Patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urinary stress incontinence: the Malaysian experience

Introduction: Studies reported that trans-obturator mid-urethral sling (TOT) is superior in safety and efficacy when compared with retro-pubic trans-vaginal tape (TVT) with regard to bladder, vascular and urethral injury. The purpose of this study is to determine if the TOT is equivalent to the TV...

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Main Authors:	Nusee, Zalina, N., Kamal, Naidu, Aruku, Ab Rahman, Jamalludin
Format:	Article
Language:	English
Published:	Faculty of Medicine, International Islamic University Malaysia 2013
Subjects:	RG Gynecology and obstetrics
Online Access:	http://irep.iium.edu.my/36774/ http://irep.iium.edu.my/36774/ http://irep.iium.edu.my/36774/1/TOT_TVT_IMJ.pdf

id	iium-36774
recordtype	eprints
spelling	iium-367742016-03-10T02:14:24Z http://irep.iium.edu.my/36774/ Patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urinary stress incontinence: the Malaysian experience Nusee, Zalina N., Kamal Naidu, Aruku Ab Rahman, Jamalludin RG Gynecology and obstetrics Introduction: Studies reported that trans-obturator mid-urethral sling (TOT) is superior in safety and efficacy when compared with retro-pubic trans-vaginal tape (TVT) with regard to bladder, vascular and urethral injury. The purpose of this study is to determine if the TOT is equivalent to the TVT by using patient-reported outcomes for the treatment of urodynamic stress urinary incontinence (USI) at Ipoh Hospital. Methods: It is a cross-sectional study on all consecutive patients who underwent TVT procedure between Jan 2005 and Jan 2006 and TOT procedure from Jan 2006 to Jun 2008. Post operatively; all women were followed up at one month, three months, 12 months and annually, thereafter. Data was retrieved from the patients’ records based on the standard pre-operative assessment sheet and follow up record. Then, interviews were made via a telecommunication to assess the patients’ symptoms and satisfaction using a validated questionnaire. Data analysis were performed using IBM SPSS Statistics for Windows version 19 (SPSS Inc., Chicago, Illinois) considering a significant level of P < 0.05. Results: Total of 51 subjects in TVT group and 52 in TOT group were available for analysis. At 12 months, the stress urinary incontinence (SUI) cure rate is higher in the TVT (90.2%) compared to TOT (80.8%) group; however, it was not statistically significant (p=0.279). The lower urinary tract symptoms (LUT) were improved post-operatively in both groups with urgency and urgency incontinence being significantly better in the TVT group. Four (7.4%) subjects in the TVT group had a bladder perforation (p=0.992) and one case of vaginal erosion reported in the TOT group. Conclusion: TVT had a higher successful rate in the treatment of SUI; however, it increases the risk of bladder perforation. Over active bladder symptom (OAB) were significantly improved in the TVT compared to TOT group Faculty of Medicine, International Islamic University Malaysia 2013-12 Article PeerReviewed application/pdf en http://irep.iium.edu.my/36774/1/TOT_TVT_IMJ.pdf Nusee, Zalina and N., Kamal and Naidu, Aruku and Ab Rahman, Jamalludin (2013) Patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urinary stress incontinence: the Malaysian experience. International Medical Journal Malaysia, 12 (2). pp. 33-38. ISSN 1823-4631 http://www.e-imj.com/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RG Gynecology and obstetrics
spellingShingle	RG Gynecology and obstetrics Nusee, Zalina N., Kamal Naidu, Aruku Ab Rahman, Jamalludin Patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urinary stress incontinence: the Malaysian experience
description	Introduction: Studies reported that trans-obturator mid-urethral sling (TOT) is superior in safety and efficacy when compared with retro-pubic trans-vaginal tape (TVT) with regard to bladder, vascular and urethral injury. The purpose of this study is to determine if the TOT is equivalent to the TVT by using patient-reported outcomes for the treatment of urodynamic stress urinary incontinence (USI) at Ipoh Hospital. Methods: It is a cross-sectional study on all consecutive patients who underwent TVT procedure between Jan 2005 and Jan 2006 and TOT procedure from Jan 2006 to Jun 2008. Post operatively; all women were followed up at one month, three months, 12 months and annually, thereafter. Data was retrieved from the patients’ records based on the standard pre-operative assessment sheet and follow up record. Then, interviews were made via a telecommunication to assess the patients’ symptoms and satisfaction using a validated questionnaire. Data analysis were performed using IBM SPSS Statistics for Windows version 19 (SPSS Inc., Chicago, Illinois) considering a significant level of P < 0.05. Results: Total of 51 subjects in TVT group and 52 in TOT group were available for analysis. At 12 months, the stress urinary incontinence (SUI) cure rate is higher in the TVT (90.2%) compared to TOT (80.8%) group; however, it was not statistically significant (p=0.279). The lower urinary tract symptoms (LUT) were improved post-operatively in both groups with urgency and urgency incontinence being significantly better in the TVT group. Four (7.4%) subjects in the TVT group had a bladder perforation (p=0.992) and one case of vaginal erosion reported in the TOT group. Conclusion: TVT had a higher successful rate in the treatment of SUI; however, it increases the risk of bladder perforation. Over active bladder symptom (OAB) were significantly improved in the TVT compared to TOT group
format	Article
author	Nusee, Zalina N., Kamal Naidu, Aruku Ab Rahman, Jamalludin
author_facet	Nusee, Zalina N., Kamal Naidu, Aruku Ab Rahman, Jamalludin
author_sort	Nusee, Zalina
title	Patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urinary stress incontinence: the Malaysian experience
title_short	Patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urinary stress incontinence: the Malaysian experience
title_full	Patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urinary stress incontinence: the Malaysian experience
title_fullStr	Patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urinary stress incontinence: the Malaysian experience
title_full_unstemmed	Patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urinary stress incontinence: the Malaysian experience
title_sort	patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urinary stress incontinence: the malaysian experience
publisher	Faculty of Medicine, International Islamic University Malaysia
publishDate	2013
url	http://irep.iium.edu.my/36774/ http://irep.iium.edu.my/36774/ http://irep.iium.edu.my/36774/1/TOT_TVT_IMJ.pdf
first_indexed	2023-09-18T20:52:43Z
last_indexed	2023-09-18T20:52:43Z
_version_	1777410101345255424

Patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urinary stress incontinence: the Malaysian experience

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