Complications and Re-interventions of Transobturator And Retropubic Tapes at Hospital Militar Central, Bogotá 2015-2020
Abstract
The International Continence Society defines urinary incontinence (UI) as the involuntary loss of urine, a potentially treatable condition with a decrease in the quality of life of women in different aspects, including sexual health with their partner and their social well-being. It has been described that only 44.9% of women consult, having higher rates of depression and anxiety. The objective
of this research was to determine the occurrence of intraoperative and postoperative complications
with the performance of transobturator and retropubic taping at the Central Military Hospital in Bogota during the period 2015 to 2020. An observational, descriptive, retrospective, retrospective. All patients with diagnoses of urinary incontinence, both stress, emergency, and/or mixed, operated with tension-free mid-urethral tapes by retropubic or transobturator route were included. The
most prevalent complications after the surgical procedure were pain (96.8 %), followed by urinary tract infection or expulsion of the band (8.6 %), among other less frequent complications such as hematomas, dyspareunia, and abscesses. Most patients obtained an adequate clinical response in the postoperative period, 77 % did not require additional management. Mediourethral tapes provide
a good result with a low incidence of surgical complications and recurrence, improving the patient’s quality of life concerning her urinary incontinence pathology.
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References
Espinosa A. Complicaciones y tasas de reintervención relacionadas con la colocación de bandas sintéticas vaginales TVT y TOT para corrección de incontinencia urinaria de esfuerzo en pacientes con o sin prolapso de compartimento anterior. Tesis para obtención del título de médico cirujano. Quito: Universidad Católica del Ecuador. 2016: p. 1-147.
Ayala-Quispe V, Guerrero-Reyes G, Gutiérrez-González A, Hernández-Velazquez R. Complicaciones intraoperatorias y posoperatorias de las cintas medio uretrales libres de tensión en incontinencia urinaria de esfuerzo. Rev. Mex. Urol. 2019; 79(3): p. 1-14. https://doi.org/10.48193/rmu.v79i3.465.
Hoffmann E, Schorge O. Ginecologia de Williams. En Hoffmann E, Schorge O. Ginecologia de Williams. Mexico: Mcgraw-Hill; 2014. p. 606-633.
González M, Bravo A, Ramos A, Plata M. Incontinencia urinaria de esfuerzo femenina: aproximación racional a su diagnóstico y manejo. Rev Urol Colom. 2018; 27(2): p. 115-125. https://doi.org/10.1055/s-0038-1654719.
Plata M, Bravo-Balado A, Robledo D. Prevalence of lower urinary tract symptoms and overactive bladder in men and women over 18 years old: The Colombian overactive bladder and lower urinary tract symptoms (COBaLT) study. Neurourol Urodyn. 2019; 38(1): p. 200-207. https://doi.org/10.1002/nau.23828.
Glazener C, MacArthur C, Bain C. Epidemiology of Pelvic Organ Prolapse in Relation to Delivery Mode History at 12 Years After Childbirth: A longitudinal cohort study. Inter Urogynecol Jour and Pelvic Floor Dysfunction. 2012; 21(2): p. 1-3.
Goforth J, Langaker M. Urinary Incontinence in Women. N C Med J. 2016; 77(6): p. 423-425. https://doi.org/10.18043/ncm.77.6.423
Moreno-Palacios J, Serrano E. Teorías de la continencia. Colegio Mex de urol nacional. 2011; 26(3): p. 123-128.
Jelovsek E, Reddy J. Surgical management of stress urinary incontinence in women: Choosing a primary surgical procedure. [Online].; 2020. Acceso 15 de mayo de 2020. Disponible en: https://www.uptodate.com/contents/surgical-management-of-stress-urinary-incontinence-in-women-choosing-a-primary-surgical-procedure.
Abdel-Fattah M, Cao G, Mostafa A. Long-term outcomes for transobturator tension-free vaginal tapes in women with urodynamic mixed urinary incontinence. Neurourol Urodyn. 2017; 36(4): p. 902-908. https://doi.org/10.1002/nau.23192.
Wu C, Chuang F, Chu L, Kung F, Huang KH K. Concomitant trocar-guided transvaginal mesh surgery with a midurethral sling in treating advanced pelvic organ prolapse associated with stress or occult stress urinary incontinence. Taiwan J Obstet Gynecol. 2013; 52(4): p. 516-522. https://doi.org/10.1016/j.tjog.2013.10.011.
Takahashi S, Obinata D, Sakuma T, Nagane Y, Sato K. Tension-free vaginal mesh procedure for pelvic organ prolapse: a single-center experience of 310 cases with 1-year follow up. Int J Urol. 2010; 17(4): p. 353-358. https://doi.org/10.1111/j.1442-2042.2010.02469.x.
Kim A, Kim M, Park Y, Choi W. Retropubic versus Transobturator Mid Urethral Slings in Patients at High Risk for Recurrent Stress Incontinence: A Systematic Review and Meta-Analysis. J Urol. 2019; 202(1): p. 132-142. https://doi.org/10.1097/JU.0000000000000222.
Sharma J, Thariani K, Deoghare M, Kumari R. Autologous Fascial Slings for Surgical Management of Stress Urinary Incontinence: A Come Back. J Obstet Gynaecol India. 2021; 71(2): p. 106-114. https://doi.org/10.1007/s13224-020-01408-3.
Bostanci M, Ozden S S, Unal O O, Cevrioglu A. Investigation of the efficacy of transobturator tape (TOT) surgery in stress urinary incontinence. North Clin Istanb. 2015; 24(1): p 137-140. https://doi.org/10.14744/nci.2014.30085.
Lo T, Shailaja N, Tan YL Y, Wu M, Chua S. Outcomes and failure risks in mid-urethral sling insertion in elderly and old age with urodynamic stress incontinence. Int Urogynecol J. 2020; 31(4): p. 717-726. https://doi.org/10.1007/s00192-019-04171-w.
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