Evaluation of transobturator tension-free vaginal tapes in the management of women with mixed urinary incontinence: one-year outcomes - 03/08/11
Résumé |
Objective |
To assess the efficacy of transobturator tapes in the management of women with urodynamic mixed urinary incontinence (UI).
Study Design |
A secondary analysis of a prospective randomized study; 83 women with mixed UI on urodynamics and predominant stress UI symptoms were recruited and randomly assigned to undergo “outside-in” or inside-out transobturator tapes. Preoperative assessment included urodynamic assessment and completion of validated symptom severity and quality of life (QoL) questionnaires. The primary outcome was patient-reported success rates at 1-year as assessed by the Patient Global Impression of Improvement (very much/much improved). Secondary outcomes included changes in preoperative urgency/urgency incontinence, changes in QoL scores and comparison between the 2 types of transobturator tapes.
Results |
Seventy-seven women completed 1-year follow-up (outside-in [n = 42] vs inside-out [n = 35]). The patient-reported success rate and objective cure rate were 75% and 90%, respectively. At 1-year follow-up; 40 women (52%) and 31 women (57.4%) reported cure in their preoperative urgency and urgency incontinence, respectively. A total of 74% reported ≥10 point improvement in QoL scores.
Conclusion |
In women with urodynamic mixed incontinence and predominant stress UI, transobturator tapes were associated with good patient-reported success rate at 1 year. Urgency/ urgency incontinence are cured in over 50% of women.
Le texte complet de cet article est disponible en PDF.Key words : ARIS, midurethral slings, mixed urinary incontinence, TVT-O
Plan
| Reprints not available from the authors. |
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| This study was funded by a grant from Henry Smith Charity. I.R. is a member of the European advisory board for Coloplast. All authors have received travel grants from different pharmaceutical companies to attend medical conferences. |
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| Cite this article as: Abdel-fattah M, Mostafa A, Young D, et al. Evaluation of transobturator tension-free vaginal tapes in the management of women with mixed urinary incontinence: one-year outcomes. Am J Obstet Gynecol 2011;205:150.e1-6. |
Vol 205 - N° 2
P. 150.e1-150.e6 - août 2011 Retour au numéro
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