Division of Applied Health Sciences, School of Medicine and Dentistry, University of Aberdeen, Aberdeen.
To assess the efficacy of transobturator tapes in the management of women with urodynamic mixed urinary incontinence (UI).
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.
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.
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.
Written by:
Abdel-Fattah M, Mostafa A, Young D, Ramsay I. Are you the author?
Reference: Am J Obstet Gynecol. 2011 Mar 16. Epub ahead of print.
doi: 10.1016/j.ajog.2011.03.018
PubMed Abstract
PMID: 21640964
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