUALITY OF LIFE AND FEMALE SEXUALITY

2010 ◽  
Vol 20 (1) ◽  
pp. 5
Author(s):  
B. Adile ◽  
P. Palma ◽  
A. Pollina ◽  
S. Bandiera ◽  
M.L. Amico ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Female Sexuality ◽  
Negative Impact ◽  
Mixed Incontinence ◽  
International Consultation ◽  
Before And After

The prevalence of urinary incontinence is around 20% of healthy middle-aged women. Incontinence has a negative impact on quality of life and sexuality. From August 2002 to January 2004, 30 patients (mean age 43 years) with stress urinary incontinence (59%) overactive bladder (15%0) and mixed incontinence (26%) answered the ICIQSF (International Consultation on Incontinence Questionnaire &ndash; Short From) and FSFI (Female Sexual Function Index) questionnaires before and after treatment. The follow up ranged from 12 to 53 months. Mean ICIQ score was 17 and 7 before and after treatment respectively (p&lt; 0,001). Overactive bladder showed the worst scores in all domains. The patients underwent surgery to increase desire (p=0,02), satisfaction (p=0,05) and t otal score (p=0,02). In 13 patients the ICIQ score did not increase: desire (p=0,01), satisfaction (p=0,05) and total score (p=0,01). Urinary incontinence significantly affects the quality of life. A sexuality evaluation in incontinence patients is recommended.

scholarly journals The autologous fascia pubovaginal sling for complicated female

2013 ◽  
Vol 6 (1) ◽  
pp. 36 ◽  
Author(s):  
Blayne K. Welk ◽  
Sender Herschorn
Keyword(s):  
Quality Of Life ◽  
Retrospective Review ◽  
Midurethral Sling ◽  
Mesh Erosion ◽  
Intermittent Catheterization ◽  
Treatment Modalities ◽  
Mesh Removal ◽  
Urogenital Distress Inventory

Introduction: The purpose of this study is to review our contemporary experience with autologous fascia pubovaginal slings (AF-PVS) in the era of the midurethral sling.Methods: A retrospective review was completed to identify allpatients who underwent an AF-PVS between 2002 and 2009. Across-sectional questionnaire was used to assess postoperative urinary- specific quality of life (consisting of the Urogenital Distress Inventory [UDI-6] and the Incontinence Impact Questionnaires [IIQ-7]).Results: We identified 33 patients. They had failed a median oftwo previous incontinence treatments. Of these patients, 16 (48%) had failed a previous midurethral sling, and of these half had experienced a significant mesh erosion necessitating mesh removal. Preoperative median incontinence pad usage was 5/day. After a median follow-up of 16 months from the time of AF-PVS, the median pad usage had decreased to 1/day (p = 0.003). A third of the patients had postoperative urgency, and only 1 patient continues to use intermittent catheterization. The median IIQ-7 score was 19/100, and the median UDI-6 score was 44/100. Overall quality of life was mixed-to-delighted in 62% of patients.Conclusions: The AF-PVS has reasonable outcomes in a diversepopulation of patients, despite failure of other treatment modalities.

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