[90] Self-created transobturator tape (TOT) vs standard industrially created TOT in the treatment of stress urinary incontinence: Should we change the concept?

Objective: To compare the benefit and cost of tension-free self-created transobturator tape (SCTOT) with the standard industrially created TOT (ICTOT) in the treatment of stress urinary incontinence (SUI). Methods: A prospective study of the treatment of SUI with SCTOT (98 patients) and ICTOT (77 pa...

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Autores principales:	Ljubomir Dinic, Ivan Ignjatovic, Dragoslav Basic
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/5e344ec89ca842ac850fc45ddcbc80bc
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spelling	oai:doaj.org-article:5e344ec89ca842ac850fc45ddcbc80bc2021-12-02T12:24:08Z[90] Self-created transobturator tape (TOT) vs standard industrially created TOT in the treatment of stress urinary incontinence: Should we change the concept?2090-598X10.1016/j.aju.2018.10.044https://doaj.org/article/5e344ec89ca842ac850fc45ddcbc80bc2018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301384https://doaj.org/toc/2090-598XObjective: To compare the benefit and cost of tension-free self-created transobturator tape (SCTOT) with the standard industrially created TOT (ICTOT) in the treatment of stress urinary incontinence (SUI). Methods: A prospective study of the treatment of SUI with SCTOT (98 patients) and ICTOT (77 patients) was performed. Two types of industrially created slings were used: the ‘T sling’ (Herniamesh, Torino, Italy), and the ‘TVT obturator’ (Johnson & Johnson, Somerville, NJ, USA). SCTOT (15 × 1 cm) was created from a polypropylene rectangular 30 × 30 cm macroporous polypropylene monofilament mesh weighing 48 g/m2 (Pelvimesh®, Herniamesh) and monofilament sutures. Sutures (polydioxanone [PDS] 2–0) were passed through both ends of the mesh stripe to make a ‘composite’ sling consisting of monofilament suture-sling-monofilament suture (Video). The Urogenital Distress Inventory (UDI-6), the Incontinence Impact questionnaire (IIC-7) and the International Continence Impact questionnaire short form (ICIQ5-SF) were used to evaluate symptoms before and after surgery. The Overactive Bladder Symptom Score (OABSS >8) was used to identify patients with mixed UI (MUI). Results: The follow-up period was 12 months. There was no statistically significant difference (P > 0.05) in objective cure between patients in the SCTOT group 84/98 (85.7%) and the ICTOT group 68/77 (88.3%). According to the IIC-7, UDI-6, ICIQ5-SF and OABSS symptom scores, significant improvement occurred in both groups, but it was better in the group with pure SUI than in the group with MUI, although it was not statistically significant. Symptom scores are shown in Tables 1 and 2. In all, 12 SCTOT were made from one polypropylene rectangular mesh priced at €60/piece. Compared to the price of the ICTOT (€400–700/piece) the SCTOT price is about 100-fold less. Conclusion: The results of the treatment with SCTOT are not inferior to the results of the treatment with ICTOT but are less expensive.Ljubomir DinicIvan IgnjatovicDragoslav BasicTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S42- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Ljubomir Dinic Ivan Ignjatovic Dragoslav Basic [90] Self-created transobturator tape (TOT) vs standard industrially created TOT in the treatment of stress urinary incontinence: Should we change the concept?
description	Objective: To compare the benefit and cost of tension-free self-created transobturator tape (SCTOT) with the standard industrially created TOT (ICTOT) in the treatment of stress urinary incontinence (SUI). Methods: A prospective study of the treatment of SUI with SCTOT (98 patients) and ICTOT (77 patients) was performed. Two types of industrially created slings were used: the ‘T sling’ (Herniamesh, Torino, Italy), and the ‘TVT obturator’ (Johnson & Johnson, Somerville, NJ, USA). SCTOT (15 × 1 cm) was created from a polypropylene rectangular 30 × 30 cm macroporous polypropylene monofilament mesh weighing 48 g/m2 (Pelvimesh®, Herniamesh) and monofilament sutures. Sutures (polydioxanone [PDS] 2–0) were passed through both ends of the mesh stripe to make a ‘composite’ sling consisting of monofilament suture-sling-monofilament suture (Video). The Urogenital Distress Inventory (UDI-6), the Incontinence Impact questionnaire (IIC-7) and the International Continence Impact questionnaire short form (ICIQ5-SF) were used to evaluate symptoms before and after surgery. The Overactive Bladder Symptom Score (OABSS >8) was used to identify patients with mixed UI (MUI). Results: The follow-up period was 12 months. There was no statistically significant difference (P > 0.05) in objective cure between patients in the SCTOT group 84/98 (85.7%) and the ICTOT group 68/77 (88.3%). According to the IIC-7, UDI-6, ICIQ5-SF and OABSS symptom scores, significant improvement occurred in both groups, but it was better in the group with pure SUI than in the group with MUI, although it was not statistically significant. Symptom scores are shown in Tables 1 and 2. In all, 12 SCTOT were made from one polypropylene rectangular mesh priced at €60/piece. Compared to the price of the ICTOT (€400–700/piece) the SCTOT price is about 100-fold less. Conclusion: The results of the treatment with SCTOT are not inferior to the results of the treatment with ICTOT but are less expensive.
format	article
author	Ljubomir Dinic Ivan Ignjatovic Dragoslav Basic
author_facet	Ljubomir Dinic Ivan Ignjatovic Dragoslav Basic
author_sort	Ljubomir Dinic
title	[90] Self-created transobturator tape (TOT) vs standard industrially created TOT in the treatment of stress urinary incontinence: Should we change the concept?
title_short	[90] Self-created transobturator tape (TOT) vs standard industrially created TOT in the treatment of stress urinary incontinence: Should we change the concept?
title_full	[90] Self-created transobturator tape (TOT) vs standard industrially created TOT in the treatment of stress urinary incontinence: Should we change the concept?
title_fullStr	[90] Self-created transobturator tape (TOT) vs standard industrially created TOT in the treatment of stress urinary incontinence: Should we change the concept?
title_full_unstemmed	[90] Self-created transobturator tape (TOT) vs standard industrially created TOT in the treatment of stress urinary incontinence: Should we change the concept?
title_sort	[90] self-created transobturator tape (tot) vs standard industrially created tot in the treatment of stress urinary incontinence: should we change the concept?
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/5e344ec89ca842ac850fc45ddcbc80bc
work_keys_str_mv	AT ljubomirdinic 90selfcreatedtransobturatortapetotvsstandardindustriallycreatedtotinthetreatmentofstressurinaryincontinenceshouldwechangetheconcept AT ivanignjatovic 90selfcreatedtransobturatortapetotvsstandardindustriallycreatedtotinthetreatmentofstressurinaryincontinenceshouldwechangetheconcept AT dragoslavbasic 90selfcreatedtransobturatortapetotvsstandardindustriallycreatedtotinthetreatmentofstressurinaryincontinenceshouldwechangetheconcept
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[90] Self-created transobturator tape (TOT) vs standard industrially created TOT in the treatment of stress urinary incontinence: Should we change the concept?

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