Transobsturator tape (TOT) procedure: the Ipoh experience

The use of transobturator tape (TOT) for the treatment of stress urinary incontinence (SUI) has gained popularity since it was introduced in 2001. Only few studies have reported that TOT is superior in safety and efficacy when compared to tension free vaginal tape (TVT). This case-series study was c...

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Main Authors:	Nusee, Zalina, Naidu, A, Ranjudham, SN, Ismail, Hamizah
Format:	Article
Language:	English
Published:	University Malaya 2011
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/23324/ http://irep.iium.edu.my/23324/1/n60__2.pdf

id	iium-23324
recordtype	eprints
spelling	iium-233242016-06-06T07:25:42Z http://irep.iium.edu.my/23324/ Transobsturator tape (TOT) procedure: the Ipoh experience Nusee, Zalina Naidu, A Ranjudham, SN Ismail, Hamizah R Medicine (General) The use of transobturator tape (TOT) for the treatment of stress urinary incontinence (SUI) has gained popularity since it was introduced in 2001. Only few studies have reported that TOT is superior in safety and efficacy when compared to tension free vaginal tape (TVT). This case-series study was conducted to investigate the safety and efficacy of the TOT procedure in patients at Ipoh Hospital. A cross sectional study on patients who underwent TOT procedures from Jan 2006 to Jun 2008 was conducted. Patients were followed-up 1 month, 3 month, 12 month and annually thereafter. Data were retrieved from patients‟ records based on the standard pre-operative assessment sheet and follow up record. Interviews were then made via telecommunication to assess the patients‟ progression and satisfaction using a validated questionnaire. Fifty-two subjects (n=52) were recruited. The mean age was 54.2 ± 10.6 years with the median follow up time of 19 months. Majority of cases (n=46; 88.5%) had concomitant pelvic organ prolapse (POP), while only 2 (3.8%) had an isolated stress urinary incontinence (SUI). Pre-operatively, only 16 patients (30.8%) were diagnosed with mixed urinary incontinence (MUI) and 24 patients (46.2%) had over active bladder symptoms (OAB) which include increased frequency and urgency. The objective cure rate for SUI was 42 (80.7%), 3 (5.8%) failed while 7 (13.5%) improved. Complications were limited to minor conditions and was only observed in four patients: one case (1.9%) of acute urinary retention, three (5.7%) had prolonged indwelling catheter more than 3 days and one (1.9%) each for mesh erosion, hematoma, urinary tract infection (UTI) and wound infection. Cure rate for MUI, frequency and urgency were 37.4%, 70.8% and 54.2% respectively. De novo urgency was noted in three (n=3: 5.7%) cases while (n=3: 5.7%) required revision of the tape. Forty-nine women (n=49: 94.2%) were satisfied with the procedure. TOT procedures significantly improve OAB symptoms with high patient‟s acceptance rate and no serious operative complication. University Malaya 2011 Article PeerReviewed application/pdf en http://irep.iium.edu.my/23324/1/n60__2.pdf Nusee, Zalina and Naidu, A and Ranjudham, SN and Ismail, Hamizah (2011) Transobsturator tape (TOT) procedure: the Ipoh experience. Journal of University of Malaya Medical Center, 14 (1). pp. 10-20. ISSN 1823-7339
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Nusee, Zalina Naidu, A Ranjudham, SN Ismail, Hamizah Transobsturator tape (TOT) procedure: the Ipoh experience
description	The use of transobturator tape (TOT) for the treatment of stress urinary incontinence (SUI) has gained popularity since it was introduced in 2001. Only few studies have reported that TOT is superior in safety and efficacy when compared to tension free vaginal tape (TVT). This case-series study was conducted to investigate the safety and efficacy of the TOT procedure in patients at Ipoh Hospital. A cross sectional study on patients who underwent TOT procedures from Jan 2006 to Jun 2008 was conducted. Patients were followed-up 1 month, 3 month, 12 month and annually thereafter. Data were retrieved from patients‟ records based on the standard pre-operative assessment sheet and follow up record. Interviews were then made via telecommunication to assess the patients‟ progression and satisfaction using a validated questionnaire. Fifty-two subjects (n=52) were recruited. The mean age was 54.2 ± 10.6 years with the median follow up time of 19 months. Majority of cases (n=46; 88.5%) had concomitant pelvic organ prolapse (POP), while only 2 (3.8%) had an isolated stress urinary incontinence (SUI). Pre-operatively, only 16 patients (30.8%) were diagnosed with mixed urinary incontinence (MUI) and 24 patients (46.2%) had over active bladder symptoms (OAB) which include increased frequency and urgency. The objective cure rate for SUI was 42 (80.7%), 3 (5.8%) failed while 7 (13.5%) improved. Complications were limited to minor conditions and was only observed in four patients: one case (1.9%) of acute urinary retention, three (5.7%) had prolonged indwelling catheter more than 3 days and one (1.9%) each for mesh erosion, hematoma, urinary tract infection (UTI) and wound infection. Cure rate for MUI, frequency and urgency were 37.4%, 70.8% and 54.2% respectively. De novo urgency was noted in three (n=3: 5.7%) cases while (n=3: 5.7%) required revision of the tape. Forty-nine women (n=49: 94.2%) were satisfied with the procedure. TOT procedures significantly improve OAB symptoms with high patient‟s acceptance rate and no serious operative complication.
format	Article
author	Nusee, Zalina Naidu, A Ranjudham, SN Ismail, Hamizah
author_facet	Nusee, Zalina Naidu, A Ranjudham, SN Ismail, Hamizah
author_sort	Nusee, Zalina
title	Transobsturator tape (TOT) procedure: the Ipoh experience
title_short	Transobsturator tape (TOT) procedure: the Ipoh experience
title_full	Transobsturator tape (TOT) procedure: the Ipoh experience
title_fullStr	Transobsturator tape (TOT) procedure: the Ipoh experience
title_full_unstemmed	Transobsturator tape (TOT) procedure: the Ipoh experience
title_sort	transobsturator tape (tot) procedure: the ipoh experience
publisher	University Malaya
publishDate	2011
url	http://irep.iium.edu.my/23324/ http://irep.iium.edu.my/23324/1/n60__2.pdf
first_indexed	2023-09-18T20:35:19Z
last_indexed	2023-09-18T20:35:19Z
_version_	1777409007142567936

Transobsturator tape (TOT) procedure: the Ipoh experience

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