Abstract
Objective(s): To evaluate the safety and efficacy of a thermally bonded nonwoven polypropylene mesh in a transobturator suburethral tape procedure (OBTAPE ®, Mentor-Porges, Le Plessis Robinson, France) for women with stress urinary incontinence. Methods: Between January 2003 and January 2005, 129 consecutive women (mean age 57.2 years) underwent OBTAPE ® in two academic centers. All the patients had stress urinary incontinence preoperatively. Detrusor instability was ruled out by cystometry. The women were evaluated 1, 6 and 12 months postoperatively. The objective cure rate was evaluated by clinical examination and the subjective cure rate was assessed using the KHQ and BFLUTS questionnaire. Results: Mean follow-up was 17.2 ± 4.7 months (range 4 to 28 months). The objective and subjective cure rates were respectively 89.9% and 77.5%. Most of the patients received general anesthesia (85.3%). Urinary retention was observed in two women (1.5%), necessitating tape adjustment. Voiding difficulties were observed in 7 cases (5.4%) necessitating intermittent self-catheterization for 4.2 ± 2.4 days (range 1 to 7 days). Seven patients developed vaginal erosion (one with vaginal extrusion, and two with an obturator abscess). Complete mesh removal was necessary in 6 patients, four of whom had recurrent stress urinary incontinence. Conclusions: Our results suggest that the OBTAPE ® is an effective treatment for women with stress urinary incontinence. However, vaginal mesh erosion occurred in 6.2% of women, and this implies the need for careful follow-up.
| Original language | English |
|---|---|
| Pages (from-to) | 373-377 |
| Number of pages | 5 |
| Journal | European Urology |
| Volume | 49 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Feb 2006 |
| Externally published | Yes |
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Keywords
- Surgical treatment
- TOT
- Urinary incontinence
ASJC Scopus subject areas
- Urology
Cite this
Objective and subjective cure rates after trans-obturator tape (OBTAPE®) treatment of female urinary incontinence. / Deval, Bruno; Ferchaux, Jérome; Berry, Richard; Gambino, Sandro; Ciofu, Calin; Tabrizi, Arash Rafii; Haab, François.
In: European Urology, Vol. 49, No. 2, 02.2006, p. 373-377.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Objective and subjective cure rates after trans-obturator tape (OBTAPE®) treatment of female urinary incontinence
AU - Deval, Bruno
AU - Ferchaux, Jérome
AU - Berry, Richard
AU - Gambino, Sandro
AU - Ciofu, Calin
AU - Tabrizi, Arash Rafii
AU - Haab, François
PY - 2006/2
Y1 - 2006/2
N2 - Objective(s): To evaluate the safety and efficacy of a thermally bonded nonwoven polypropylene mesh in a transobturator suburethral tape procedure (OBTAPE ®, Mentor-Porges, Le Plessis Robinson, France) for women with stress urinary incontinence. Methods: Between January 2003 and January 2005, 129 consecutive women (mean age 57.2 years) underwent OBTAPE ® in two academic centers. All the patients had stress urinary incontinence preoperatively. Detrusor instability was ruled out by cystometry. The women were evaluated 1, 6 and 12 months postoperatively. The objective cure rate was evaluated by clinical examination and the subjective cure rate was assessed using the KHQ and BFLUTS questionnaire. Results: Mean follow-up was 17.2 ± 4.7 months (range 4 to 28 months). The objective and subjective cure rates were respectively 89.9% and 77.5%. Most of the patients received general anesthesia (85.3%). Urinary retention was observed in two women (1.5%), necessitating tape adjustment. Voiding difficulties were observed in 7 cases (5.4%) necessitating intermittent self-catheterization for 4.2 ± 2.4 days (range 1 to 7 days). Seven patients developed vaginal erosion (one with vaginal extrusion, and two with an obturator abscess). Complete mesh removal was necessary in 6 patients, four of whom had recurrent stress urinary incontinence. Conclusions: Our results suggest that the OBTAPE ® is an effective treatment for women with stress urinary incontinence. However, vaginal mesh erosion occurred in 6.2% of women, and this implies the need for careful follow-up.
AB - Objective(s): To evaluate the safety and efficacy of a thermally bonded nonwoven polypropylene mesh in a transobturator suburethral tape procedure (OBTAPE ®, Mentor-Porges, Le Plessis Robinson, France) for women with stress urinary incontinence. Methods: Between January 2003 and January 2005, 129 consecutive women (mean age 57.2 years) underwent OBTAPE ® in two academic centers. All the patients had stress urinary incontinence preoperatively. Detrusor instability was ruled out by cystometry. The women were evaluated 1, 6 and 12 months postoperatively. The objective cure rate was evaluated by clinical examination and the subjective cure rate was assessed using the KHQ and BFLUTS questionnaire. Results: Mean follow-up was 17.2 ± 4.7 months (range 4 to 28 months). The objective and subjective cure rates were respectively 89.9% and 77.5%. Most of the patients received general anesthesia (85.3%). Urinary retention was observed in two women (1.5%), necessitating tape adjustment. Voiding difficulties were observed in 7 cases (5.4%) necessitating intermittent self-catheterization for 4.2 ± 2.4 days (range 1 to 7 days). Seven patients developed vaginal erosion (one with vaginal extrusion, and two with an obturator abscess). Complete mesh removal was necessary in 6 patients, four of whom had recurrent stress urinary incontinence. Conclusions: Our results suggest that the OBTAPE ® is an effective treatment for women with stress urinary incontinence. However, vaginal mesh erosion occurred in 6.2% of women, and this implies the need for careful follow-up.
KW - Surgical treatment
KW - TOT
KW - Urinary incontinence
UR - http://www.scopus.com/inward/record.url?scp=32044459338&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=32044459338&partnerID=8YFLogxK
U2 - 10.1016/j.eururo.2005.11.012
DO - 10.1016/j.eururo.2005.11.012
M3 - Article
C2 - 16413657
AN - SCOPUS:32044459338
VL - 49
SP - 373
EP - 377
JO - European Urology
JF - European Urology
SN - 0302-2838
IS - 2
ER -