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Transobturator Tape (Uratape): A New Minimally-invasive Procedure To Treat Female Urinary Incontinence.

E. Delorme, S. Droupy*, R. De Tayrac, V. Delmas
Published 2004 · Medicine

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OBJECTIVE Assessment of one-year results of a new technique of transobturator suburethral tape in the treatment of female stress urinary incontinence. METHODS UraTape, a non-woven, non-elastic polypropylene tape with a 15 mm long central (suburethral) silicone-coated section was inserted via the transobturator route. The tape is inserted tension-free in a horizontal plane underneath the middle of the urethra between the two obturator foramens. The ends of the tape are tunnelled percutaneously with a tunneller. As the retropubic space is preserved intact, cystoscopy is not required. From May 2000 to February 2002, 150 patients with stress urinary incontinence without associated prolapse were operated and a minimum of 1 year follow-up was available for 32 patients (mean follow-up 17 months; range 13-29). The mean age was 64 years (range 50-81). All patients were assessed before surgery by clinical and urodynamic examination: 5 patients presented sphincter incompetence (maximum closure pressure <20 cm H(2)O); 5 patients presented with recurrent urinary incontinence after Burch procedure or TVT; 18 patients presented with mixed incontinence, six of them with detrusor instability confirmed by cystometry. The results were evaluated by two independent investigators (clinical examination, uroflowmetry, cough test). Voiding disorders suggesting bladder outflow obstruction were defined as the presence of the following two criteria: Q(max)<15 ml/s, residual urine volume >20%. RESULTS 29/32 patients (90.6%) were cured and 3/32 (9.4%) were improved. Mean operating time was 15minutes. No intra-operative complications were recorded. One patient had complete postoperative bladder retention which resolved after 4 weeks of self-catheterization. There were no problems with urethral erosion, residual pain or functional impairment related to the tape. 5/32 patients had voiding disorders suggesting bladder outflow obstruction. Two patients developed de novo urge incontinence. CONCLUSION Uratape transobturator tape is a simple and effective procedure with follow-up of one year for the treatment of female stress urinary incontinence confirmed after 1 year of follow-up. The transobturator approach avoids the risk of bladder, bowel or vascular injuries. Evaluation of the results after a longer follow-up period is needed to validate this technique.
This paper references
10.3109/00365599509180543
Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence.
U. Ulmsten (1995)
10.1007/s001920170009
The Austrian Tension-Free Vaginal Tape Registry
K. Tamussino (2001)
[Perineology...reaching equilibrium and preserving it?].
J. Beco (1999)
10.1007/s001920170007
Influence of Different Sling Materials on Connective Tissue Metabolism in Stress Urinary Incontinent Women
C. Falconer (2001)
[A new treatment procedure for stress urinary incontinence: sub-urethral support using a Prolene sling under local anesthesia].
R. Villet (1998)
10.1159/000052531
The Tension–Free Transvaginal Tape Procedure in the Treatment of Female Urinary Stress Incontinence: A French Prospective Multicentre Study
M. Soulié (2001)
10.1016/S0002-9378(96)70140-0
Stress urinary incontinence: where are we now, where should we go?
J. DeLancey (1996)
10.1046/j.1464-410x.2000.00731.x
Tension‐free vaginal tape for primary genuine stress incontinence: a two‐centre follow‐up study
P. Moran (2000)
[Re: "The TVT seen from the other side" by Philippe Zimmern].
L. Boccon-Gibod (2000)
[Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women].
E. Delorme (2001)
10.1159/000052511
Intestinal Perforation as a Complication of Tension–Free Vaginal Tape Procedure for Urinary Incontinence
L. Peyrat (2001)
10.1159/000010197
A Three-Year Postoperative Evaluation of Tension-Free Vaginal Tape
I. Olsson (1999)



This paper is referenced by
10.1016/S1479-666X(08)80010-8
Current concepts in female stress urinary incontinence.
R. Long (2008)
10.1177/039156031007700106
Comparison of Three Kinds of Mid-Urethral Slings for Surgical Treatment of Female Stress Urinary Incontinence
C. Zhong (2010)
10.15406/OGIJ.2018.09.00397
Obturator hematoma following transobturator sling
Sangeeta Ramani (2018)
10.4111/kju.2012.53.4.258
Randomized Controlled Study of MONARC® vs. Tension-free Vaginal Tape Obturator (TVT-O®) in the Treatment of Female Urinary Incontinence: Comparison of 3-Year Cure Rates
Y. J. Park (2012)
10.1590/S1677-5538.IBJU.2018.0019
Comparison of the Kelly's plication and TOT simultaneously with vaginal hysterectomy, on the incontinence, and sexual functions
N. Tepe (2018)
10.1007/S11608-006-0048-2
Prise en charge des complications urinaires survenant après mise en place d’une bandelette sous-urétrale
X. Deffieux (2006)
10.4111/kju.2014.55.4.265
Transobturator Tape for Female Stress Urinary Incontinence: Preoperative Valsalva Leak Point Pressure Is Not Related to Cure Rate or Quality of Life Improvement
Je-Guk Ryu (2014)
10.1371/journal.pone.0113517
The Long-Term Influence of Body Mass Index on the Success Rate of Mid-Urethral Sling Surgery among Women with Stress Urinary Incontinence or Stress-Predominant Mixed Incontinence: Comparisons between Retropubic and Transobturator Approaches
S. J. Jeong (2014)
10.5468/ogs.2018.61.3.374
Postoperative urinary symptoms after transobturator tape in normal-weight compared with overweight and obese woman
H. Lee (2018)
10.1007/s10103-016-1884-0
Minimally invasive, non-ablative Er:YAG laser treatment of stress urinary incontinence in women—a pilot study
N. Fistonić (2016)
10.1016/J.GYOBFE.2009.01.001
Résultats comparés du TVT et du TOT en pratique courante
Lorenz Guerke (2009)
10.1016/J.PUROL.2009.09.042
Répercussions cliniques et urodynamiques du traitement de l’incontinence urinaire d’effort par bandelettes sous-urétrales transobturatrice
Raphaël Bram (2010)
10.1556/CEMED.5.2011.2.4
Experiences in treatment of urinary incontinence with transobturator tape surgery
Roland Csorba (2011)
10.1576/toag.2005.7.3.192
Transobturator tape: a new method in the treatment of female stress urinary incontinence?
B. Deval (2005)
10.1007/s00192-020-04479-y
Placement of mid-urethral mesh slings at the time of vaginal prolapse repair does not affect post-operative sexual function or orgasm
Annah Jean Vollstedt (2020)
10.1016/j.tjog.2011.01.027
Is transobturator suburethral sling effective for treating female urodynamic stress incontinence with low maximal urethral closure pressure?
Mou-Jong Sun (2011)
10.1016/B978-1-4160-2339-5.50093-8
Chapter 44 – TRANSOBTURATOR APPROACH TO MIDURETHRAL SLING
C. Klutke (2008)
10.1159/000479025
Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up
Ergul Aslan (2017)
10.5468/KJOG.2010.53.9.761
Management of voiding dysfunction after anti-incontinence operation
C. Ku (2010)
10.1016/J.GYOBFE.2006.10.022
Existe-t-il des facteurs prédictifs d'échec ou de complications dans la chirurgie de l'incontinence urinaire d'effort par voie transobturatrice ?
V. Deutsch (2006)
10.1111/j.1471-0528.2008.01983.x
Perineal approach to vascular anatomy during transobturator cystocele repair
C. Touboul (2009)
10.1007/s00120-009-1978-4
Komplikationsmanagement nach Band- und Netzimplantationen
C. Hampel (2009)
10.1586/erd.12.20
The use of synthetic mesh and the management of mesh extrusion in vaginal surgery
Seema Sheth (2012)
10.5152/tud.2013.067
Transvaginal repair of unrecognized bladder injury after transobturator tape surgery.
Omer Bayrak (2013)
10.1097/01.SPV.0000190889.96975.BD
Vaginal Erosions After Transobturator Suburethral Tape
G. Lazarou (2005)
10.1016/J.GYOBFE.2006.11.012
Cure chirurgicale de l'incontinence urinaire d'effort par bandelette sous-urétrale transobturatrice
E. Melki (2007)
10.1016/j.ijgo.2009.11.020
Perioperative course and medium‐term outcome of the transobturator and infracoccygeal hammock for posthysterectomy vaginal vault prolapse
F. Sergent (2010)
10.1097/01.AOG.0000137874.84862.94
Stress Urinary Incontinence
I. Nygaard (2004)
10.1155/2014/659383
Mini-Arc for the Treatment of Female Stress Urinary Incontinence: Long-Term Prospective Evaluation by Patient Reported Outcomes
Rui Oliveira (2014)
10.1016/J.JGYN.2007.04.001
Cure chirurgicale de l'incontinence urinaire d'effort de la femme par bandelette transobturatrice (de dehors en dedans). Étude de 70 cas
V. Purnichescu (2007)
Chapter 2 The somatic and autonomic innervation of the clitoris ; preliminary evidence of sexual dysfunction after minimal invasive slings ( Submitted )
M. Bekker (2011)
10.1007/s00120-004-0632-4
Das transobturatorische Band (TOB)
A. Gunnemann (2004)
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