KaydedilenlerDerginizi ekleyin

Dergiler / Sağlık Akademisyenleri Dergisi / 2026 / Cilt: 13 Sayı: 3

Transobturator bant cerrahisi hastalarında dıştan içeriye ve içten dışarıya yaklaşımlarının sonuçları

Results of outside-in and inside-out approaches in transobturator tape surgery patients

Mustafa Ozel(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ADANA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ)0000-0002-0790-610X
Oğuz Uyar(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ADANA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0009-0001-8040-339X
Sayfa
564–573
Yayın Tarihi
2026-09-30
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular: Katılımcıların USG sonuçlarına göre, üç katılımcıda miyom, altı katılımcıda ise sağ ve/veya sol overde kist tespit edildi.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Amaç: Bu çalışmanın amacı farklı transobturator bant yaklaşımlarından elde edilen verileri paylaşmaktır.
📊
Temel Bulgular & Veri:Yöntemler: Stres idrar kaçırması olan toplam 110 hasta çalışmaya dahil edildi.
💡
Sonuç & Katkı:Bulgular: Katılımcıların USG sonuçlarına göre, üç katılımcıda miyom, altı katılımcıda ise sağ ve/veya sol overde kist tespit edildi.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:110 hasta
⚙️Değişkenler:Transobturator bant cerrahisi · stres idrar kaçırma · dıştan içe yaklaşım

Özet

Amaç: Bu çalışmanın amacı farklı transobturator bant yaklaşımlarından elde edilen verileri paylaşmaktır. Yöntemler: Stres idrar kaçırması olan toplam 110 hasta çalışmaya dahil edildi. Bu katılımcıların tümü transobturator bant prosedürü geçirdi. Transobturator bant prosedürü dıştan içe ve içten dışa olmak üzere iki farklı şekilde gerçekleştirildi. Bu çalışmaya Türkiye'de ikinci basamak bir hastanenin jinekoloji polikliniğine stres idrar kaçırma şikayetiyle başvuran ve araştırmaya katılmayı kabul eden katılımcılar dahil edildi. Çalışmada, işlem öncesi elde edilen ultrason sonuçları, katılımcıların menopoz durumu ve doğum özellikleri analiz edildi. Katılımcıların kolporafi ameliyatları ve dıştan içe ve içten dışa yaklaşımlar ile ilgili özellikleri incelendi. Bulgular: Katılımcıların USG sonuçlarına göre, üç katılımcıda miyom, altı katılımcıda ise sağ ve/veya sol overde kist tespit edildi. Transobturator bant ameliyatı 71 (%64,6) katılımcıda içten dışa, kalan 39 katılımcıda ise dıştan içe uygulandı. Katılımcıların içten dışa ve dıştan içe ameliyatları sonrası saptanan Hb, Hct ve WBC değerleri karşılaştırıldı. Gruplar arasında fark bulunmadı. Sonuç: Transobturator bant ameliyatı stres tipi idrar kaçırma için güçlü ve etkili bir çözüm sunmaktadır.

Abstract

Aim: The purpose of this study is to share data obtained from different approaches to transobturator tape procedures. Methods: A total of 110 patients with stress urinary incontinence were included. All these participants underwent transobturator tape procedures. The transobturator tape procedure was performed in two different ways, outside-in and inside-out. This study included participants who presented with complaints of stress urinary incontinence and agreed to participate in the research at the gynecology outpatient clinic of a secondary care hospital in Turkey. The study analyzed ultrasound results obtained before the procedure, participants' menopausal status, and childbirth characteristics. Participants' characteristics regarding colporrhaphy surgeries and outside-in and inside-out approaches were also analyzed. Results: According to the participants' USG results, myomas were detected in three participants, while cysts in the right and/or left ovary were identified in six participants. The transobturator tape procedure was performed from the inside-out in 71 participants (64,6%), while it was performed from the outside-in in the remaining 39 participants. Participants' postoperative Hb, Hct, and WBC values were compared using outside-in and inside-out approaches. No differences were found between the groups. Conclusion: Transobturator tape surgery offers a robust and efficacious solution for stress urinary incontinence.

🔖

Bu Makaleye Atıf Yap

Ozel, M., Uyar, O. (2026). Transobturator bant cerrahisi hastalarında dıştan içeriye ve içten dışarıya yaklaşımlarının sonuçları. Sağlık Akademisyenleri Dergisi, Cilt: 13 Sayı: 3, 564–573. https://doi.org/10.52880/sagakaderg.1824477

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (40)

  1. Abu Raddaha, A. H., & Nasr, E. H. (2022). Kegel exercise training program among women with urinary incontinence. Healthcare, 10(12), 2359.
  2. Alouini, S., Memic, S., & Couillandre, A. (2022). Pelvic floor muscle training for urinary incontinence with or without biofeedback or electrostimulation in women: a systematic review. International Journal of Environmental Research and Public Health, 19(5), 2789.
  3. Barber, M. D., Kleeman, S., Karram, M. M., Paraiso, M. F. R., Walters, M. D., Vasavada, S., & Ellerkmann, M. (2008). Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence: a randomized controlled trial. Obstetrics & Gynecology, 111(3), 611–621.
  4. Bokne, K., Sjöström, M., & Samuelsson, E. (2019). Self-management of stress urinary incontinence: effectiveness of two treatment programmes focused on pelvic floor muscle training, one booklet and one Internet-based. Scandinavian Journal of Primary Health Care, 37(3), 380–387.
  5. Bostanci, M. S., Ozden, S., Unal, O., Cevrioglu, A. S., Akdemir, N., & Albayrak, M. (2015). Investigation of the efficacy of transobturator tape (TOT) surgery in stress urinary incontinence. Northern Clinics of İstanbul, 1(3), 137.
  6. Bradley, C. S., Erickson, B. A., Messersmith, E. E., Pelletier-Cameron, A., Lai, H. H., Kreder, K. J., Yang, C. C., Merion, R. M., Bavendam, T. G., & Kirkali, Z. (2017). Evidence of the impact of diet, fluid intake, caffeine, alcohol and tobacco on lower urinary tract symptoms: a systematic review. The Journal of Urology, 198(5), 1010–1020.
  7. Braga, A., Caccia, G., Sorice, P., Cantaluppi, S., Coluccia, A. C., Di Dedda, M. C., Regusci, L., Ghezzi, F., Uccella, S., & Serati, M. (2018). Tension‐free vaginal tape for treatment of pure urodynamic stress urinary incontinence: efficacy and adverse effects at 17‐year follow‐up. BJU International, 122(1), 113–117.
  8. Broome, B. A. S. (2003). The impact of urinary incontinence on self-efficacy and quality of life. Health and Quality of Life Outcomes, 1(1), 35.
  9. Bueno Garcia Reyes, P., & Hashim, H. (2020). Mesh complications: best practice in diagnosis and treatment. Therapeutic Advances in Urology, 12, 1756287220942993.
  10. Chong, E. C., Khan, A. A., & Anger, J. T. (2011). The financial burden of stress urinary incontinence among women in the United States. Current Urology Reports, 12(5), 358–362.
  11. Delorme, E., Droupy, S., de Tayrac, R., & Delmas, V. (2003). Transobturator tape (Uratape). A new minimally invasive method in the treatment of urinary incontinence in women. Progres En Urologie: Journal de L’association Francaise D’urologie et de La Societe Francaise D’urologie, 13(4), 656–659.
  12. Dogan, S. (2022). Comparison of autologous rectus fascia and synthetic sling methods of transobturator mid-urethral sling in urinary stress incontinence. Cureus, 14(3).
  13. Ford, A. A., Rogerson, L., Cody, J. D., & Ogah, J. (2015). Mid‐urethral sling operations for stress urinary incontinence in women. Cochrane Database of Systematic Reviews, 7.
  14. Gluck, O., Matani, D., Rosen, A., Barber, E., Weiner, E., & Ginath, S. (2023). Surgical treatment for rectocele by posterior colporrhaphy compared to stapled transanal rectal resection. Journal of Clinical Medicine, 12(2), 678.
  15. Grise, P., Droupy, S., Saussine, C., Ballanger, P., Monneins, F., Hermieu, J. F., Serment, G., & Costa, P. (2006). Transobturator tape sling for female stress incontinence with polypropylene tape and outside-in procedure: prospective study with 1 year of minimal follow-up and review of transobturator tape sling. Urology, 68(4), 759–763.
  16. Halpern-Elenskaia, K., Umek, W., Bodner-Adler, B., & Hanzal, E. (2018). Anterior colporrhaphy: a standard operation? Systematic review of the technical aspects of a common procedure in randomized controlled trials. International Urogynecology Journal, 29(6), 781–788.
  17. Harland, N., Walz, S., Eberli, D., Schmid, F. A., Aicher, W. K., Stenzl, A., & Amend, B. (2023). Stress urinary incontinence: an unsolved clinical challenge. Biomedicines, 11(9), 2486.
  18. Hwang, J.-C., Sun, F.-J., Su, T.-H., & Lau, H.-H. (2022). Efficacy of biofeedback and electrostimulation-assisted pelvic floor muscle training between women with mild and moderate to severe stress urinary incontinence. Journal of Clinical Medicine, 11(21), 6424.
  19. Imamura, M., Williams, K., Wells, M., & McGrother, C. (2015). Lifestyle interventions for the treatment of urinary incontinence in adults. Cochrane Database of Systematic Reviews, 12.
  20. Joo, E., Kang, M. H., Yoo, E.-H., & Kim, D. (2019). Assessment of the effect of transobturator tape surgery on women’s sexual function using a validated questionnaire. Obstetrics & Gynecology Science, 62(2), 120–126.
  21. Jost, W. H., & Marsalek, P. (2005). Duloxetine in the treatment of stress urinary incontinence. Therapeutics and Clinical Risk Management, 1(4), 259–264.
  22. Kim, S. R., Suh, D. H., Kim, W., & Jeon, M. J. (2022). Current techniques used to perform surgery for anterior and posterior vaginal wall prolapse in South Korea. Obstetrics & Gynecology Science, 65(3), 273–278.
  23. Kuprasertkul, A., Christie, A. L., Alhalabi, F., & Zimmern, P. (2021). Very long-term follow-up of the anterior vaginal wall suspension procedure for incontinence and/or prolapse repair. World Journal of Urology, 39(2), 533–542.
  24. Li, P.-C., & Ding, D.-C. (2023). Stem-cell therapy in stress urinary incontinence: a review. Tzu Chi Medical Journal, 35(2), 111–119.
  25. Long, C.-Y., Hsu, C.-S., Wu, M.-P., Liu, C.-M., Wang, T.-N., & Tsai, E.-M. (2009). Comparison of tension-free vaginal tape and transobturator tape procedure for the treatment of stress urinary incontinence. Current Opinion in Obstetrics and Gynecology, 21(4), 342–347.
  26. Madhuvrata, P., Riad, M., Ammembal, M. K., Agur, W., & Abdel-Fattah, M. (2012). Systematic review and meta-analysis of “inside-out” versus “outside-in” transobturator tapes in management of stress urinary incontinence in women. European Journal of Obstetrics & Gynecology and Reproductive Biology, 162(1), 1–10.
  27. Magon, N., & Chopra, S. V. S. M. (2012). Transobturator tape in treatment of stress urinary incontinence: it is time for a new gold standard. North American Journal of Medical Sciences, 4(5), 226.
  28. Mayekar, R. V., Bhosale, A. A., Kandhari, K. V., Nandanwar, Y. S., & Shaikh, S. S. (2017). A study of transobturator tape in stress urinary incontinence. Urology Annals, 9(1), 9–12.
  29. McConnell, J., Murtagh, L., Lim, M., Pedofsky, L., Kruger, J., Budgett, D., & Jha, S. (2023). A pilot study to evaluate changes in pelvic floor muscle tone following pelvic organ prolapse surgery using a novel intra-vaginal pressure sensor device. International Urogynecology Journal, 34(5), 1043–1047.
  30. Molinet Coll, C., Martinez Franco, E., Altimira Queral, L., Cuadras, D., Amat Tardiu, L., & Parés, D. (2022). Hormonal influence in stress urinary incontinence during pregnancy and postpartum. Reproductive Sciences, 29(8), 2190–2199.
  31. Nair, D. B., Khan, Z., Mishra, T., Chopra, J., Wareham, K., & Emery, S. J. (2024). Autologous fascial slings for stress urinary incontinence: a 17-year follow-up of a randomised controlled study. International Urogynecology Journal, 35(3), 649–659.
  32. Nightingale, G. (2020). Management of urinary incontinence. Post Reproductive Health, 26(2), 63–70.
  33. Onuk, Ö. (2019). A minimally invasive modified technique for female stress urinary incontinence: transobturator tape without paraurethral dissection. Videosurgery and Other Miniinvasive Techniques, 14(2), 278–283.
  34. Shawer, S., Boodhoo, V., Licari, O., Pringle, S., Tyagi, V., Revicky, V., & Guerrero, K. (2023). Total trans-obturator tape (TOT) removal; a case series including pain and urinary continence outcomes. International Urogynecology Journal, 34(5), 1017–1023.
  35. Sik, B. A., Copur, H., & Aba, Y. A. (2019). The outcomes of transobturator tape intervention in the treatment of stress urinary incontinence: Two years’ follow-up. Pakistan Journal of Medical Sciences, 35(2), 477.
  36. Sikora, M., Gamper, M., Zivanovic, I., Münst, J., Bischofberger, H., Kociszewski, J., & Viereck, V. (2024). Current treatment of stress urinary incontinence by bulking agents and laser therapy—an update. Journal of Clinical Medicine, 13(5), 1377.
  37. Veit‐Rubin, N., Dubuisson, J., Ford, A., Dubuisson, J., Mourad, S., & Digesu, A. (2019). Burch colposuspension. Neurourology and Urodynamics, 38(2), 553–562.
  38. Wang, H., Liu, J., Fang, K., Liu, J., Chen, T., Yang, T., & Shi, X. (2022). Transobturator tape, tension‐free vaginal tape, and transvaginal tension‐free vaginal tape‐obturator for the treatment of female stress urinary incontinence: A systematic review and network meta‐analysis. International Journal of Gynecology & Obstetrics, 157(3), 527–535.
  39. Wing, R. R., West, D. S., Grady, D., Creasman, J. M., Richter, H. E., Myers, D., Burgio, K. L., Franklin, F., Gorin, A. A., & Vittinghoff, E. (2010). Effect of weight loss on urinary incontinence in overweight and obese women: results at 12 and 18 months. The Journal of Urology, 184(3), 1005–1010.
  40. Yang, X., Wang, X., Gao, Z., Li, L., Lin, H., Wang, H., Zhou, H., Tian, D., Zhang, Q., & Shen, J. (2022). The anatomical pathogenesis of stress urinary incontinence in women. Medicina, 59(1), 5.