Outcomes of Transobturator Tape Surgery with Safyre T� Slings for Female Stress Urinary Incontinence after 96 Months of Follow-Up

2015 ◽  
Vol 81 (2) ◽  
pp. 132-136
Author(s):  
Emrah T�z ◽  
Deniz Balsak ◽  
Nurg�l Basogul ◽  
Ali Ata �zdemir ◽  
G�lin Okay ◽  
...  
2013 ◽  
Vol 12 (1) ◽  
pp. 18-22
Author(s):  
Bhairab Kumar Hamal ◽  
Bharat Bahadur Bhandari ◽  
Narayan Thapa

Introduction: Female stress urinary incontinence (SUI) is a fairly common problem, with widely varying prevalence rates primarily due to inconsistencies in the definitions of SUI and also due to differences in the populations studied. Surgery is the definitive treatment for women who have failed a trial of conservative treatment. Although hundreds of different surgical procedures have been described, and published in literature, the ideal surgical technique that is simple, inexpensive and easy to learn and perform, with high efficacy needs yet to be established. One of the procedures, the transobturator sling (TOT), which is a subfascial sling, is a new, simple and most promising surgical technique with a good outcome. Methods: This is a prospective observational study undertaken in 20 patients of stress incontinence who underwent a TOT with outside-in technique between Jan 2010 and Jan 2012 . Various outcomes were recorded and patients were followed up for a period of at least 1 year post surgery. Results: Out of 20 patients, satisfactory outcome of TOT was observed in 85% of cases. A total of 17 patients were completely satisfied, whereas 3 patients were partially satisfied. There were a few procedure-related complications which could be managed either intraoperativelyor during the follow up. Conclusions: The transobturator tape (TOT) is an effective treatment of SUI with high patient satisfaction and less morbidity. However, a larger study and longer follow up is recommended to verify our initial results.  Medical Journal of Shree Birendra Hospital; January-June 2013/vol.12/Issue1/18-22DOI: http://dx.doi.org/10.3126/mjsbh.v12i1.9087     


2020 ◽  
pp. 039156032094726
Author(s):  
Uygar Micoogullari ◽  
Cem Yucel ◽  
Volkan Ulker ◽  
Mehmet Zeynel Keskin ◽  
Orcun Celik

Introduction: Synthetic mid-urethral slings are currently the most common performed surgical procedure for the treatment of female stress urinary incontinence. The transobturator mid-urethral sling technique has been widely accepted owing to its high success and low complication rates. Although complications are rarely seen, it may cause significant morbidity. Case presentation: We report a case of vaginocutaneous fistula following transobturator mid-urethral sling procedure and a successful reconstruction with transvaginal sling excision and fistula closure. Conclusion: Vaginocutaneous fistula is a known but rarely seen long-term complication of transobturator tape. With an increased use of mesh, various delayed complications can be seen in the long-term follow-up. This case showed us the need for longer and detailed studies that evaluate the effectiveness and safety of the transobturator tape procedure.


2014 ◽  
Vol 46 (7) ◽  
pp. 1295-1300 ◽  
Author(s):  
Tarik Yonguc ◽  
Bulent Gunlusoy ◽  
Tansu Degirmenci ◽  
Zafer Kozacioglu ◽  
Ibrahim Halil Bozkurt ◽  
...  

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