ArticleBMC women's health2009
Complications associated with transobturator sling procedures: analysis of 233 consecutive cases with a 27 months follow-up.
Article in BMC women's health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Long-term results of two different trans-obturator techniques for surgical treatment of women with stress and mixed urinary incontinence: a 10-year randomised controlled study follow-up.International urogynecology journal · 2019Trial
- Long-term outcomes of the Ajust Adjustable Single-Incision Sling for the treatment of stress urinary incontinence.International urogynecology journal · 2013Trial
- Sexual activity and function in women more than 2 years after midurethral sling placement.American journal of obstetrics and gynecology · 2012Trial
- Twelve months effect on voiding function of retropubic compared with outside-in and inside-out transobturator midurethral slings.International urogynecology journal · 2012Trial
- Toward a Future Where Diabetes No Longer Limits Mesh Surgery.International urogynecology journal · 2026Article
- The impact of age on stress urinary incontinence outcomes in patients who underwent trans-obturator tape procedures.Pakistan journal of medical sciences · 2025Article
- Assessment of Female Sexual Function Following Transobturator Midurethral Sling for Stress Urinary Incontinence 12 and 36 Months After Surgical Treatment in Postmenopausal Women.Journal of clinical medicine · 2025Article
- Effect of High-Intensity Focused Electromagnetic Technology in the Treatment of Female Stress Urinary Incontinence.Biomedicines · 2024Article
- Evaluating Patient Preferences and Clinical Outcomes for Modified Laparoscopic Burch Colposuspension and Transobturator Tape Procedures in Stress Urinary Incontinence Treatment.Life (Basel, Switzerland) · 2024Article
- Obesity is not an independent risk factor for peri- and post-operative complications following mid-urethral sling (MUS) surgeries for the treatment of stress urinary incontinence (SUI).Archives of gynecology and obstetrics · 2024Article
- Evaluating Patient Preferences and Clinical Outcomes in Stress Urinary Incontinence Treatment: A Short-Term Follow-Up Study of the Transobturator Tape Procedure and Pubourethral Ligament Plication (a Minimally Invasive Technique).Journal of personalized medicine · 2023Article
- Vaginal Laser Therapy for Female Stress Urinary Incontinence: New Solutions for a Well-Known Issue-A Concise Review.Medicina (Kaunas, Lithuania) · 2022Review
- A new titanium-covered transobturator tape for surgical treatment of stress urinary incontinence.International urogynecology journal · 2022Article
- Cystourethroscopy following midurethral slings: is it always necessary?International urogynecology journal · 2018Review
- To evaluate the safety and efficacy of the TVT-Secur procedure in the treatment of stress urinary incontinence in women.Medical journal, Armed Forces India · 2017Article
- Vaginal Mesh Exposure Presentation, Evaluation, and Management.Current urology reports · 2016Review
- Endopelvic free anchor minisling technique for stress urinary incontinence treatment: 10 years of experience.International urogynecology journal · 2016Article
- Safety considerations for synthetic sling surgery.Nature reviews. Urology · 2015Review
- To mesh or not to mesh: a review of pelvic organ reconstructive surgery.International journal of women's health · 2015Review
- Findings of universal cystoscopy at incontinence surgery and their sequelae.American journal of obstetrics and gynecology · 2014Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe transobturator tape procedure (TOT) is an effective surgical treatment of female stress urinary incontinence. However data concerning safety are rare, follow-up is often less than two years, and complications are probably underreported. The aim of this study was to describe early and late complications associated with TOT procedures and identify risk factors for erosions.
methodsIt was a 27 months follow-up of a cohort of 233 women who underwent TOT with three different types of slings (Aris, Obtape, TVT-O). Follow-up information was available for 225 (96.6%) women.
resultsThere were few per operative complications. Forty-eight women (21.3%) reported late complications including de novo or worsening of preexisting urgencies (10.2%), perineal pain (2.2%), de novo dyspareunia (9%), and vaginal erosion (7.6%). The risk of erosion significantly differed between the three types of slings and was 4%, 17% and 0% for Aris, Obtape and TVT-O respectively (P = 0.001). The overall proportion of women satisfied by the procedure was 72.1%. The percentage of women satisfied was significantly lower in women who experienced erosion (29.4%) compared to women who did not (78.4%) (RR 0.14, 95% CI 0.05-0.38, P < 0.001).
conclusionLate post operative complications are relatively frequent after TOT and can impair patient's satisfaction. Women should be informed of these potential complications preoperatively and require careful follow-up after the procedure. Choice of the safest sling material is crucial as it is a risk factor for erosion.
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