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Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Transobturator tape procedure with and without concomitant vaginal surgery
Alexander Tsivian1, Shalva Benjamin, Matvey Tsivian
1Department of Urologic Surgery, Wolfson Medical Center, Holon and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. atsivian@hotmail.com
The Journal of Urology
|July 21, 2009
Summary
The transobturator tape procedure is safe and effective for treating female stress urinary incontinence. Concomitant vaginal surgery may increase the risk of voiding dysfunction but does not impact continence rates.
Area of Science:
- Urology
- Gynecology
Background:
- Female stress urinary incontinence (SUI) significantly impacts quality of life.
- The transobturator tape (TOT) procedure is a common surgical option for SUI.
Purpose of the Study:
- To evaluate the outcomes and complications of the transobturator tape procedure for SUI.
- To assess the influence of concomitant vaginal surgery on TOT procedure success.
Main Methods:
- Prospective study of 96 women undergoing TOT (2003-2006).
- Patients were divided into two groups: TOT alone (Group 1) and TOT with concomitant vaginal surgery (Group 2).
- Follow-up was at least 12 months, with success defined as complete continence.
Main Results:
- No intraoperative complications were reported.
- Continence rates were high in both groups: 82.86% in Group 1 and 85.2% in Group 2.
- Voiding dysfunction occurred in 7 patients (11.5%) in Group 2, with 3 requiring tape release.
Conclusions:
- Transobturator tape is a safe and effective treatment for female stress urinary incontinence.
- Concomitant vaginal surgery does not negatively affect the continence outcome of the TOT procedure.
- Voiding dysfunction is a potential complication more frequently observed when TOT is combined with vaginal surgery.
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