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Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
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Long-term Outcomes of 100 Transobturator Tape Procedures.
S M Croghan1, G Costigan2, N O'Dwyer1
1Department of Urology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Irish Medical Journal
|July 1, 2020
Summary
Transobturator tapes (TOTs) show high long-term success for stress urinary incontinence (SUI). This study found no new complications after a mean follow-up of 9.4 years, confirming TOTs as a safe and effective treatment.
Area of Science:
- Urology
- Gynecology
- Pelvic Floor Surgery
Background:
- Transobturator tape (TOT) procedures are common for stress urinary incontinence (SUI).
- Limited long-term patient-reported outcome data exists for TOTs.
- Concerns regarding polypropylene mesh necessitate reporting long-term results.
Purpose of the Study:
- To investigate the long-term patient-reported outcomes of transobturator tapes (TOTs).
- To assess the durability and safety of TOTs for SUI treatment over time.
Main Methods:
- Retrospective review of 100 female patients who underwent TOT insertion (2005-2010).
- Data collection included short-term results, complications, and long-term validated questionnaires (ICIQ-SF, PGI-S, PGI-I).
- Mean follow-up duration was 9.4 years.
Main Results:
- High short-term SUI cure/improvement rate of 98%.
- At long-term follow-up (mean 9.4 years), 81.57% of patients reported significant improvement.
- No new complications were identified at long-term follow-up; 10% experienced early complications (>Grade 2 Clavien-Dindo).
Conclusions:
- Transobturator tapes demonstrate sustained high success rates for SUI treatment.
- No late-onset complications were observed, supporting the long-term safety of TOTs.
- Long-term outcome data is crucial for informed clinical decision-making regarding SUI surgery.
