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

Journal article
Authors Tarik Yonguc
Özgu Aydogdu
Ibrahim H Bozkurt
Tansu Degirmenci
Salih Polat
Volkan Sen
Bulent Gunlusoy
Published in Minerva urologica e nefrologica = The Italian journal of urology and nephrology
Volume 68
Issue 5
Pages 444-50
ISSN 1827-1758
Publication year 2016
Published at
Pages 444-50
Language en
Links www.ncbi.nlm.nih.gov/entrez/query.f...
Keywords Female, Follow-Up Studies, Humans, Middle Aged, Retrospective Studies, Suburethral Slings, Time Factors, Treatment Outcome, Urinary Incontinence, Stress, surgery, Urinary Incontinence, Urge, surgery
Subject categories Urology and Nephrology, Urology and andrology, Kidney diseases

Abstract

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.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.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.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.

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