A Prospective Study of Inside out Transobturator Tape for The Treatment of Female Stress Urinary Incontinence – our Institutional Experience.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Introduction: Stress urinary incontinence is defined as involuntary leakage of urine on effort or exertion,or sneezing or coughing in the absence of bladder contraction. Modified transobturator (inside out) approach was described to improve the intraoperative safety profile of the obturator approach. The risk of lower urinary tract injury or other visceral injury is negligible with this approach. Materials And Methods: A prospective study conducted between January 2015 to December 2016 in Government Stanley medical college and hospital , Chennai.including patients in the age group between twenty five and eighty five years and patients with Clinical as well as urodynamic diagnosis of stress urinary incontinence and with Positive pad test, stress test Results: A total of 25 patients with Stress urinary incontinence where admitted in the present study. 23 patients in this study underwent vaginal delivery and 2 patients had undergone caesarean section. . 21 patients were very much satisfied with the procedure and 4 patients were satisfied with the procedure. The mean peak flow rate during the follow up was 26.65 + 2.12, the mean post void residual urine during the follow up was 15.23 + 6.01. Conclusion: On conclusion, the inside-out transobturator technique is simple, quick , and safe. It allows the accurate passage of the tape with minimal dissection, protection of the urethra and avoiding the pelvis. There have been no reported urethra or bladder injuries and no bowel or neurological complications. Post-operative continence rates are similar to the transvaginal tape procedure on short-term follow –up. In the future more randomized studies are necessary comparing the various midurethral slings and to further establish efficacy and safety of inside out transobturator vaginal tape.
Authors and Affiliations
A R Balaji, Arun Kumar Sengottaiyan, Thiruvarul P V, Arunkumar P
Keywords
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- DOI 10.9790/0853-1603032733
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