Transobturator Tape in Treatment of Stress Urinary Incontinence: It is Time for a New Gold Standard

Stress urinary incontinence (SUI) can significantly impair the quality of life. A variety of treatments, both medical and surgical, have been used to manage it. The transobturator sling, which is a subfascial sling, is relatively a new surgical technique with minimal access. The objective of this st...

Full description

Saved in:
Bibliographic Details
Published in:North American journal of medical sciences 2012-05, Vol.4 (5), p.226-230
Main Authors: Magon, Navneet, Chopra, Sanjiv Vsm
Format: Article
Language:English
Subjects:
Care and treatment
Medical equipment
Original
Physiological apparatus
Urinary incontinence
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Stress urinary incontinence (SUI) can significantly impair the quality of life. A variety of treatments, both medical and surgical, have been used to manage it. The transobturator sling, which is a subfascial sling, is relatively a new surgical technique with minimal access. The objective of this study was to evaluate the effectiveness of transobturator tape (TOT) in the treatment of female SUI and to analyze functional results. A total of 59 patients were applied TOT by outside-in technique and various outcome parameters recorded. These patients were followed up 6 months after surgery. Success rate of TOT was 93.2% (95% CI: 86.4-99.5). A total of 51 patients (86.4%) were completely satisfied, whereas 4 (6.8%) were partially satisfied and 4 were unsatisfied with surgical outcome. The procedure-related complications were few and could be managed in the same sitting. The transobturator approach is an effective treatment of SUI with low morbidity, and it has all the potential to be the new Gold Standard in the treatment of female SUI.
ISSN:1947-2714
2250-1541
1947-2714
DOI:10.4103/1947-2714.95905