scholarly journals 4-year recurrence risk factors after tension-free vaginal tape-obturator as a treatment of stress urinary incontinence

2020 ◽  
Vol 3 (2) ◽  
pp. 145-150
Author(s):  
S De Miguel Manso ◽  
E García García ◽  
JA Gobernado Tejedor ◽  
CE Badillo Bercebal ◽  
D Viruega Cuaresma ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Mixed Urinary Incontinence ◽  
Advanced Age ◽  
Mixed Incontinence ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
Independent Risk Factors ◽  
Vaginal Tape Obturator

Objectives: Tension-free vaginal tapes are the gold standard of the surgical treatment of stress urinary incontinence (SUI); however, long-term recurrence of SUI after this surgery has been a matter of problem. Here, we attempted to determine the incidence of its recurrence and to identify the risk factors of 4-year-recurrence of SUI after this surgery. Methods: Of all patients undergoing this surgery (n = 341, 2015-2019), 71 patients were met the study inclusion criteria. Of 71, SUI recurred in 8 patients, with the recurrence rate being 11.3%. The following three were identified to be independent risk factors: older age, history of delivery of macrosomic baby (>4 kg), and the presence of mixed urinary incontinence. The frequency of recurrence in cases with mixed incontinence amounted for 19.5%. Recurrence was 22 and 50% for women with macrosomic delivery once and more than twice, respectively. Conclusion: Advanced age, macrosomic delivery and mixed urinary incontinence have shown to be independent risk factors of recurrence of SUI after tension-free vaginal tape-obturator at 4 years. Key message: Stress urinary incontinence can recur so investigate possible risk factors is a priority. Our paper relates recurrence with: advanced age, fetal macrosomia and mixed incontinence.

scholarly journals 4-year recurrence risk factors after tension-free vaginal tape-obturator as a treatment of stress urinary incontinence

2020 ◽  
Vol 11 (6) ◽  
Author(s):  
S De Miguel Manso ◽  
García García E ◽  
Gobernado Tejedor JA ◽  
Badillo Bercebal CE ◽  
Viruega Cuaresma D ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Recurrence Risk ◽  
Mixed Urinary Incontinence ◽  
Chi Square ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
Qualitative Variables ◽  
Vaginal Tape Obturator

Objetive: The objective is to identify factors associated with the risk of recurrence of stress urinary incontinence at 4years, after surgical treatment with transobturator suburethral tape. Methods: A prospective four-year follow-up observational study (2015-2019, n=341) was performed in women who underwent SUI using the tension-free vaginal tape-obturator. The sample was 71 patients with recurrence of SUI. Statistics: T-Test or U-Mann and ROC for quantitative variables, Chi-Square and OR for qualitative variables. Results: The frecuency of SUI recidive was 11.27% (8 patients). Of all the variables analyzed, they only showed a significant association with the SUI recurrence: age, fetal macrosomia and mixed urinary incontinence. The frequency of recurrence in case mixed incontinence amounted to 19.5%, if the patient had 1 delivery >4 kg to 22% and if the antecedent was ≥2 macrosomal deliveries it increased up to 50%. Conclusion: Advanced age, macrosomic delivery and mixed urinary incontinence have shown a significant association with the risk of relapse of SUI after tension-free vaginal tape-obturator at 4 years. Therefore, it would be necessary to inform them of a greater risk of failure in the medium term in the preoperative interview.

Ten-Year Followup after Tension-Free Vaginal Tape-Obturator Procedure for Stress Urinary Incontinence

2016 ◽  
Vol 196 (4) ◽  
pp. 1201-1206 ◽  
Author(s):  
Daniela Ulrich ◽  
Ayman Tammaa ◽  
Susanne Hölbfer ◽  
Gerda Trutnovsky ◽  
Vesna Bjelic-Radisic ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
Vaginal Tape Obturator

scholarly journals Outcome of Treatment of Anterior Vaginal Wall Prolapse and Stress Urinary Incontinence with Transobturator Tension-Free Vaginal Mesh (Prolift) and Concomitant Tension-Free Vaginal Tape-Obturator

2009 ◽  
Vol 2009 ◽  
pp. 1-6 ◽  
Author(s):  
Ashraf Abou-Elela ◽  
Essam Salah ◽  
Haitham Torky ◽  
Sameh Azazy
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Vaginal Mesh ◽  
Anterior Vaginal Wall Prolapse ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
Urodynamic Assessment ◽  
Vaginal Tape Obturator

Objective. It is to assess the feasibility, effectiveness, and safety of transobturator tension-free vaginal mesh (Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O) system as a treatment of female anterior vaginal wall prolapse associated with stress urinary incontinence (SUI).Patients and Methods. Between December 2006 and July 2007, 20 patients with anterior genital prolapse and voiding dysfunction were treated with the transobturator tension-free vaginal mesh (Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O). Sixteen patients had stress urinary incontinence and 4 patients were considered at risk for development of de novo stress incontinence after the prolapse is repaired. All patients underwent a complete urodynamic assessment. All the patients underwent pelvic examination 4–6 weeks after the operation, and anatomical and functional outcomes were recorded.Results. Twenty cystocoeles were repaired: 6 grade II, 12 grade III, and 2 grade IV. There were no vessel or bladder injuries. Eighteen patients had optimal anatomic results and 2 patients had persistent asymptomatic stage I prolapse.Conclusion. These preliminary results suggest that Prolift system offers a safe and effective treatment for female anterior vaginal wall prolapse. However, a long-term followup is necessary in order to support the good result maintenance.

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