title: The safety of the inside-out transobturator approach for transvaginal tape (TVT-O) treatment in stress urinary incontinence: French registry data on 984 women.
abstract: This study examines the safety of the inside-out transobturator approach for transvaginal tape (TVT-O, Gynaecare) treatment in stress urinary incontinence (SUI) in women based on a French registry of patients. A total of 984 women from 86 centres were enrolled in the study. Patients with predominant overactive bladder or significant pelvic organ prolapse were excluded from the study. Perioperative and post-operative complications were reported as well as urinary function at 4 and 12 weeks. Pain was assessed by the patients using a visual analog scale (VAS). The overall perioperative complication rate was 2.2%. The most commonly reported morbidities were vaginal wall perforation (1.3%) followed by haematoma (0.7%). Post-operative complication rate was 5.2%; the most common complication was residual pain (2.7%). The other complications of paravesical haematoma, urinary retention, vaginal erosion and re-intervention had an incidence of less than 1.0%. This study demonstrates that the transobturator transvaginal tape approach to the treatment of SUI is a safe procedure.
authors.affiliation: Clinique de Gynécologie, Jeanne de Flandre Hospital-CHRU Lille, 2 Avenue Oscar Lambret, 59037 Lille Cedex, France. p-collinet@chru-lille.fr
authors.forename: Pierre
authors.initials: P
authors.lastname: Collinet
authors.forename: Calin
authors.initials: C
authors.lastname: Ciofu
authors.forename: Pierre
authors.initials: P
authors.lastname: Costa
authors.forename: Michel
authors.initials: M
authors.lastname: Cosson
authors.forename: Bruno
authors.initials: B
authors.lastname: Deval
authors.forename: Philippe
authors.initials: P
authors.lastname: Grise
authors.forename: Bernard
authors.initials: B
authors.lastname: Jacquetin
authors.forename: Francois
authors.initials: F
authors.lastname: Haab
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006801:Humans; D008875:Middle Aged; D015995:Prevalence; D011446:Prospective Studies; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000295:instrumentation*; D012042:Registries; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000379:methods*