%0 Journal Article
%T Transobturator Tape (TOT) for treatment of female stress incontinence: early experience Les bandelettes trans-obturatrices (TOT) dans le traitement de l\'incontinence urinaire f¨¦minine d\'effort: exp¨¦rience pr¨¦liminaire
%A AH El Sheikh
%J African Journal of Urology
%D 2005
%I 
%X Objective: Evaluation of the transobturator tape (TOT), the newest tension-free technique for the treatment of female stress urinary incontinence (SUI) and its early results with 6 months follow up. Patients and Methods: This study was conducted at King Saud Hospital, Saudi Arabia, between September 2002 and March 2004. Fourteen cases with pure SUI were treated with Uratape, a low- elasticity polypropylene tape, according to the technique described by Delorme1,2. Preoperative assessment included full history, urogynecological examination, cough stress test, Q-tip test, cystogram and urodynamic studies. Perioperative cystoscopy was also done. Results: No intraoperative complications were recorded. Postoperative complications included transient incisional pain in 2 (14.3%), transient voiding difficulty in 5 (35.7%) and urgency and frequency withmild pyuria in 3 cases (21.4%). Mild groin ecchymosis was seen in 5 cases (35.7%). Vaginal wound infection and wound dehiscence with subsequent tape removal occurred in one case only (7.1%) Twelve cases (85.7%) achieved full continence and one patient (7.1%) had minimal leak with extreme stress but was fully satisfied. Conclusion: From the promising results of our early experience we conclude that the TOT procedure is a simple, safe, fast and minimally invasive technique for the treatment of SUI in women with few minor complications and a high success rate. Further studies on a larger number of patients will however be needed to confirm these results. Resume Objectifs: ¨¦valuation de la bandelette trans-obturatrice (TOT), la plus r¨¦cente technique d\'implantation de bandelettes sans tension pour le traitement de l\'incontinence urinaire d\'effort (SUI) et ses premiers resultats ¨¤ 6 mois. Patients et m¨¦thodes: Cette ¨¦tude a ¨¦t¨¦ comport¨¦e ¨¤ l\'H pital King Saud, Arabie Saoudite, de septembre 2002 ¨¤ mars 2004. Quatorze cas avec SUI pur ont ¨¦t¨¦ trait¨¦s par Uratape, un polypropyl¨¨ne dont l\'¨¦lasticit¨¦ est basse, d\'apr¨¨s la technique d¨¦crite par Delorme1, 2. L\'¨¦valuation pr¨¦op¨¦ratoire a inclu l\'histoire de la maladie, l\'examen uro-gyn¨¦cologique, ¨¦preuve ¨¤ l\'effort de toux, ¨¦preuve du Coton-tige, cystogram et ¨¦tudes urodynamique. La cystoscopie periop¨¦ratoire a aussi ¨¦t¨¦ r¨¦alis¨¦e. R¨¦sultats: Aucune complication perop¨¦ratoire n\'a ¨¦t¨¦ enregistr¨¦e. Les complications postop¨¦ratoires ont inclu des douleurs transitoires des sites d\'incisions chez 2 patients (14.3%), des probl¨¨mes mictionnels chez 5 (35.7%) et urgence et fr¨¦quence avec pyurie dans 3 cas (21.4%). L\'ecchymose du pli de l\'aine a ¨¦t¨¦ vu dans 5 cas (35.7%). L\'infection de la plaie vaginale et la d¨¦hiscence de la cicatrice avec expulsion de la bandelette dans un cas (7.1%). Dans douze cas la continence est parfaite (85.7%) et une patiente (7.1%) avait des fuites minimes lors des gros efforts mais ¨¦tait compl¨¨tement satisfaite. Conclusions: La proc¨¦dure du TOT pour le traitement de SUI chez les femmes est une technique simple, s re, rapide et mini-invas
%U http://www.ajol.info/index.php/aju/article/view/8106