Comparison of the outside-in and inside-out routes in the use of transobturator tapes for the treatment of stress urinary incontinence

Jordi Sabadell, José Luis Poza, José Luis Sánchez-Iglesias, Xavier Martínez-Gómez, Francesc Pla, Jordi Xercavins

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2 Citations (Scopus)

Abstract

Objective: To determine whether there are any differences in the results and complications of the treatment of stress urinary incontinence (SUI) using transobturator tapes (TOT) according to the insertion route: outside-in or inside-out. Material and methods: We performed a prospective cohort study of 254 patients treated through TOT for SUI. The insertion route was outside-in in 129 patients and inside-out in 125 patients. The results at 6 and 12 months and intraand post-operative complications were analyzed. Results: No differences were found in the results at 6 and 12 months according to the insertion route. In the early post-operative period, urinary retention was more frequent in women treated with the inside-out route (P=.02). No differences were found in the remaining complications studied. Conclusions: Our experience shows that similar results are obtained with both transobturator routes. However the occurrence of complications was slightly higher with the inside-out technique. © 2008 Sociedad Española de Ginecología y Obstetricia.
Original languageEnglish
Pages (from-to)464-470
JournalProgresos en Obstetricia y Ginecologia
Volume51
Issue number8
DOIs
Publication statusPublished - 1 Jan 2008

Keywords

  • Bladder injuries
  • Stress urinary incontinence
  • Transobturator tensionfree vaginal tapes
  • Urinary retention

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