Tomoe Hikaru, Kato Kumiko, Oguchi Naoki, Takei Mineo, Sekiguchi Yuki, Yoshimura Yasukuni
Department of Urology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan.
J Obstet Gynaecol Res. 2010 Oct;36(5):1064-70. doi: 10.1111/j.1447-0756.2010.01269.x. Epub 2010 Sep 16.
Transobturator tape (TOT) kits approved as medical instruments are still not available in Japan. This study aimed to: (1) assess the outcomes of TOT using Monarc (American Medical Systems; AMS Inc, Minnetonka, MN, USA) in women with stress urinary incontinence (SUI); (2) evaluate possible different surgical outcomes in women with urethral hypermobility (UH) and/or intrinsic urethral deficiency (ISD); and (3) evaluate the possibility of improvement of preoperative urgency and urge urinary incontinence after TOT in mixed urinary incontinence (MUI).
Data from 140 women with SUI in a prospective multicenter study were examined at 3-6 months follow-up.
82.1% of the patients were cured and 10.7% showed improvement. The surgical outcome was significantly better in UH than in UH combined with ISD or ISD. In 44 MUI patients, 79.6% were cured and 15.9% showed improvement. Urgency improved in about 75% of patients after TOT.
TOT is effective for both SUI and MUI, with urgency improving.
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