A comparative study of outside-in and inside-out transobturator tape procedures for stress urinary incontinence

Gynecologic and Obstetric Investigation
Hee-Dong ChaeJoo-Hyun Nam

Abstract

This study compared the clinical outcome of patients undergoing outside-in transobturator tape (TOT) or inside-out transobturator tape (TVT-O) procedures for female stress urinary incontinence (SUI). The study examined the medical records of 615 patients who underwent TOT (376 patients) or TVT-O (239 patients) for SUI, and compared patient characteristics, operation time, duration of hospital stay, cure rates, and complication rates, by conducting a 1-year follow-up survey. The TOT and TVT-O groups were found to be similar in terms of operation time, duration of hospital stay, surgical outcome (both before and after adjustment for age, parity, menopause, and previous pelvic surgery, cure rate (87.8% for TOT and 85.3% for TVT-O) and complication rate (14.4% for TOT, 15.5% for TVT-O). The complication rates after operations did not differ significantly between the two groups. Complications over the 1-year follow-up included urinary retention, de novo urgency, leg pain, vaginal mesh erosion, and hematoma, and all resolved following appropriate treatment. The TOT and TVT-O procedures appeared to be equally clinically effective and safe when used to treat female SUI.

Citations

Sep 27, 2012·World Journal of Urology·Bassem S Wadie, Ahmed S El-Hefnawy
Jun 24, 2011·Current Urology Reports·Michael J Kennelly, Erinn M Myers
Aug 25, 2012·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Hemendra N Shah, Gopal H Badlani
Aug 19, 2015·Nature Reviews. Urology·Jerry G BlaivasVladimir Iakovlev
Feb 18, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Dali Cheng, Caigang Liu
Jun 10, 2011·Current Opinion in Urology

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