Complications Following Outside-in and Inside-out Transobturator-Tape Procedures with Concomitant Gynecologic Operations

This study was undertaken to compare the complications of outside-in transobturator tape procedures (TOT) and inside-out transobturator tape procedures (TVT-O) with concomitant gynecologic surgery for the treatment of female stress urinary incontinence (SUI). A retrospective review of 206 consecutiv...

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Main Authors:	Cho, Moon Kyoung, Kim, Chul Hong, Kang, Woo Dae, Kim, Jong Woon, Kim, Seok Mo, Kim, Yoon Ha
Format:	Online
Language:	English
Published:	Chonnam National University Medical School 2011
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3252505/

id	pubmed-3252505
recordtype	oai_dc
spelling	pubmed-32525052012-01-13 Complications Following Outside-in and Inside-out Transobturator-Tape Procedures with Concomitant Gynecologic Operations Cho, Moon Kyoung Kim, Chul Hong Kang, Woo Dae Kim, Jong Woon Kim, Seok Mo Kim, Yoon Ha Original Article This study was undertaken to compare the complications of outside-in transobturator tape procedures (TOT) and inside-out transobturator tape procedures (TVT-O) with concomitant gynecologic surgery for the treatment of female stress urinary incontinence (SUI). A retrospective review of 206 consecutive patients who underwent either TOT or TVT-O with concomitant gynecologic operations between March 2008 and February 2011 was conducted. The incidence of perioperative complications was compared. For statistical analysis, chi-squared tests were used. There were no reports of intraoperative complications such as vaginal injury or bladder perforation. Postoperative complications were noted in 23 procedures (11.2%). These included 6 cases of urinary retention (2.9%), 2 cases of vulva hematoma (1.0%), 7 cases of urinary tract infection (3.4%), 4 cases of de novo urgency (2.9%), and 4 cases of vaginal erosion (2.9%). There were no significant differences in complication rates between the two groups. Our results suggest that inside-out and outside-in procedures are simple and safe techniques that may have a low rate of complications when used with a concomitant gynecologic operation. Chonnam National University Medical School 2011-12 2011-12-26 /pmc/articles/PMC3252505/ /pubmed/22247917 http://dx.doi.org/10.4068/cmj.2011.47.3.165 Text en © Chonnam Medical Journal, 2011 http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Cho, Moon Kyoung Kim, Chul Hong Kang, Woo Dae Kim, Jong Woon Kim, Seok Mo Kim, Yoon Ha
spellingShingle	Cho, Moon Kyoung Kim, Chul Hong Kang, Woo Dae Kim, Jong Woon Kim, Seok Mo Kim, Yoon Ha Complications Following Outside-in and Inside-out Transobturator-Tape Procedures with Concomitant Gynecologic Operations
author_facet	Cho, Moon Kyoung Kim, Chul Hong Kang, Woo Dae Kim, Jong Woon Kim, Seok Mo Kim, Yoon Ha
author_sort	Cho, Moon Kyoung
title	Complications Following Outside-in and Inside-out Transobturator-Tape Procedures with Concomitant Gynecologic Operations
title_short	Complications Following Outside-in and Inside-out Transobturator-Tape Procedures with Concomitant Gynecologic Operations
title_full	Complications Following Outside-in and Inside-out Transobturator-Tape Procedures with Concomitant Gynecologic Operations
title_fullStr	Complications Following Outside-in and Inside-out Transobturator-Tape Procedures with Concomitant Gynecologic Operations
title_full_unstemmed	Complications Following Outside-in and Inside-out Transobturator-Tape Procedures with Concomitant Gynecologic Operations
title_sort	complications following outside-in and inside-out transobturator-tape procedures with concomitant gynecologic operations
description	This study was undertaken to compare the complications of outside-in transobturator tape procedures (TOT) and inside-out transobturator tape procedures (TVT-O) with concomitant gynecologic surgery for the treatment of female stress urinary incontinence (SUI). A retrospective review of 206 consecutive patients who underwent either TOT or TVT-O with concomitant gynecologic operations between March 2008 and February 2011 was conducted. The incidence of perioperative complications was compared. For statistical analysis, chi-squared tests were used. There were no reports of intraoperative complications such as vaginal injury or bladder perforation. Postoperative complications were noted in 23 procedures (11.2%). These included 6 cases of urinary retention (2.9%), 2 cases of vulva hematoma (1.0%), 7 cases of urinary tract infection (3.4%), 4 cases of de novo urgency (2.9%), and 4 cases of vaginal erosion (2.9%). There were no significant differences in complication rates between the two groups. Our results suggest that inside-out and outside-in procedures are simple and safe techniques that may have a low rate of complications when used with a concomitant gynecologic operation.
publisher	Chonnam National University Medical School
publishDate	2011
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3252505/
_version_	1611498385767923712

Complications Following Outside-in and Inside-out Transobturator-Tape Procedures with Concomitant Gynecologic Operations

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