The Role of Transobturator Tape (TOT) Operation in the Treatment of Pelvic Organ Prolapse and Stress Urinary Incontinence

Teymur Bornaun

Makale detayları

The Role of Transobturator Tape (TOT) Operation in the Treatment of Pelvic Organ Prolapse and Stress Urinary Incontinence

Yazarlar:

Teymur Bornaun

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Bakım Modelleri ve Doğum Yeri | Doğum ve Kadın Hastalıkları Hemşireliği

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 26, pp.562-572

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001348351

pISSN:

2536-4499

Anahtar kelimeler:

Özet:

 Aim: This study aimed to assess the efficacy and safety of the Transobturator Tape TOT procedure in treating stress urinary incontinence SUI, both independently and when combined with pelvic floor reconstruction surgery. Method: In a retrospective analysis, data were collected from 251 female patients treated for SUI at Health Sciences University, İstanbul Bağcılar Training and Research Hospital, from April 2020 to April 2022. Patients were divided into two groups based on the surgical approach: TOT alone and TOT with pelvic reconstruction. The Patient Global Impression of Improvement PGI-I scale was used to evaluate patient-reported outcomes, measuring improvements in symptoms and quality of life post-surgery. Results: The results demonstrated a high success rate in SUI management, with a significant percentage of patients reporting the absence of incontinence after surgery. Notably, cases with TOT alone showed slightly higher success rates and patient satisfaction compared to those combined with pelvic reconstruction. The outcomes aligned with existing research, supporting TOT as an effective intervention in diverse surgical settings. Conclusion: TOT is a highly effective treatment for SUI, with its use either alone or in combination with pelvic reconstruction. The study emphasizes the importance of individualized surgical approaches based on patient-specific characteristics, highlighting the need for thorough preoperative assessments and patient counseling to optimize outcomes.

 Aim: This study aimed to assess the efficacy and safety of the Transobturator Tape TOT procedure in treating stress urinary incontinence SUI, both independently and when combined with pelvic floor reconstruction surgery. Method: In a retrospective analysis, data were collected from 251 female patients treated for SUI at Health Sciences University, İstanbul Bağcılar Training and Research Hospital, from April 2020 to April 2022. Patients were divided into two groups based on the surgical approach: TOT alone and TOT with pelvic reconstruction. The Patient Global Impression of Improvement PGI-I scale was used to evaluate patient-reported outcomes, measuring improvements in symptoms and quality of life post-surgery. Results: The results demonstrated a high success rate in SUI management, with a significant percentage of patients reporting the absence of incontinence after surgery. Notably, cases with TOT alone showed slightly higher success rates and patient satisfaction compared to those combined with pelvic reconstruction. The outcomes aligned with existing research, supporting TOT as an effective intervention in diverse surgical settings. Conclusion: TOT is a highly effective treatment for SUI, with its use either alone or in combination with pelvic reconstruction. The study emphasizes the importance of individualized surgical approaches based on patient-specific characteristics, highlighting the need for thorough preoperative assessments and patient counseling to optimize outcomes.

 Aim: This study aimed to assess the efficacy and safety of the Transobturator Tape TOT procedure in treating stress urinary incontinence SUI, both independently and when combined with pelvic floor reconstruction surgery. Method: In a retrospective analysis, data were collected from 251 female patients treated for SUI at Health Sciences University, İstanbul Bağcılar Training and Research Hospital, from April 2020 to April 2022. Patients were divided into two groups based on the surgical approach: TOT alone and TOT with pelvic reconstruction. The Patient Global Impression of Improvement PGI-I scale was used to evaluate patient-reported outcomes, measuring improvements in symptoms and quality of life post-surgery. Results: The results demonstrated a high success rate in SUI management, with a significant percentage of patients reporting the absence of incontinence after surgery. Notably, cases with TOT alone showed slightly higher success rates and patient satisfaction compared to those combined with pelvic reconstruction. The outcomes aligned with existing research, supporting TOT as an effective intervention in diverse surgical settings. Conclusion: TOT is a highly effective treatment for SUI, with its use either alone or in combination with pelvic reconstruction. The study emphasizes the importance of individualized surgical approaches based on patient-specific characteristics, highlighting the need for thorough preoperative assessments and patient counseling to optimize outcomes.

 Amaç: Bu çalışmanın amacı, stres üriner inkontinansın SÜİ tedavisinde transobturator bant TOT yönteminin, tek başına veya pelvik taban rekonstrüksiyon cerrahisiyle birlikte kullanıldığında etkinliğini ve güvenliğini değerlendirmektir. Yöntem: Retrospektif olarak gerçekleştirilen bu çalışmada, Nisan 2020 - Nisan 2022 tarihleri arasında Sağlık Bilimleri Üniversitesi, İstanbul Bağcılar Eğitim ve Araştırma Hastanesinde SÜİ tedavisi gören 251 kadın hastanın verileri incelendi. Hastalar, TOT tek başına uygulananlar ve TOT ile pelvik rekonstrüksiyon yapılanlar olmak üzere iki gruba ayrıldı. Hasta Küresel İyileşme İzlenimi PGI-I ölçeği ile cerrahi sonrası semptomlar ve yaşam kalitesindeki iyileşmeler değerlendirildi. Bulgular: Sonuçlar, SÜİ yönetiminde yüksek bir başarı oranı göstermiş olup, cerrahi sonrası önemli bir hasta grubunda inkontinansın sona erdiği bildirilmiştir. Sadece TOT uygulanan hastalarda, pelvik rekonstrüksiyon eklenen vakalara kıyasla başarı oranı ve hasta memnuniyeti biraz daha yüksek bulunmuştur. Sonuçlar, mevcut literatürle uyumlu olarak TOT yönteminin çeşitli cerrahi bağlamlarda etkili bir müdahale olduğunu desteklemektedir. Sonuç: TOT yöntemi, SÜİ için son derece etkili bir tedavi olup gerek tek başına gerekse pelvik rekonstrüksiyon ile birlikte kullanılabilir. Çalışma, hasta özelliklerine göre bireyselleştirilmiş cerrahi yaklaşımların önemini vurgulayarak, başarılı sonuçlar için ayrıntılı preoperatif değerlendirme ve hasta bilgilendirmesinin gerekliliğine dikkat çekmektedir.

Makale detayları

The Role of Transobturator Tape (TOT) Operation in the Treatment of Pelvic Organ Prolapse and Stress Urinary Incontinence

Yazarlar:

Teymur Bornaun

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Bakım Modelleri ve Doğum Yeri | Doğum ve Kadın Hastalıkları Hemşireliği

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 26, pp.562-572

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001348351

pISSN:

2536-4499

Transobturator tape

stress urinary incontinence

pelvic floor reconstructionTransobturator bant

stres üriner inkontinans

pelvik taban rekonstrüksiyonu

Sayı

Makale detayları

The Role of Transobturator Tape (TOT) Operation in the Treatment of Pelvic Organ Prolapse and Stress Urinary Incontinence

Yazarlar: Teymur Bornaun

Yayıncı: İstanbul Gelisim University

Ana Başlıklar: Bakım Modelleri ve Doğum Yeri | Doğum ve Kadın Hastalıkları Hemşireliği

Dergi: İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 26, pp.562-572

Belge Tipi: Makale

Yayın Tarihi: 8/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001348351

pISSN: 2536-4499

Transobturator tape

stress urinary incontinence

pelvic floor reconstructionTransobturator bant

stres üriner inkontinans

pelvik taban rekonstrüksiyonu

Sayı

Yazarlar:

Teymur Bornaun

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Bakım Modelleri ve Doğum Yeri | Doğum ve Kadın Hastalıkları Hemşireliği

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 26, pp.562-572

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001348351

pISSN:

2536-4499