The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up

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Date

2009

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Volume Title

Publisher

Springer Nature

Access Rights

info:eu-repo/semantics/openAccess

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Abstract

Introduction and hypothesis The aim of this study is to investigate the effect of intrinsic sphincter deficiency (ISD) and urethral hypermobility on the outcome of the transobturator tape (TOT). Methods Sixty-five women were divided into three groups: group I, ISD with hypermobile urethra (n=18); group II, ISD with fixed urethra (n=16); and group III, hypermobile urethra without ISD (n=31). Cure of stress urinary incontinence was defined if the patient had negative cough stress test. Cure and improvement rates were compared at 6, 12, and 24 months. Results The cure and improvement rates of groups I and III were similar at 6, 12, and 24 months (96.1% vs 96.6%, 96.1% vs 96.6%, and 87.5 vs %96.4%, respectively). Group II had the lowest cure and improvement rates (68.7%, 66.7%, and 66.7%, respectively). Conclusion A lack of urethral hypermobility may be a risk factor for TOT failure.

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Keywords

Stress urinary incontinence, Transobturator tape (TOT), Urethral hypermobility, Valsalva leak point pressure (VLPP)

Journal or Series

International Urogynecology Journal

WoS Q Value

Q1

Scopus Q Value

Q1

Volume

21

Issue

2

Citation

Haliloğlu, B., Karateke, A., Çoksüer, H., Peker, H. ve Cam, Ç. (2010). The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up. 21(2), s. 173-178.