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Transobturator Bant Cerrahisinde İçten Dışa ve Dıştan İçe Teknik Kullanılarak Meş Uygulaması Başarıyı Değiştirir mi?

Yıl 2023, Cilt: 25 Sayı: 1, 56 - 61, 30.04.2023

Elif Yıldız Burcu Timur Esra Nazlı Döktür Hakan Timur

https://doi.org/10.18678/dtfd.1209402

Öz

Amaç: Bu çalışmanın amacı kadınlarda stres üriner inkontinans (SÜİ) tedavisinde uygulanan transobturator bant (TOT) cerrahisinin içten dışa veya dıştan içe tekniği kullanılarak yapılmasının cerrahinin başarısına etkisini değerlendirmektir.
Gereç ve Yöntemler: Bu ileriye yönelik randomize çalışmaya SÜİ tanısı alan ve TOT ameliyatı yapılmasına karar verilen 65 kadın dahil edildi. Katılımcılar iki gruba ayrıldı, 32 kadına içten dışa teknik kullanılarak TOT ameliyatı, 33 kadına ise dıştan içe teknik kullanılarak TOT ameliyatı yapıldı. Hastaların cerrahi verileri, 3 aylık komplikasyon insidansları, ameliyat öncesi ve sonrası idrar kaçırmanın etki anketleri (incontinence impact questionnaire, IIQ-7) ve Uluslararası İnkontinans Değerlendirmesi Anketi-Kısa Formu (International Consultation on Incontinence Questionnaire-Short Form, ICIQ-SF) skorları kaydedildi. Tedavinin başarısının değerlendirilmesinde objektif, subjektif ve yetersiz tedavi oranları belirlendi.
Bulgular: İki grup karşılaştırıldığında yaş, vücut kitle indeksi, parite, menopoz durumu, inkontinans süresi, ameliyat öncesi IIQ-7 skorları ve ICIQ-SF skorları açısından istatistiksel olarak anlamlı fark yoktu. Ameliyat süreleri, hastanede kalış süreleri, erken dönem cerrahi komplikasyonlar ve ameliyat sonrası 3. ay IIQ-7 ve ICIQ-SF skorları arasında istatistiksel olarak anlamlı fark saptanmadı. Objektif, sübjektif ve yetersiz tedavi oranları açısından iki grup arasında istatistiksel olarak anlamlı fark yoktu.
Sonuç: TOT cerrahisi SÜİ olan hastalarda her iki teknikle de oldukça başarılıdır. Cerrahın deneyimli olduğu ve kendini en güvende hissettiği tekniği seçmesi, teknik ne olursa olsun TOT ameliyatının başarısını artıracaktır.

Anahtar Kelimeler

Transobturator teyp subüretral slingler üriner inkontinans stres

Kaynakça

  • Chan SS, Cheung RY, Yiu AK, Li JC, Lai BP, Choy KW, et al. Chinese validation of Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire. Int Urogynecol J. 2011;22(10):1305-12.
  • Cheung RY, Chan S, Yiu AK, Lee LL, Chung TK. Quality of life in women with urinary incontinence is impaired and comparable to women with chronic diseases. Hong Kong Med J. 2012;18(3):214-20.
  • Klutke C, Siegel S, Carlin B, Paszkiewicz E, Kirkemo A, Klutke J. Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology. 2001;58(5):697-701.
  • Melville JL, Katon W, Delaney K, Newton K. Urinary incontinence in US women: a population-based study. Arch Intern Med. 2005;165(5):537-42.
  • Lin L, Huang MC, Su TH, Lau HH. Comparison between tension-free vaginal tape and transobturator tape in treating stress urinary incontinence after vaginal mesh surgery. Taiwan J Obstet Gynecol. 2018;57(4):528-31.
  • Delorme E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol. 2001;11(6):1306-13. French.
  • de Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol. 2003;44(6):724-30.
  • Thomas TN, Siff LN, Jelovsek JE, Barber M. Surgical pain after transobturator and retropubic midurethral sling placement. Obstet Gynecol. 2017;130(1):118-25.
  • Costa P, Grise P, Droupy S, Monneins F, Assenmacher C, Ballanger P, et al. Surgical treatment of female stress urinary incontinence with a trans-obturator-tape (T.O.T.) Uratape: short term results of a prospective multicentric study. Eur Urol. 2004;46(1):102-6; discussion 106-7.
  • Cam C, Sakalli M, Ay P, Cam M, Karateke A. Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn. 2007;26(1):129-33.
  • Çetinel B, Özkan B, Can G. The validation study of ICIQ-SF Turkish version. Turk J Urol. 2004;30(3):332-8.
  • Kelly CE. Evaluation of voiding dysfunction and measurement of bladder volume. Rev Urol. 2004;6(Suppl 1):S32-7.
  • Tan TL, Ding YY, Lieu PK. False positive findings in the ultrasound assessment of postvoid residual urine volume. Age Ageing. 2003;32(3):356.
  • Geçit İ, Pirinççi N, Güneş M, Benli E, Şahin MA, Taken K, Ceylan K. Comparison of the effectiveness and complications of the transobturator tape (TOT) with transvaginal tape (TVT) in the treatment of stress incontinence. Van Med J. 2011;18(4):173-80.
  • Liapis A, Bakas P, Creatsas G. Monarc vs TVT-O for the treatment of primary stress incontinence: a randomized study. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(2):185-90.
  • Madhuvrata P, Riad M, Ammembal MK, Agur W, Abdel-Fattah M. Systematic review and meta-analysis of "inside-out" versus "outside-in" transobturator tapes in management of stress urinary incontinence in women. Eur J Obstet Gynecol Reprod Biol. 2012;162(1):1-10.
  • Debodinance P. Trans-obturator urethral sling for the surgical correction of female stress urinary incontinence: outside-in (Monarc) versus inside-out (TVT-O). Are the two ways reassuring? Eur J Obstet Gynecol Reprod Biol. 2007;133(2):232-8.
  • Spinosa JP, Dubuis PY, Riederer B. Transobturator surgery for female urinary continence: from outside to inside or from inside to outside: a comparative anatomic study. Prog Urol. 2005;15(4):700-6. French.
  • Achtari C, McKenzie BJ, Hiscock R, Rosamilia A, Schierlitz L, Briggs CA, et al. Anatomical study of the obturator foramen and dorsal nerve of the clitoris and their relationship to minimally invasive slings. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17(4):330-4.
  • Karmakar D, Mostafa A, Abdel-Fattah M. Long-term outcomes of transobturator tapes in women with stress urinary incontinence: E-TOT randomised controlled trial. BJOG. 2017;124(6):973-81.
  • Abdel-Fattah M, Ramsay I, Pringle S, Hardwick C, Ali H, Young D, et al. Randomised prospective single-blinded study comparing 'inside-out' versus 'outside-in' transobturator tapes in the management of urodynamic stress incontinence: 1-year outcomes from the E-TOT study. BJOG. 2010;117(7):870-8.
  • Hinoul P, Elzevier HW, Kirkemo A, Patel BG, Flynn BJ, Walters MD. A novel radiographic technique to asses grafts in the female -pelvis: a comparison of the Inside-Out and the Outside-In trans-obturator mid urethral sling positioning. Facts Views Vis Obgyn. 2013;5(4):249-53.
  • Cordeiro A, Lermann R, Grilo I, Martins A, Moniz L. Transobturator tapes for stress urinary incontinence treatment: middle-term results. Acta Med Port. 2010;23(4):589-96. Portuguese.
  • Abdel-Fattah M, Mostafa A, Familusi A, Ramsay I, N'dow J. Prospective randomised controlled trial of transobturator tapes in management of urodynamic stress incontinence in women: 3-year outcomes from the Evaluation of Transobturator Tapes study. Eur Urol. 2012;62(5):843-51. Erratum in: Eur Urol. 2019;75(4):e119.
  • Serdinšek T, But I. Long-term results of two different trans-obturator techniques for surgical treatment of women with stress and mixed urinary incontinence: a 10-year randomised controlled study follow-up. Int Urogynecol J. 2019;30(2):257-63.
  • Kovalev GV, Shkarupa DD, Kubin ND, Nichiporuk GI, Gaivoronsky IV. Anatomical premises for the variability of the results of transobturator mid-urethral sling. Urology Herald. 2021;9(2):64-73. (In Russ).

Does Mesh Application by Using Inside-Out and Outside-In Techniques during Transobturator Tape Surgery Change the Success?

Yıl 2023, Cilt: 25 Sayı: 1, 56 - 61, 30.04.2023

Elif Yıldız Burcu Timur Esra Nazlı Döktür Hakan Timur

https://doi.org/10.18678/dtfd.1209402

Öz

Aim: This study aimed to evaluate the effect of transobturator tape (TOT) surgery, which is performed in the treatment of stress urinary incontinence (SUI) in women, using the inside-out or outside-in technique on the success of the surgery.
Material and Methods: Sixty-five women diagnosed with SUI and for whom it was decided to perform TOT surgery were included in this prospective randomized study. Participants were divided into two groups, 32 women underwent TOT surgery using the inside-out technique and 33 women underwent TOT surgery using the outside-in technique. The surgical data of patients, the 3-month incidence of complications, pre-, and postoperative scores of the incontinence impact questionnaire (IIQ-7), and the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) were recorded. Objective, subjective, and inadequate treatment rates were determined for the evaluation of the success of the treatment.
Results: When the two groups were compared, there was no statistically significant difference in terms of age, body mass index, parity, menopause status, duration of incontinence, and preoperative IIQ-7 and ICIQ-SF scores. There were no statistically significant differences between surgical durations, length of hospital stay, early surgical complications, and postoperative 3rd month IIQ-7 and ICIQ-SF scores. There were no statistically significant differences between the two groups in terms of objective, subjective, and inadequate treatment rates.
Conclusion: TOT surgery is successful with both techniques in patients with SUI. Choosing the technique with which the surgeon is experienced and feels most confident will increase the success of TOT surgery regardless of the technique.

Anahtar Kelimeler

Transobturator tape suburethral slings urinary incontinence stress

Kaynakça

  • Chan SS, Cheung RY, Yiu AK, Li JC, Lai BP, Choy KW, et al. Chinese validation of Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire. Int Urogynecol J. 2011;22(10):1305-12.
  • Cheung RY, Chan S, Yiu AK, Lee LL, Chung TK. Quality of life in women with urinary incontinence is impaired and comparable to women with chronic diseases. Hong Kong Med J. 2012;18(3):214-20.
  • Klutke C, Siegel S, Carlin B, Paszkiewicz E, Kirkemo A, Klutke J. Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology. 2001;58(5):697-701.
  • Melville JL, Katon W, Delaney K, Newton K. Urinary incontinence in US women: a population-based study. Arch Intern Med. 2005;165(5):537-42.
  • Lin L, Huang MC, Su TH, Lau HH. Comparison between tension-free vaginal tape and transobturator tape in treating stress urinary incontinence after vaginal mesh surgery. Taiwan J Obstet Gynecol. 2018;57(4):528-31.
  • Delorme E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol. 2001;11(6):1306-13. French.
  • de Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol. 2003;44(6):724-30.
  • Thomas TN, Siff LN, Jelovsek JE, Barber M. Surgical pain after transobturator and retropubic midurethral sling placement. Obstet Gynecol. 2017;130(1):118-25.
  • Costa P, Grise P, Droupy S, Monneins F, Assenmacher C, Ballanger P, et al. Surgical treatment of female stress urinary incontinence with a trans-obturator-tape (T.O.T.) Uratape: short term results of a prospective multicentric study. Eur Urol. 2004;46(1):102-6; discussion 106-7.
  • Cam C, Sakalli M, Ay P, Cam M, Karateke A. Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn. 2007;26(1):129-33.
  • Çetinel B, Özkan B, Can G. The validation study of ICIQ-SF Turkish version. Turk J Urol. 2004;30(3):332-8.
  • Kelly CE. Evaluation of voiding dysfunction and measurement of bladder volume. Rev Urol. 2004;6(Suppl 1):S32-7.
  • Tan TL, Ding YY, Lieu PK. False positive findings in the ultrasound assessment of postvoid residual urine volume. Age Ageing. 2003;32(3):356.
  • Geçit İ, Pirinççi N, Güneş M, Benli E, Şahin MA, Taken K, Ceylan K. Comparison of the effectiveness and complications of the transobturator tape (TOT) with transvaginal tape (TVT) in the treatment of stress incontinence. Van Med J. 2011;18(4):173-80.
  • Liapis A, Bakas P, Creatsas G. Monarc vs TVT-O for the treatment of primary stress incontinence: a randomized study. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(2):185-90.
  • Madhuvrata P, Riad M, Ammembal MK, Agur W, Abdel-Fattah M. Systematic review and meta-analysis of "inside-out" versus "outside-in" transobturator tapes in management of stress urinary incontinence in women. Eur J Obstet Gynecol Reprod Biol. 2012;162(1):1-10.
  • Debodinance P. Trans-obturator urethral sling for the surgical correction of female stress urinary incontinence: outside-in (Monarc) versus inside-out (TVT-O). Are the two ways reassuring? Eur J Obstet Gynecol Reprod Biol. 2007;133(2):232-8.
  • Spinosa JP, Dubuis PY, Riederer B. Transobturator surgery for female urinary continence: from outside to inside or from inside to outside: a comparative anatomic study. Prog Urol. 2005;15(4):700-6. French.
  • Achtari C, McKenzie BJ, Hiscock R, Rosamilia A, Schierlitz L, Briggs CA, et al. Anatomical study of the obturator foramen and dorsal nerve of the clitoris and their relationship to minimally invasive slings. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17(4):330-4.
  • Karmakar D, Mostafa A, Abdel-Fattah M. Long-term outcomes of transobturator tapes in women with stress urinary incontinence: E-TOT randomised controlled trial. BJOG. 2017;124(6):973-81.
  • Abdel-Fattah M, Ramsay I, Pringle S, Hardwick C, Ali H, Young D, et al. Randomised prospective single-blinded study comparing 'inside-out' versus 'outside-in' transobturator tapes in the management of urodynamic stress incontinence: 1-year outcomes from the E-TOT study. BJOG. 2010;117(7):870-8.
  • Hinoul P, Elzevier HW, Kirkemo A, Patel BG, Flynn BJ, Walters MD. A novel radiographic technique to asses grafts in the female -pelvis: a comparison of the Inside-Out and the Outside-In trans-obturator mid urethral sling positioning. Facts Views Vis Obgyn. 2013;5(4):249-53.
  • Cordeiro A, Lermann R, Grilo I, Martins A, Moniz L. Transobturator tapes for stress urinary incontinence treatment: middle-term results. Acta Med Port. 2010;23(4):589-96. Portuguese.
  • Abdel-Fattah M, Mostafa A, Familusi A, Ramsay I, N'dow J. Prospective randomised controlled trial of transobturator tapes in management of urodynamic stress incontinence in women: 3-year outcomes from the Evaluation of Transobturator Tapes study. Eur Urol. 2012;62(5):843-51. Erratum in: Eur Urol. 2019;75(4):e119.
  • Serdinšek T, But I. Long-term results of two different trans-obturator techniques for surgical treatment of women with stress and mixed urinary incontinence: a 10-year randomised controlled study follow-up. Int Urogynecol J. 2019;30(2):257-63.
  • Kovalev GV, Shkarupa DD, Kubin ND, Nichiporuk GI, Gaivoronsky IV. Anatomical premises for the variability of the results of transobturator mid-urethral sling. Urology Herald. 2021;9(2):64-73. (In Russ).
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Elif Yıldız 0000-0001-8396-5542

Burcu Timur 0000-0001-8769-5949

Esra Nazlı Döktür 0000-0001-6532-1508

Hakan Timur 0000-0002-4312-4199

Yayımlanma Tarihi 30 Nisan 2023
Gönderilme Tarihi 25 Kasım 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 25 Sayı: 1

Kaynak Göster

APA Yıldız, E., Timur, B., Döktür, E. N., Timur, H. (2023). Does Mesh Application by Using Inside-Out and Outside-In Techniques during Transobturator Tape Surgery Change the Success?. Duzce Medical Journal, 25(1), 56-61. https://doi.org/10.18678/dtfd.1209402
AMA Yıldız E, Timur B, Döktür EN, Timur H. Does Mesh Application by Using Inside-Out and Outside-In Techniques during Transobturator Tape Surgery Change the Success?. Duzce Med J. Nisan 2023;25(1):56-61. doi:10.18678/dtfd.1209402
Chicago Yıldız, Elif, Burcu Timur, Esra Nazlı Döktür, ve Hakan Timur. “Does Mesh Application by Using Inside-Out and Outside-In Techniques During Transobturator Tape Surgery Change the Success?”. Duzce Medical Journal 25, sy. 1 (Nisan 2023): 56-61. https://doi.org/10.18678/dtfd.1209402.
EndNote Yıldız E, Timur B, Döktür EN, Timur H (01 Nisan 2023) Does Mesh Application by Using Inside-Out and Outside-In Techniques during Transobturator Tape Surgery Change the Success?. Duzce Medical Journal 25 1 56–61.
IEEE E. Yıldız, B. Timur, E. N. Döktür, ve H. Timur, “Does Mesh Application by Using Inside-Out and Outside-In Techniques during Transobturator Tape Surgery Change the Success?”, Duzce Med J, c. 25, sy. 1, ss. 56–61, 2023, doi: 10.18678/dtfd.1209402.
ISNAD Yıldız, Elif vd. “Does Mesh Application by Using Inside-Out and Outside-In Techniques During Transobturator Tape Surgery Change the Success?”. Duzce Medical Journal 25/1 (Nisan 2023), 56-61. https://doi.org/10.18678/dtfd.1209402.
JAMA Yıldız E, Timur B, Döktür EN, Timur H. Does Mesh Application by Using Inside-Out and Outside-In Techniques during Transobturator Tape Surgery Change the Success?. Duzce Med J. 2023;25:56–61.
MLA Yıldız, Elif vd. “Does Mesh Application by Using Inside-Out and Outside-In Techniques During Transobturator Tape Surgery Change the Success?”. Duzce Medical Journal, c. 25, sy. 1, 2023, ss. 56-61, doi:10.18678/dtfd.1209402.
Vancouver Yıldız E, Timur B, Döktür EN, Timur H. Does Mesh Application by Using Inside-Out and Outside-In Techniques during Transobturator Tape Surgery Change the Success?. Duzce Med J. 2023;25(1):56-61.
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