Abstract:
OBJECTIVES:The aim of this study was to evaluate the effectiveness of a new minimally invasive surgical procedure, the Trans-obturator Vaginal Tape (TOT) in the treatment of female urodynamic stress incontinence (USI) and to analyse functional results and quality of life after one year of follow up. MATERIAL AND METHOD:120 consecutive women with stress urinary incontinence underwent the procedure since February 2002 under general or loco-regional anesthesia. Minimum follow up was one year (range 12-30 months). Mean age was 58 years (range 31-86). 70% of the patients had pure USI. 5 patients were previously operated for USI. In 10 cases, concomitant repair of pelvic floor defects was mandatory. Collection of the data included operative time, pre- and post-operative complications. Patients were post-operatively assessed at one week, one month and one year. A validated urinary incontinence-specific measure of Quality of Life (QoL) questionnaire (Contilife) was sent and completed 12 months after surgery. RESULTS:The mean operative time was 12 min (range 6-30) with a catheterisation time of 0,9 day (range 0-2). No severe bleeding was observed. There were 13 minor lateral tears of the vagina without any sequelae. Three perforations of the urethra and one of the bladder occurred during the learning phase. In two cases a re-intervention was necessary for tape removal when the injury was not recognised during the procedure. Two transient urinary retention needed a supra pubic catheter and tape release. Eleven women presented transient voiding outflow obstruction. After one month, 93% patients were cured with no pad and a negative cough test with a full bladder. Uroflowmetry did not show any significant changes between pre- and post-operative time in all the population. De novo urgency occurred only in 2.5% and persistent dysuria (Qmax <10 ml/s and/or post-void residual volume >120 cc) in 4%. 80% of patients were completely dry after one year and 12% were greatly improved. According to the pre-operative maximal urethral closure pressure, continence rate was 86% above 30 cm H2O and 76% below 30 cm H2O respectively. Global satisfaction of women at 1 year was 78% with good scores based on daily and effort activities, self-image, emotional and sexual activities. CONCLUSIONS:TOT is a safe and effective new minimal invasive procedure for USI with a low rate of complications. To confirm the success of TOT, longer follow up in large population is mandatory to assess the reliability of this attractive technique.
journal_name
Eur Uroljournal_title
European urologyauthors
Roumeguère T,Quackels T,Bollens R,de Groote A,Zlotta A,Bossche MV,Schulman Cdoi
10.1016/j.eururo.2005.08.003keywords:
subject
Has Abstractpub_date
2005-11-01 00:00:00pages
805-9issue
5eissn
0302-2838issn
1873-7560pii
S0302-2838(05)00509-9journal_volume
48pub_type
杂志文章相关文献
EUROPEAN UROLOGY文献大全abstract::A case of transitional cell carcinoma arising from a bladder which was left behind for more than 24 years without pyocystis syndrome is described. A search in the literature revealed 10 cases of defunctionalized bladder that developed tumors over a rather short latent period ranging from 3 months to 7 years, and mostl...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000473114
更新日期:1979-01-01 00:00:00
abstract:CONTEXT:Use of electronic cigarettes (ECs) is on the rise in most high-income countries. Smoking conventional cigarettes is a known risk factor for urologic malignancy incidence, progression, and mortality, as well as for other urologic health indicators. The potential impact of EC use on urologic health is therefore o...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1016/j.eururo.2016.12.022
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Clinically significant nonmetastatic prostate cancer (PCa) is currently treated using whole-gland therapy. This approach is effective but can have urinary, sexual, and rectal side effects. OBJECTIVE:To report on 5-yr PCa control following focal high-intensity focused ultrasound (HIFU) therapy to treat indiv...
journal_title:European urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.eururo.2018.06.006
更新日期:2018-10-01 00:00:00
abstract::Alpha1-adrenoceptor antagonists have been shown to decrease both the voiding and storage symptoms of benign prostatic hyperplasia (BPH). Based on the assumption that these symptoms can be attributed to the consequences of the increase in outflow resistance caused by noradrenaline stimulation of stromal alpha1-adrenoce...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1159/000052228
更新日期:1998-01-01 00:00:00
abstract::A rare case of adenocarcinoma in a sigmoid kidney is reported. The literature is reviewed and the operative technique described. Preoperative arteriogram and cavogram are an essential part of the evaluation and provide aid in the surgical approach. ...
journal_title:European urology
pub_type: 杂志文章
doi:
更新日期:1975-01-01 00:00:00
abstract::Enhanced survival and therapeutic choices for men with prostate cancer mandate the evaluation of the "quality of survival". An exciting series of local, national and international health outcome improvement initiatives offer the enticing prospect of assessing and improving this. ...
journal_title:European urology
pub_type: 社论
doi:10.1016/j.eururo.2014.10.023
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:A need remains for new therapeutic approaches for men with advanced prostate cancer, particularly earlier in the disease course. OBJECTIVE:To assess the ability of an oral selective estrogen receptor α agonist (GTx-758) to lower testosterone concentrations compared with leuprolide while minimizing estrogen ...
journal_title:European urology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.eururo.2014.06.011
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVE:This article describes both the open and laparoscopic operative techniques of supra-ampullar cystectomy (SAC). METHODS:Both open (photographs and drawings) and laparoscopic (attached DVD) SAC are explained step by step. RESULTS:Between May 1984 and December 2005, 31 patients with bladder tumour underwent SA...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2006.07.049
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:Metastatic castration-resistant prostate cancer (mCRPC) is the lethal form of the disease. Several recent studies have identified genomic alterations in mCRPC, but the clinical implications of these genomic alterations have not been fully elucidated. OBJECTIVE:To use whole-genome sequencing (WGS) to assess ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2019.03.020
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the relationship between neuroendocrine differentiation (NED) status and hormone refractory prostate cancer (HRPC) following hormone therapy based on immunohistochemical study. METHODS:Seventy-two prostate cancer specimens obtained at radical prostatectomy and 21 prostate cancer autopsy specimens...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2003.11.032
更新日期:2004-05-01 00:00:00
abstract::A case of urinary obstruction caused by vulvar fusion in an adult is reported. Anterograde micturition-urethrocystography revealed reflux of urine in the vagina and cavum uteri. Treatment consisted of sharp separation of the labia. Ointment dressing was applied to prevent reagglutination. After 1 year the patient has ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000473956
更新日期:1978-01-01 00:00:00
abstract::The cytotoxic efficacy of methylene blue-sensitized photoinactivation of bladder cancer cells has been proved in vitro and in vivo in our previous work. The ultrastructural changes of MBT-2 murine bladder cancer cells following methylene blue-sensitized phototherapy have been evaluated by scanning and transmission ele...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000473652
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:The evolution of resistant pathogens is a worldwide health crisis and adherence to European Association of Urology (EAU) guidelines on antibiotic prophylaxis may be an important way to improve antibiotic stewardship and reduce patient harm and costs. OBJECTIVE:To evaluate the prevalence of antibiotic-resist...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2015.05.010
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:A surgical adverse incident (AI) is defined as any deviation from the normal operative course. Current complication-grading systems mostly focus on postoperative events. OBJECTIVE:To propose an intraoperative AI classification (EAUiaiC) to facilitate reporting. DESIGN, SETTING, AND PARTICIPANTS:The classif...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2019.11.015
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Computed tomography (CT) is a commonly used noninvasive procedure for prostate cancer (PCa) staging. All previous studies addressing the ability of CT scan to predict lymph node invasion (LNI) were based on historical patients treated with limited pelvic lymph node dissection (PLND). OBJECTIVE:Assess the va...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2011.11.008
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:The best sequence of targeted therapy in patients with metastatic renal cell carcinoma (mRCC) has not been sufficiently defined. OBJECTIVE:To describe the efficacy and toxicity of sequential everolimus (EV) versus receptor tyrosine kinase inhibitor (rTKI) following failure of first rTKI treatment. DESIGN, ...
journal_title:European urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.eururo.2011.07.037
更新日期:2011-12-01 00:00:00
abstract::The ability of serum prostate-specific antigen (PSA) and PSA density (PSAD) to distinguish patients with prostate cancer from those with benign diseases of the prostate was assessed in 495 men. All men were evaluated with PSA determination, digital rectal examination (DRE), transrectal ultrasonography (TRUS) and ultra...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000475303
更新日期:1994-01-01 00:00:00
abstract::A histological study, by means of bilateral biopsy, on 44 cryptorchid patients (26 of whom are monolateral and 18 bilateral), comparing them with the response obtained for the HCG gonadal stimulation test, is presented. A direct, although not always exact, relation is established between the testicular histology and t...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000473085
更新日期:1979-01-01 00:00:00
abstract:OBJECTIVES:The flap valve principle is not easily applicable to an ileal pouch since a submucosal tunnel is difficult to create. We attempted to construct an ileal pouch with an umbilical stoma applying the serous-lined principle for both ureteral implantation and construction of a continent valve. METHODS:In 9 patien...
journal_title:European urology
pub_type: 临床试验,杂志文章
doi:10.1159/000020260
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:Bacillus Calmette-Guérin (BCG) is a standard treatment for reducing tumour recurrence and delaying progression of high-risk, non-muscle-invasive bladder tumours. However, it is not clear yet which patients are more likely to be responders to BCG. OBJECTIVE:To evaluate the role of ezrin expression in bladder...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2008.09.062
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVES:The aim of our study was to determine the value of duplex Doppler ultrasonography (DDU) in the patients' evolution with renal colic. The study of the resistive index (RI), difference of the RI (ARI) associated with a DDU intravesical recording (ureteral jets) were compared with renographic findings in renal ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/s0302-2838(01)00005-7
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:Complex laparoscopic procedures in urology are technically demanding with an extended learning curve. Robotic systems add significant cost to laparoscopic procedures. We therefore evaluated the use of the Radius Surgical System (RSS), a mechanical manipulator, for complex laparoscopic cases in urology. MATER...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2006.11.046
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:To compare the Bard BTA (bladder tumour antigen) test with voided urine cytology (VUC) in the diagnosis of recurrent bladder cancer (BC). METHODS:Urine specimens for the BTA test and VUC were collected on the same day as before cystoscopy from patients undergoing routine surveillance cystoscopy for recurrent...
journal_title:European urology
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::In this retrospective study the relationship between serum prostate-specific antigen (PSA) and tumour volume (assessed by the planimetric method on whole mount section) was analysed in 56 patients subjected to radical prostatectomy, of whom 28 received 3 months of neoadjuvant GnRH analogue (triptorelin) treatment. Ser...
journal_title:European urology
pub_type: 临床试验,杂志文章
doi:10.1159/000475337
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:The management of biochemical failure (BF) following external beam radiotherapy (EBRT) for prostate cancer is controversial, due to both the heterogeneous disease course following a BF and a lack of clinical trials in this setting. OBJECTIVE:We sought to characterize the natural history and predictors of ou...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2014.09.028
更新日期:2015-06-01 00:00:00
abstract::Urethral duplication (UD) is a very rare congenital malformation, either in its complete or incomplete presentation. Its different types of appearance as well as the usually associated malformations (genitourinary, gastrointestinal, musculo-skeletal, and others) make it a complex disorder which requires an individuali...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000463928
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVES:Our technique of laparoscopic adrenalectomy as well as the results of this method are presented. METHODS:Transperitoneal laparoscopic adrenalectomy was performed in 18 consecutive patients (10 right side, 8 left side) for Conn's disease (7 patients), pheochromocytoma (6 patients), Cushing's syndrome (1 pati...
journal_title:European urology
pub_type: 临床试验,杂志文章
doi:10.1159/000474218
更新日期:1996-01-01 00:00:00
abstract::Isotope section renal scanning in the diagnosis of kidney disease has been compared with ultrasonic examination adn specialised radiological techniques. The computerised isotope tomographic section technique developed in Aberdeen has increased the accuracy and differential diagnosis of renal lesions especially cysts a...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000472118
更新日期:1977-01-01 00:00:00
abstract:BACKGROUND:Immunochemotherapy (ICT) with interleukin-2 (IL-2) and interferon-alpha (IFNalpha) with a secondary effector (5-fluorouracil, 5 FU) is the only promising treatment for advanced renal cell carcinoma (RCC). With IFNalpha, besides the activation mechanisms of the immunosystem, a direct antitumor effect on tumor...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000052489
更新日期:2001-04-01 00:00:00
abstract:PURPOSE:Perioperative morbidity is an essential indicator for the quality of an operative technique. This fact is especially important in radical prostatectomy since different treatment modalities may provide similar outcome in terms of local tumor control. MATERIALS AND METHODS:The conventional type of radical perine...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000049764
更新日期:2001-08-01 00:00:00