Transobturator (TOT) mesh tape removal:
Functional and quality of life outcomes
BAUS ePoster online library. Perrouin Verbe M. 06/21/21; 319093; p5-5
Disclosure(s): no disclosure
Functional and quality of life outcomes
Dr. Marie Aimée Perrouin Verbe
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Abstract
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Introduction
To assess short-term functional and quality of life outcomes after TOT removal surgeries.
Patients and methods
A retrospective analysis was conducted of all women who had full, partial or completion removal of their TOT in a tertiary referral centre from 2013 to 2020. Functional outcomes and quality of life using a dedicated composite questionnaire (UDI-6, EQ-5D-5L, ICIQ-S) with additional questions on sexual life was undertaken by telephone and post. R-Software has been used for statistical analyses.
Results
48 patients were enrolled in the study. Patient's characteristics are detailed in Fig1. Median interval between tape insertion and its removal was 9 years (IQR 5-10).
Chronic pelvic pain was the main indication for tape revision (93%, n=45). A complete full removal including vaginal and bilateral groin/paralabial incisions was performed in 50% of cases (n=24).
Concomitant autologous fascial sling was performed in 6 patients (12%), in whom bothersome urodynamically-proven recurrent stress urinary incontinence was identified prior to mesh removal. Length of catheterisation was ≤3 days in 50% of cases, and length of stay was <5 days in 77% of cases. Complications rate was 19% (n=9), including 100% being minor (Clavien ≤2). Post-operative data were available for 30 patients, with a median follow up of 5 months (IQR 12) (Table 1). 73% of the patients considered the mesh removal surgery successful, 80% were satisfied, and 90% would recommend it.
Conclusion
Despite a high rate of SUI recurrence, TOT removal improves patients' pain, and is associated with a high rate of overall satisfaction.
To assess short-term functional and quality of life outcomes after TOT removal surgeries.
Patients and methods
A retrospective analysis was conducted of all women who had full, partial or completion removal of their TOT in a tertiary referral centre from 2013 to 2020. Functional outcomes and quality of life using a dedicated composite questionnaire (UDI-6, EQ-5D-5L, ICIQ-S) with additional questions on sexual life was undertaken by telephone and post. R-Software has been used for statistical analyses.
Results
48 patients were enrolled in the study. Patient's characteristics are detailed in Fig1. Median interval between tape insertion and its removal was 9 years (IQR 5-10).
Chronic pelvic pain was the main indication for tape revision (93%, n=45). A complete full removal including vaginal and bilateral groin/paralabial incisions was performed in 50% of cases (n=24).
Concomitant autologous fascial sling was performed in 6 patients (12%), in whom bothersome urodynamically-proven recurrent stress urinary incontinence was identified prior to mesh removal. Length of catheterisation was ≤3 days in 50% of cases, and length of stay was <5 days in 77% of cases. Complications rate was 19% (n=9), including 100% being minor (Clavien ≤2). Post-operative data were available for 30 patients, with a median follow up of 5 months (IQR 12) (Table 1). 73% of the patients considered the mesh removal surgery successful, 80% were satisfied, and 90% would recommend it.
Conclusion
Despite a high rate of SUI recurrence, TOT removal improves patients' pain, and is associated with a high rate of overall satisfaction.
Introduction
To assess short-term functional and quality of life outcomes after TOT removal surgeries.
Patients and methods
A retrospective analysis was conducted of all women who had full, partial or completion removal of their TOT in a tertiary referral centre from 2013 to 2020. Functional outcomes and quality of life using a dedicated composite questionnaire (UDI-6, EQ-5D-5L, ICIQ-S) with additional questions on sexual life was undertaken by telephone and post. R-Software has been used for statistical analyses.
Results
48 patients were enrolled in the study. Patient's characteristics are detailed in Fig1. Median interval between tape insertion and its removal was 9 years (IQR 5-10).
Chronic pelvic pain was the main indication for tape revision (93%, n=45). A complete full removal including vaginal and bilateral groin/paralabial incisions was performed in 50% of cases (n=24).
Concomitant autologous fascial sling was performed in 6 patients (12%), in whom bothersome urodynamically-proven recurrent stress urinary incontinence was identified prior to mesh removal. Length of catheterisation was ≤3 days in 50% of cases, and length of stay was <5 days in 77% of cases. Complications rate was 19% (n=9), including 100% being minor (Clavien ≤2). Post-operative data were available for 30 patients, with a median follow up of 5 months (IQR 12) (Table 1). 73% of the patients considered the mesh removal surgery successful, 80% were satisfied, and 90% would recommend it.
Conclusion
Despite a high rate of SUI recurrence, TOT removal improves patients' pain, and is associated with a high rate of overall satisfaction.
To assess short-term functional and quality of life outcomes after TOT removal surgeries.
Patients and methods
A retrospective analysis was conducted of all women who had full, partial or completion removal of their TOT in a tertiary referral centre from 2013 to 2020. Functional outcomes and quality of life using a dedicated composite questionnaire (UDI-6, EQ-5D-5L, ICIQ-S) with additional questions on sexual life was undertaken by telephone and post. R-Software has been used for statistical analyses.
Results
48 patients were enrolled in the study. Patient's characteristics are detailed in Fig1. Median interval between tape insertion and its removal was 9 years (IQR 5-10).
Chronic pelvic pain was the main indication for tape revision (93%, n=45). A complete full removal including vaginal and bilateral groin/paralabial incisions was performed in 50% of cases (n=24).
Concomitant autologous fascial sling was performed in 6 patients (12%), in whom bothersome urodynamically-proven recurrent stress urinary incontinence was identified prior to mesh removal. Length of catheterisation was ≤3 days in 50% of cases, and length of stay was <5 days in 77% of cases. Complications rate was 19% (n=9), including 100% being minor (Clavien ≤2). Post-operative data were available for 30 patients, with a median follow up of 5 months (IQR 12) (Table 1). 73% of the patients considered the mesh removal surgery successful, 80% were satisfied, and 90% would recommend it.
Conclusion
Despite a high rate of SUI recurrence, TOT removal improves patients' pain, and is associated with a high rate of overall satisfaction.
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