scholarly journals Bladder Injury: A complication of Transobturator Tape Surgery

2021 ◽  
Vol 16 (1) ◽  
pp. 139-140
Author(s):  
Alka Shrestha ◽  
Ganesh Dangal ◽  
Kenusha Devi Tiwari
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Voiding Dysfunction ◽  
Skin Infection ◽  
Transobturator Tape ◽  
Bladder Injury ◽  
Post Procedure ◽  
Small Defect ◽  
Bladder Injuries

Minimally invasive vaginal surgeries are often a preferred mode of surgical treatment of stress urinary incontinence. It is associated with fewer complications. However, complications including hemorrhage, voiding dysfunction, infection, pain, skin infection and erosion, and bladder injuries are observed. We encountered intraoperative bladder injury in a 40-year-old female patient with stress urinary incontinence who underwent transobturator tape (TOT) surgery. Cystoscopy demonstrated a small defect post procedure. She was managed conservatively with foley catheterization for 2 weeks following TOT procedure. She was dry and continent upon follow up. 

Outcomes of Transobturator Tape Surgery with Safyre T� Slings for Female Stress Urinary Incontinence after 96 Months of Follow-Up

2015 ◽  
Vol 81 (2) ◽  
pp. 132-136
Author(s):  
Emrah T�z ◽  
Deniz Balsak ◽  
Nurg�l Basogul ◽  
Ali Ata �zdemir ◽  
G�lin Okay ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Transobturator Tape ◽  
Female Stress Urinary Incontinence

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 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 Early Experience with Transobturator Tape in Management of Female Stress Urinary Incontinence

2013 ◽  
Vol 12 (1) ◽  
pp. 18-22
Author(s):  
Bhairab Kumar Hamal ◽  
Bharat Bahadur Bhandari ◽  
Narayan Thapa
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Surgical Technique ◽  
Transobturator Tape ◽  
Definitive Treatment ◽  
Female Stress Urinary Incontinence ◽  
Post Surgery ◽  
Satisfactory Outcome ◽  
Initial Results

Introduction: Female stress urinary incontinence (SUI) is a fairly common problem, with widely varying prevalence rates primarily due to inconsistencies in the definitions of SUI and also due to differences in the populations studied. Surgery is the definitive treatment for women who have failed a trial of conservative treatment. Although hundreds of different surgical procedures have been described, and published in literature, the ideal surgical technique that is simple, inexpensive and easy to learn and perform, with high efficacy needs yet to be established. One of the procedures, the transobturator sling (TOT), which is a subfascial sling, is a new, simple and most promising surgical technique with a good outcome. Methods: This is a prospective observational study undertaken in 20 patients of stress incontinence who underwent a TOT with outside-in technique between Jan 2010 and Jan 2012 . Various outcomes were recorded and patients were followed up for a period of at least 1 year post surgery. Results: Out of 20 patients, satisfactory outcome of TOT was observed in 85% of cases. A total of 17 patients were completely satisfied, whereas 3 patients were partially satisfied. There were a few procedure-related complications which could be managed either intraoperativelyor during the follow up. Conclusions: The transobturator tape (TOT) is an effective treatment of SUI with high patient satisfaction and less morbidity. However, a larger study and longer follow up is recommended to verify our initial results.  Medical Journal of Shree Birendra Hospital; January-June 2013/vol.12/Issue1/18-22DOI: http://dx.doi.org/10.3126/mjsbh.v12i1.9087     

Sign in / Sign up

Export Citation Format

Share Document