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Transobturator hybrid tape versus synthetic tape in treatment of female stress urinary incontinence: A prospective randomized clinical study.
Urologia
November 2024
Urology Department, Zagazig University, Zagazig, Egypt.
Objective: To compare the clinical and operative outcomes of transobturator hybrid tape versus synthetic tapes during mid-urethral sling in treating female stress urinary incontinence (SUI).
Patients And Methods: This prospective randomized study included 63 women with SUI. Patients were categorized into two groups: Group I included 32 patients who underwent midurethral sling procedure using hybrid tape; and Group II included 31 patients that had synthetic sling, using transobturator tape approach (TOT) in both groups.
Serious concerns have been raised over the safety of vaginal mesh tapes for stress urinary incontinence (SUI). Autologous rectus fascial sling and the more recent 'sling on a string' through a laparotomy are gaining popularity as native tissue options for SUI. We describe a novel technique of laparoscopic mid-urethral autologous rectus fascial sling for SUI.
View Article and Find Full Text PDFTransobturator Tension-Free Vaginal Flap Operation versus Synthetic Transobturator Tape for Treatment of Female Stress Urinary Incontinence: A Prospective Randomized Study.
Urol Int
September 2023
Urology department, Alexandria University, Alexandria, Egypt.
Article Synopsis
- Synthetic mid-urethral slings (MUSs) are commonly used to treat female stress urinary incontinence, but there are concerns about serious complications from their use, leading to the exploration of alternative methods like the transobturator tension-free vaginal flap (TO-TVF).
- In a study involving 72 female patients, those undergoing TO-TVF showed improvement similar to those with conventional transobturator tape (TOT), with cure rates of 89% and 91.4% respectively, and no significant complications reported in either group.
- TO-TVF is suggested as a safe and effective surgical alternative to synthetic slings, utilizing natural tissue while potentially reducing risks associated with synthetic materials, though further long-term studies
Design, implementation and assessment of a novel, introductory curriculum into female, neurological and urodynamic urology: a 7-year experience of urology simulation bootcamp course.
World J Urol
September 2023
Department of Urology, Pinderfields Hospital, Wakefield, UK.
Purpose: To present the seven-year experience of a multi-component and interactive module on female, neurological and urodynamic urology (FNUU) training at the UK National Urology Simulation Bootcamp Course (USBC) and demonstrate trainee satisfaction and competency progression.
Methods: During the week-long USBC, a four-hour module on FNUU was designed which consisted of short interactive presentations with an emphasis on practical stations in urodynamics, intravesical botulinum toxin injection, urethral bulking injection, female pelvic examination and, initially, mid-urethral tapes (subsequently replaced with percutaneous sacral nerve evaluation). The trainee's level of knowledge, operative experience and confidence were assessed pre- and post-course.
Clinical Outcomes of Mid-Urethral Sling (MUS) Procedures for the Treatment of Female Urinary Incontinence: A Multicenter Study.
J Clin Med
November 2022
Tricomed S.A., Swietojanska 5/9, 93-493 Lodz, Poland.
Introduction: Stress urinary incontinence (SUI) has a significant impact on the quality of life of many women. Due to embarrassment, most women do not seek medical attention for this condition. The treatment of this problem includes preventive therapies, and in the more advanced stage of urinary incontinence, surgery is a solution.
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