title: Transobturator tape sling for female stress incontinence with polypropylene tape and outside-in procedure: prospective study with 1 year of minimal follow-up and review of transobturator tape sling.
abstract: OBJECTIVE
  To assess the efficacy and safety of a minimally invasive surgical procedure using a polypropylene transobturator tape to treat female stress urinary incontinence during a minimal follow-up of 1 year and to present a review of this technique.
  
  
  METHODS
  A total of 206 women with stress urinary incontinence who underwent the transobturator tape procedure in a French multicenter prospective open tracker study, with a minimal follow-up of 1 year (range 12 to 33 months), were assessed. A nonelastic, polypropylene tape was placed under the mid-urethra. The surgical placement technique used a vaginal and transobturator percutaneous approach. Postoperative assessments included clinical examination, cough-stress test (full bladder), uroflowmetry, and postvoid residual urine volume performed after 1, 6, 12, 18, and 24 months.
  
  
  RESULTS
  The mean follow-up was 16 months (range 12 to 33). Of the 206 patients, 79.1% were completely cured, 13% improved, and 7% failed. No vascular, nervous system, or digestive perioperative complications were observed; however, 2.4% of the patients had postoperative urinary retention.
  
  
  CONCLUSIONS
  The results of the present study have confirmed the optimal results in stress incontinence previously reported in short-term studies. These results suggest that the transobturator tape procedure is a valuable alternative to the transvaginal tape procedure, with a low rate of complications.
authors.affiliation: Department of Urology, Rouen University Hospital, Rouen, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Grise
authors.forename: Stephane
authors.initials: S
authors.lastname: Droupy
authors.forename: Christian
authors.initials: C
authors.lastname: Saussine
authors.forename: Philippe
authors.initials: P
authors.lastname: Ballanger
authors.forename: Francois
authors.initials: F
authors.lastname: Monneins
authors.forename: Jean Francois
authors.initials: JF
authors.lastname: Hermieu
authors.forename: Gerard
authors.initials: G
authors.lastname: Serment
authors.forename: Pierre
authors.initials: P
authors.lastname: Costa
mesh_terms: D000328:Adult; D001672:Biocompatible Materials / Q000627:therapeutic use*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D011126:Polypropylenes / Q000627:therapeutic use*; D011446:Prospective Studies; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000379:methods*
chemical_list: D001672:Biocompatible Materials; D011126:Polypropylenes