Skip to main content

Advertisement

SpringerLink
Log in

Transobturator tape (TOT) procedure with fluoroscopic guidance: gaining confidence and valuable experience!

  • Case Report
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Objectives

To report a successful transobturator tape (TOT) procedure performed under fluoroscopic guidance without any complications.

Methods

The diagnosis of stress urinary incontinence (SUI) was confirmed with urodynamic tests in a 54-year-old woman. TOT procedure was performed under the guidance of fluoroscopy.

Results

SUI was treated successfully with TOT procedure. Fluoroscopic guidance not only decreased the length of the procedure but also avoided the possible complications. The operator gained confidence and valuable experience.

Conclusions

TOT procedure can be successfully performed under fluoroscopic guidance avoiding the possible complications and enhancing the learning curve period. We recommend the usage of fluoroscopy especially for the inexperienced operators. The benefits overweigh the cost of fluoroscopy and the absorbed dose of radiation which is calculated to be lower than accepted limits.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Delorme E, Droupy S, de Tayrac R, Delmas V (2004) Transobturator tape (Uratape): a new minimally-invasive procedure to treat female urinary incontinence. Eur Urol 45: 203–207

    Article  PubMed  Google Scholar 

  2. de Leval J, Waltregny D (2005) New surgical technique for treatment of stress urinary incontinence TVT–Obturator: new developments and results. Surg Technol Int 14:212–21

    PubMed  Google Scholar 

  3. David-Montefiore E, Frobert JL, Grisard-Anaf M, Lienhart J, Bonnet K, Poncelet C et al (2006) Peri-operative complications and pain after the suburethral sling procedure for urinary stress incontinence: a French prospective randomised multicentre study comparing the retropubic and transobturator routes. Eur Urol 49:133–138

    Article  PubMed  Google Scholar 

  4. Waltregny D, Reul O, Mathantu B, Gaspar Y, Bonnet P, de Leval J (2006) Inside out transobturator vaginal tape for the treatment of female stress urinary incontinence: interim results of a prospective study after a 1-year minimum follow-up. J Urol 175:2191–2195

    Article  PubMed  Google Scholar 

  5. Delmas V (2005) Anatomical risks of transobturator suburethral tape in the treatment of female stress urinary incontinence. Eur Urol 48:793–798

    Article  PubMed  CAS  Google Scholar 

  6. Bonnet P, Waltregny D, Reul O, de Leval J (2005) Transobturator vaginal tape inside out for the surgical treatment of female stress urinary incontinence: anatomical considerations. J Urol 173:1223–1228

    Article  PubMed  Google Scholar 

  7. Rajan S, Kohli N (2005) Retropubic hematoma after transobturator sling procedure. Obstet Gynecol 106:1199–1202

    PubMed  Google Scholar 

Download references

Acknowledgments

We want to thank Professor Dr. Levent M. Senturk for his contribution to the revision of the manuscript.

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey

    Cemal Tamer Erel, Sanli Erkan & Altay Gezer

  2. Acibadem Hospital, Bakirkoy, Istanbul, Turkey

    Alihan Ozcan

  3. Kizilelma Caddesi, No: 35 / 1 Fatih, 34300, Istanbul, Turkey

    Sanli Erkan

Authors
  1. Cemal Tamer Erel
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sanli Erkan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Alihan Ozcan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Altay Gezer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sanli Erkan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Erel, C.T., Erkan, S., Ozcan, A. et al. Transobturator tape (TOT) procedure with fluoroscopic guidance: gaining confidence and valuable experience!. Arch Gynecol Obstet 276, 277–279 (2007). https://doi.org/10.1007/s00404-007-0335-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-007-0335-3

Keywords

Search

Navigation