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Published on: July 27, 2017
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The transobturator outside in suburethral sling insertion procedure.
Sivakumar S Balakrishnan1, Anil K Dass2, Yiap L Tan3
1Department of O and G, Penang Medical College, Pulau Pinang, Malaysia.
Summary
The transobturator outside-in suburethral sling procedure effectively treats urodynamic stress urinary incontinence, achieving a 90% cure rate with no recurrences in a 7-year follow-up study.
Area of Science:
- Urology
- Gynecology
- Surgical Procedures
Background:
- Stress urinary incontinence (SUI) significantly impacts women's quality of life.
- Suburethral slings are a common surgical treatment for SUI.
- The transobturator outside-in (TO) approach is one method for sling placement.
Purpose of the Study:
- To describe the transobturator outside-in suburethral sling surgical procedure.
- To evaluate the efficacy and outcomes of this procedure for urodynamic stress urinary incontinence.
Main Methods:
- A retrospective review of 170 patients undergoing the transobturator outside-in suburethral sling procedure.
- Procedures performed between January 2007 and December 2013.
- Follow-up duration ranged from 6 months to 7 years.
Main Results:
- A total of 170 cases were performed.
- The overall cure rate for urodynamic stress urinary incontinence was 90%.
- No recurrences were observed; one case of tape exposure required excision after 3 years.
Conclusions:
- The transobturator outside-in suburethral sling is an effective treatment for urodynamic stress urinary incontinence.
- The procedure demonstrates a high cure rate and low recurrence rate.
- Potential complications, such as tape exposure, are rare but require management.
