Advanced Search

Home > Journals > Minerva Urologica e Nefrologica > Past Issues > Minerva Urologica e Nefrologica 2016 October;68(5) > Minerva Urologica e Nefrologica 2016 October;68(5):444-50

ISSUES AND ARTICLES   MOST READ   eTOC

CURRENT ISSUEMINERVA UROLOGICA E NEFROLOGICA

A Journal on Nephrology and Urology

Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,536

Frequency: Bi-Monthly

ISSN 0393-2249

Online ISSN 1827-1758

 

Minerva Urologica e Nefrologica 2016 October;68(5):444-50

UROLOGY 

    ORIGINAL ARTICLES

Long-term outcomes of transobturator tape procedure in women with stress and mixed urinary incontinence: 5-year follow-up

Tarik YONGUC, Ozgu AYDOGDU, Ibrahim H. BOZKURT, Tansu DEGIRMENCI, Salih POLAT, Volkan SEN, Bulent GUNLUSOY

Department of Urology, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey

BACKGROUND: The aim of this study was to compare the postoperative outcomes and complications of transobturator tape (TOT) procedure in women with mixed urinary incontinence (MUI) and stress urinary incontinence (SUI) in long term follow-up.
METHODS: A group of 193 women, who underwent TOT procedure, was documented in the study. Patients were divided into two groups in terms of incontinence type. Group 1 consists of patients with SUI and group 2 with MUI. All patients were evaluated with pelvic examination, including cough stress test and international consultation on incontinence
questionnaire-short form at 3 and 12 months and annually. Visual Analog Scale (VA S) was used to evaluate postoperative patient satisfaction. Two groups were retrospectively compared for postoperative complication, patient satisfaction, objective and subjective cure rates.
RESULTS: In this study, group 1 included 105 patients and 67 patients were in group 2. There was no significant difference between the objective cure rates in two groups; however subjective cure and patients satisfaction rates were significantly higher in SUI group (P<0.05). Complications were reported according to the Clavien-Dindo classification with Gr I 8.3%, Gr II 66.7%, Gr IIIa 8.3% and Gr IIIb 16.7% and Gr I 16.7%, Gr II 66.6%, Gr IIIa 16.7% and Gr IIIb 0% in group 1 and group 2, respectively.
CONCLUSIONS: It is not easy to identify an ideal treatment modality for women with MUI but TOT procedure seems to be effective and safe in the surgical treatment of MUI after 5 years follow-up.

language: English


FULL TEXT  REPRINTS

top of page