Evaluation of presenting symptoms and long-term outcomes of patients requiring excision of a transobturator tape (TOT)

Hdl Handle:
http://hdl.handle.net/10147/581646
Title:
Evaluation of presenting symptoms and long-term outcomes of patients requiring excision of a transobturator tape (TOT)
Authors:
Forde, JC; Davis, NF; Creagh, TA
Publisher:
Irish Medical Journal (IMJ)
Journal:
Irish Medical Journal (IMJ)
Issue Date:
Oct-2015
URI:
http://hdl.handle.net/10147/581646
Abstract:
The transobturator tape (TOT) is an effective treatment for stress urinary incontinence (SUI). Erosion of TOT mesh is a recognised complication requiring excision. A retrospective analysis of 228 females undergoing a TOT procedure over 4 years identified 16 patients (7%) that underwent excision of eroded mesh. Mean age of patients requiring excision was 48.8 years and mean weight was 72.7kg. Mean time to re-presentation was 14.5 months. Presenting symptoms included dyspareunia in 9 patients (56.2%), dysuria in 3 (18.7%), persistent incontinence in 3 (18.7%) and groin pain in one patient. Ten patients (62.5%) had a prior urogynecological procedure. After excision of eroded tape-mesh, 7 (43.7%) required a rectus fascial sling and 4 (25%) underwent repeat TOT for recurrence of SUI. Five patients (31.2%) required no further surgery. At present 10 patients (62.5%) report resolution of SUI, 4 (25%) report mild SUI and 2 (12.5%) patients have moderate/severe SUI. Resolution of symptoms occurred in the majority of patients after excision of eroded mesh and an additional anti-incontinence procedure
Item Type:
Article
Language:
en
Keywords:
URINARY INCONTINENCE; WOMEN

Full metadata record

DC FieldValue Language
dc.contributor.authorForde, JCen
dc.contributor.authorDavis, NFen
dc.contributor.authorCreagh, TAen
dc.date.accessioned2015-11-03T16:47:13Zen
dc.date.available2015-11-03T16:47:13Zen
dc.date.issued2015-10en
dc.identifier.urihttp://hdl.handle.net/10147/581646en
dc.description.abstractThe transobturator tape (TOT) is an effective treatment for stress urinary incontinence (SUI). Erosion of TOT mesh is a recognised complication requiring excision. A retrospective analysis of 228 females undergoing a TOT procedure over 4 years identified 16 patients (7%) that underwent excision of eroded mesh. Mean age of patients requiring excision was 48.8 years and mean weight was 72.7kg. Mean time to re-presentation was 14.5 months. Presenting symptoms included dyspareunia in 9 patients (56.2%), dysuria in 3 (18.7%), persistent incontinence in 3 (18.7%) and groin pain in one patient. Ten patients (62.5%) had a prior urogynecological procedure. After excision of eroded tape-mesh, 7 (43.7%) required a rectus fascial sling and 4 (25%) underwent repeat TOT for recurrence of SUI. Five patients (31.2%) required no further surgery. At present 10 patients (62.5%) report resolution of SUI, 4 (25%) report mild SUI and 2 (12.5%) patients have moderate/severe SUI. Resolution of symptoms occurred in the majority of patients after excision of eroded mesh and an additional anti-incontinence procedureen
dc.languageenen
dc.language.isoenen
dc.publisherIrish Medical Journal (IMJ)en
dc.subjectURINARY INCONTINENCEen
dc.subjectWOMENen
dc.titleEvaluation of presenting symptoms and long-term outcomes of patients requiring excision of a transobturator tape (TOT)en
dc.typeArticleen
dc.identifier.journalIrish Medical Journal (IMJ)en
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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