The effectiveness of recurrent stress urinary incontinence treatment after Burch colposuspension failure with transobturatory tape procedure

Česká verzia

Authors: M. Nováčková; R. Chmel ; Tomáš Brtnický ; L. Horčička; M. Sládečková; K. Hoftová
Authors place of work: Gynekologicko-porodnická klinika 2. LF UK a FN Motol, Praha, přednosta prof. MUDr. L. Rob, CSc.
Published in the journal: Ceska Gynekol 2011; 76(1): 65-68

Summary

Objective:
To evaluate the safety and efficacy of the transobturatory tape (TOT) procedure in the treatment of female recurrent stress urinary incontinence after the Burch colposuspension failure.

Design:
Retrospective clinical trial.

Setting:
Obstetrics and Gynecology Department, Charles University, 2^nd Medical School and Faculty Hospital Motol, Prague.

Methods:
The group of fifteen women was treated for recurrent stress urinary incontinence with TOT procedure. Preoperative evaluation consisted of complete urogynecological examination. The cure rate and complications were determined in postoperative follow up 6 weeks and 12 months after the surgery.

Results:
The mean age was 58.7 (46–64) years. Burch colposuspension was performed 6.4 (1–13) years before current TOT procedure. The cure rate in 12 month follow-up was 86.6% (13 of 15 patients), one patient was improved (6.7%). Postoperative complications occured in 2 (13.4%) cases – one lower urinary tract infection and one overactive bladder symptomatology cured by anticholinergic therapy.

Conclusion:
The study showed that the TOT procedure is a safe and effective minimally invasive method in the treatment of recurrent stress urinary incontinence after Burch colposuspension.

Key words:
urinary incontinence surgery, stress urinary incontinence, recurrent urinary incontinence, Burch colposuspension, transobturatory tape, TOT.

Zdroje

1. Alcalay, M., Monga, A., Stanton, SL. Burch colposuspension: a 10-20 year follow up. Br J Obstet Gynaecol, 1995, 102, p. 740‑745.

2. Azam, U., Frazer, MI., Kozman, EL., et al. The tension-free vaginal tape procedure in women with previous failed stress incontinence surgery. J Urol, 2001, 166, p. 554-556.

3. Burch, JC. Coope’s ligament urethrovesical suspension for stress incontinence. Nine years’ experience – results, complications, technique. Am J Obstet Gynecol, 1968, 100, p. 764-774.

4. Cardozo, L., Hextall, A., Bailey, J., Boos, K. Colposuspension after previous failed incontinence surgery: a prospective observational study. Br J Obstet Gynaecol, 1999, 106, p. 340-344.

5. Clark, AL., Gregory, T., Smith, VJ., Edwards, W. Epidemiologic evaluation of reoperation for surgically treated pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol, 2003, 189, p. 1261-1267.

6. de Leval, J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol, 2003, 44, 6, p. 724-730.

7. Delorme, E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol, 2001, 11, p. 1306-1313.

8. Lapitan, MCM., Cody, JD., Grant A. Open retropubic colposuspension for urinary incontinence in women: a short version Cochrane review. Neurourol Urodyn, 2009, 28, p. 472-480.

9. Lee, KS., Doo, CK., Han, DH., et al. Outcomes following repeat mid urethral syntetic sling after failure of the initial sling procedure: rediscovery of the tension-free vaginal tape procedure. J Urol, 2007, 178, p. 1370-1374.

10. Lo, TS., Horng, SG., Chang, CL., et al. Tension-free vaginal tape procedure after previous failure in incontinence surgery. Urology, 2002, 60, 1, p. 57-61.

11. Rezapour, M., Ulmsten, U. Tension-free vaginal tape (TVT) in women with recurrent stress urinary incontinence – a long term follow up. Int Urogynecol J Pelvic Floor Dysfunct, 2001, 12, Suppl 2, p. 9-11.

12. Schulz, JA., Drutz, HP. The surgical management of recurrence stress urinary incontinence. Curr Opin Obstet Gynecol, 1999, 11, p. 489-494.

13. Sivaslioglu, AA., Unlubilgin, E., Keskin, HL., et al. The management of recurrent cases after the Burch colposuspension: 7 years experience. Arch Gynecol Obstet, 2010, http://www.ncbi.nlm.nih.gov/pubmed/20229316

14. Stav, K., Dwyer, PL., Rosamilia, A., et al. Repeat synthetic mid urethral sling procedure for women with recurrent stress urinary incontinence. J Urol, 2010, 183, p. 241-246.