Evaluation Of Transobturator Tension Free Vaginal Tapes In The Management Of Women With Mixed Urinary Incontinence: 1-Year Outcomes

Mohamed Abdel-Fattah, Alyaa Mostafa, David Young, Ian Ramsay

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objectives: To assess the efficacy of transobturator tapes in the management of women with urodynamic mixed urinary incontinence (MUI).
Study Design: A secondary analysis of a prospective randomised study; 83 women with MUI on urodynamics and predominant SUI symptoms were recruited and randomly assigned to undergo “outside-in” or inside-out transobturator tapes. Pre-operative 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 PGI-I (Very Much/ Much improved). Secondary outcomes included changes in pre-operative urgency/ urgency incontinence, changes in QoL scores and comparison between the two types of transobturator tapes.
Results: 77 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%) & 31 women (57.4%) reported cure in their preoperative urgency and urgency incontinence respectively. 74% reported = 10 point improvement in QoL scores.
Conclusion: In women with urodynamic mixed incontinence and predominant SUI, transobturator tapes were associated with good patient-reported success rate at 1 year. Urgency/ urgency incontinence are cured in over 50% of women.
Original languageEnglish
JournalAmerican Journal of Obstetrics and Gynecology
Early online date16 Mar 2011
DOIs
Publication statusPublished - 2011

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Suburethral Slings
Urinary Incontinence
Urodynamics
Quality of Life
Prospective Studies

Keywords

  • mixed urinary incontinence
  • mid-urethral slings
  • TVT-O™
  • ARIS

Cite this

@article{322297c7ffd2462c97943a482664d71e,
title = "Evaluation Of Transobturator Tension Free Vaginal Tapes In The Management Of Women With Mixed Urinary Incontinence: 1-Year Outcomes",
abstract = "Objectives: To assess the efficacy of transobturator tapes in the management of women with urodynamic mixed urinary incontinence (MUI). Study Design: A secondary analysis of a prospective randomised study; 83 women with MUI on urodynamics and predominant SUI symptoms were recruited and randomly assigned to undergo “outside-in” or inside-out transobturator tapes. Pre-operative 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 PGI-I (Very Much/ Much improved). Secondary outcomes included changes in pre-operative urgency/ urgency incontinence, changes in QoL scores and comparison between the two types of transobturator tapes. Results: 77 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{\%}) & 31 women (57.4{\%}) reported cure in their preoperative urgency and urgency incontinence respectively. 74{\%} reported = 10 point improvement in QoL scores. Conclusion: In women with urodynamic mixed incontinence and predominant SUI, transobturator tapes were associated with good patient-reported success rate at 1 year. Urgency/ urgency incontinence are cured in over 50{\%} of women.",
keywords = "mixed urinary incontinence, mid-urethral slings, TVT-O™, ARIS",
author = "Mohamed Abdel-Fattah and Alyaa Mostafa and David Young and Ian Ramsay",
year = "2011",
doi = "10.1016/j.ajog.2011.03.018",
language = "English",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
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AU - Young, David

AU - Ramsay, Ian

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N2 - Objectives: To assess the efficacy of transobturator tapes in the management of women with urodynamic mixed urinary incontinence (MUI). Study Design: A secondary analysis of a prospective randomised study; 83 women with MUI on urodynamics and predominant SUI symptoms were recruited and randomly assigned to undergo “outside-in” or inside-out transobturator tapes. Pre-operative 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 PGI-I (Very Much/ Much improved). Secondary outcomes included changes in pre-operative urgency/ urgency incontinence, changes in QoL scores and comparison between the two types of transobturator tapes. Results: 77 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%) & 31 women (57.4%) reported cure in their preoperative urgency and urgency incontinence respectively. 74% reported = 10 point improvement in QoL scores. Conclusion: In women with urodynamic mixed incontinence and predominant SUI, transobturator tapes were associated with good patient-reported success rate at 1 year. Urgency/ urgency incontinence are cured in over 50% of women.

AB - Objectives: To assess the efficacy of transobturator tapes in the management of women with urodynamic mixed urinary incontinence (MUI). Study Design: A secondary analysis of a prospective randomised study; 83 women with MUI on urodynamics and predominant SUI symptoms were recruited and randomly assigned to undergo “outside-in” or inside-out transobturator tapes. Pre-operative 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 PGI-I (Very Much/ Much improved). Secondary outcomes included changes in pre-operative urgency/ urgency incontinence, changes in QoL scores and comparison between the two types of transobturator tapes. Results: 77 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%) & 31 women (57.4%) reported cure in their preoperative urgency and urgency incontinence respectively. 74% reported = 10 point improvement in QoL scores. Conclusion: In women with urodynamic mixed incontinence and predominant SUI, transobturator tapes were associated with good patient-reported success rate at 1 year. Urgency/ urgency incontinence are cured in over 50% of women.

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