Original Article

Prospective study on 185 females with urinary incontinence treated by an outside-in transobturator suburethral sling

  • THIBAUT CASTAINGS
  • NICOLAS ABELLO
  • DOCTOR EMMANUEL DELORME

Pelviperineology 2012;31(1):18-23

Objectives:

To assess the placement and efficacy of a low elasticity TOT (Aris) in the long term and to compare it with the other techniques.

Patients and methods:

This is a prospective study. Between 2004 and 2008, 185 patients were included. They were suffering from pure or mixed stress urinary incontinence. All the slings were implanted by the same surgeon according to the same original surgical technique described in 2001. The patients underwent regular clinical follow-up. Outcomes assessed include the efficacy on SUI and urgency, de novo dysuria and urgency, per and post-op complications, the impact of sphincter deficiency and bladder instability. The average median followup of our patients is 23 months.

Results:

The long-term results on continence are 91.2% at over 36 months. There is no degradation of the efficacy over time. A rigorous surgical technique minimizes the risk of complications. The urinary urgency is cured or improved in 74.3% of cases in the long-term. Lower level efficacy of the transobturator sling in the case of sphincter deficiency is confirmed. The de novo dysuria rate is 4.4%.

Conclusion:

This study confirms the efficacy, reproducibility, and the safety of the transobturator technique.

Keywords: Female Stress Urinary Incontinence; Transobturator Tape (TOT); Hypo elasticity; Urinary Urgency.