Efficacy and safety of transobturator polypropylene hernia mesh (TOT) for female urinary stress incontinence: mean and large follow-up (7 years)

Objectives: to evaluate the efficacy and safety of transobturator tape in the treatment of female stress urinary incontinence (SUI). To assess the level of satisfaction with the technique. Methods: prospective study. Population: 60 patients who underwent TOT procedure from February 2002 to October 2...

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Bibliographic Details
Published in:Pelviperineology 2011-12, Vol.30 (4), p.104
Main Authors: Briozzo, Leonel, NOZAR, FERNANDA, FIOL, VERÓNICA, Bottaro, Soledad, GÓMEZ, FERNANDA
Format: Article
Language:eng ; ita
Subjects:
Urinary incontinence
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Summary:Objectives: to evaluate the efficacy and safety of transobturator tape in the treatment of female stress urinary incontinence (SUI). To assess the level of satisfaction with the technique. Methods: prospective study. Population: 60 patients who underwent TOT procedure from February 2002 to October 2004. Patients were assessed in five temporary sections, up to February 2011. Inclusion criteria: incontinence as a subjective symptom, stress incontinence on physical examination and urodynamic test that confirmed it. Technique: recyclable needles and simple polypropylene mesh instead of commercials kits. Results: no vascular, nervous, neither digestive injury was registered. One case of bladder injury. Primary outcomes: 56,7% of the patients are asymptomatic, 25% better and 18,3% do not refer changes. 71,7% are very satisfied, 13,3% mild satisfied and 13,3% unsatisfied. Conclusions: the results confirm the effectiveness of TOT in treating female SUI with a low complication rate. The effectiveness of the technique decreases with time.
ISSN:1973-4905
1973-4913