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The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up

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Abstract

Introduction and hypothesis

The aim of this study is to investigate the effect of intrinsic sphincter deficiency (ISD) and urethral hypermobility on the outcome of the transobturator tape (TOT).

Methods

Sixty-five women were divided into three groups: group I, ISD with hypermobile urethra (n = 18); group II, ISD with fixed urethra (n = 16); and group III, hypermobile urethra without ISD (n = 31). Cure of stress urinary incontinence was defined if the patient had negative cough stress test. Cure and improvement rates were compared at 6, 12, and 24 months.

Results

The cure and improvement rates of groups I and III were similar at 6, 12, and 24 months (96.1% vs 96.6%, 96.1% vs 96.6%, and 87.5 vs %96.4%, respectively). Group II had the lowest cure and improvement rates (68.7%, 66.7%, and 66.7%, respectively).

Conclusion

A lack of urethral hypermobility may be a risk factor for TOT failure.

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Abbreviations

TOT:

transobturator tape

ISD:

intrinsic sphincter deficiency

SUI:

stress urinary incontinence

VLPP:

Valsalva leak point pressure

TVT:

tension-free vaginal tape

DO:

detrusor overactivity

OAB:

overactive bladder

POP-Q:

pelvic organ prolapse quantification

IIQ-7:

Incontinence Impact Questionnaire

UDI-6:

Urogenital Distress Inventory

BMI:

body mass index

ICS:

International Continence Society

MUCP:

maximal urethral closure pressure

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Authors and Affiliations

  1. Division of Urogynecology, Department of Obstetrics and Gynecology, Faculty of Medicine, Maltepe University, Barbaros Mah. Dereboyu Cd. My World Starland D1-1 Blok D:101, Batı Atasehir, Istanbul, Turkey

    Berna Haliloglu

  2. Division of Urogynecology, Department of Obstetrics and Gynecology, Faculty of Medicine, Yeditepe University, Istanbul, Turkey

    Ates Karateke

  3. Department of Obstetrics and Gynecology, Faculty of Medicine, Dumlupınar University, Kutahya, Turkey

    Hakan Coksuer

  4. Department of Obstetrics and Gynecology, Gediz State Hospital, Kutahya, Turkey

    Hakan Peker

  5. Division of Urogynecology, Department of Obstetrics and Gynecology, Zeynep Kamil Women and Children Diseases Education and Research Hospital, Istanbul, Turkey

    Cetin Cam

Authors
  1. Berna Haliloglu
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  2. Ates Karateke
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  3. Hakan Coksuer
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  4. Hakan Peker
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  5. Cetin Cam
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Correspondence to Berna Haliloglu.

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Haliloglu, B., Karateke, A., Coksuer, H. et al. The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up. Int Urogynecol J 21, 173–178 (2010). https://doi.org/10.1007/s00192-009-1010-y

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  • DOI: https://doi.org/10.1007/s00192-009-1010-y

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