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Anatomic transobturator tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers

Year 2015, Volume: 9 Issue: 1, 38 - 41, 20.06.2015
https://doi.org/10.2399/ana.14.043

Abstract

In women, stress urinary incontinence is the most common subtype of urinary incontinence. Trans-obturator slings can be usedfor minimally invasive treatment of stress urinary incontinence. The aim of this procedure is to place the mesh through the obturator foramen and underneath the mid part of the urethra with minimal damage to surrounding tissues. There are remarkablevariations in the bony architecture of the female pelvis, and this variability may have an important effect on sling operations.Understanding the surgical anatomy of the obturator foramen, pelvic floor and perineum is necessary to make a successfulimplantation of transobturator tape and minimize morbidity. Cadaveric dissections are helpful to demonstrate anatomic land marks.

References

  • Reynolds WS, Dmochowski RR, Penson DF. Epidemiology of stress urinary incontinence in women. Curr Urol Rep 2011;12: 370–6.
  • Barry C, Lim YN, Muller R, Hitchins S, Corstiaans A, Foote A, Greenland H, Frazer M, Rane A. A multi-centre, randomised clinical control trial comparing the retropubic (RP) approach ver- sus the transobturator approach (TO) for tension-free, subu- rethral sling treatment of urodynamic stress incontinence: the TORP study. Int Urogynecol J Pelvic Floor Dysfunct 2008;19: 171–8.
  • Standring S. Pelvic girdle, gluteal region and thigh. In: Standring S, editor. Gray’s anatomy. The anatomical basis of clinical prac- tice. 40th ed. Edinburgh: Elsevier Churchill Livingstone; 2008. p. 1349–85.
  • Hanissian P, Whiteside J. The transobturator approach to midurethral sling. In: Graham SD, Keane TE, editors. Glenn’s urologic surgery. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2010. p. 282–7.
  • Dmochowski RR, Padmanabhan P, Scarpero HM. Slings: autolo- gous, biologic, synthetic, and midurethral. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology. 10th ed. Philadelphia: Saunders Elsevier; 2012. p. 2115–67.
  • Cheung RY, Chan SS, Yiu KW, Chung TK. Inside-out versus out- side-in transobturator tension-free vaginal tape: a 5-year prospec- tive comparative study. Int J Urol 2014;21:74–80.
  • Dmochowski RR, Wolter CE. Transobturator midurethral sling. In: Smith JA, Howards SS, Preminger GM, editors. Hinman’s atlas of urologic surgery. ed. Philadelphia: Elsevier Saunders; 2012. p. 563–66.
  • Hinoul P, Vanormelingen L, Roovers JP, de Jonge E, Smajda S. Anatomical variability in the trajectory of the inside-out transob- turator vaginal tape technique (TVT-O). Int Urogynecol J Pelvic Floor Dysfunct 2007;18:1201–6.
  • Hinoul P, Bonnet P, Krofta L, Waltregny D, de Leval J. An anatomic comparisonof the original versus a modified inside-out transobturator procedure. Int Urogynecol J 2011;22:997–1004.
  • Ersoy M, Sagsoz N, Bozkurt MC, Apaydin N, Elhan A, Tekdemir I. Important anatomical structures used in paravaginal defect repair: cadaveric study. Eur J Obstet Gynecol Reprod Biol 2004; 112:206–13.
  • Ottem D, Stothers L. Transobturator tape: variation in the vascu- lar anatomy of the obturator foramen. Can J Urol 2007;14:3678– 83.
  • Navi A, Turner EJ, Aland RC. The course of the obturator artery following passage through the obturator foramen into the thigh. BMJ Case Rep 2012;pii: bcr0220125898.
  • Paulson JD, Baker J. De novo pudendal neuropathy after TOT-O surgery for stress urinary incontinence. JSLS 2011;15:326–30.
  • Aydogmus S, Kelekci S, Aydogmus H, Ekmekci E, Secil Y, Ture S. Obturator nerve injury: an infrequent complication of TOT pro- cedure. Case Rep Obstet Gynecol 2014;2014:290382.
  • Abdel-Fattah M, Ramsay I, Pringle S. Lower urinary tract injuries after transobturator tape insertion by different routes: a large ret- rospective study. BJOG 2006;113:1377–81.
  • Smith PP, Appell RA. Transobturator tape, bladder perforation, and paravaginal defect: a case report. Int Urogynecol J Pelvic Floor Dysfunct 2007;18:99–101.
  • Ridgeway BM, Arias BE, Barber MD. Variation of the obturator foramen and pubic arch of the female bony pelvis. Am J Obstet Gynecol 2008;198:546.e1–4.
  • Correspondence to: Mustafa F. Sargon, MD, PhD
  • Department of Anatomy, Faculty of Medicine,
  • Hacettepe University, Ankara, Turkey
  • Phone: +90 312 305 21 11 Fax: +90 312 310 71 69
  • e-mail: mfsargon@hacettepe.edu.tr
  • Conflict of interest statement: No conflicts declared.
  • This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY-NC
  • ND0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any
  • medium, provided the original work is properly cited. Please cite this article as: Huri E, Ezer M, Aydo¤an B, Tatar ‹, Sargon MF. Anatomic transobturator
  • tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers. Anatomy 2015;9(1):38–41.
Year 2015, Volume: 9 Issue: 1, 38 - 41, 20.06.2015
https://doi.org/10.2399/ana.14.043

Abstract

References

  • Reynolds WS, Dmochowski RR, Penson DF. Epidemiology of stress urinary incontinence in women. Curr Urol Rep 2011;12: 370–6.
  • Barry C, Lim YN, Muller R, Hitchins S, Corstiaans A, Foote A, Greenland H, Frazer M, Rane A. A multi-centre, randomised clinical control trial comparing the retropubic (RP) approach ver- sus the transobturator approach (TO) for tension-free, subu- rethral sling treatment of urodynamic stress incontinence: the TORP study. Int Urogynecol J Pelvic Floor Dysfunct 2008;19: 171–8.
  • Standring S. Pelvic girdle, gluteal region and thigh. In: Standring S, editor. Gray’s anatomy. The anatomical basis of clinical prac- tice. 40th ed. Edinburgh: Elsevier Churchill Livingstone; 2008. p. 1349–85.
  • Hanissian P, Whiteside J. The transobturator approach to midurethral sling. In: Graham SD, Keane TE, editors. Glenn’s urologic surgery. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2010. p. 282–7.
  • Dmochowski RR, Padmanabhan P, Scarpero HM. Slings: autolo- gous, biologic, synthetic, and midurethral. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology. 10th ed. Philadelphia: Saunders Elsevier; 2012. p. 2115–67.
  • Cheung RY, Chan SS, Yiu KW, Chung TK. Inside-out versus out- side-in transobturator tension-free vaginal tape: a 5-year prospec- tive comparative study. Int J Urol 2014;21:74–80.
  • Dmochowski RR, Wolter CE. Transobturator midurethral sling. In: Smith JA, Howards SS, Preminger GM, editors. Hinman’s atlas of urologic surgery. ed. Philadelphia: Elsevier Saunders; 2012. p. 563–66.
  • Hinoul P, Vanormelingen L, Roovers JP, de Jonge E, Smajda S. Anatomical variability in the trajectory of the inside-out transob- turator vaginal tape technique (TVT-O). Int Urogynecol J Pelvic Floor Dysfunct 2007;18:1201–6.
  • Hinoul P, Bonnet P, Krofta L, Waltregny D, de Leval J. An anatomic comparisonof the original versus a modified inside-out transobturator procedure. Int Urogynecol J 2011;22:997–1004.
  • Ersoy M, Sagsoz N, Bozkurt MC, Apaydin N, Elhan A, Tekdemir I. Important anatomical structures used in paravaginal defect repair: cadaveric study. Eur J Obstet Gynecol Reprod Biol 2004; 112:206–13.
  • Ottem D, Stothers L. Transobturator tape: variation in the vascu- lar anatomy of the obturator foramen. Can J Urol 2007;14:3678– 83.
  • Navi A, Turner EJ, Aland RC. The course of the obturator artery following passage through the obturator foramen into the thigh. BMJ Case Rep 2012;pii: bcr0220125898.
  • Paulson JD, Baker J. De novo pudendal neuropathy after TOT-O surgery for stress urinary incontinence. JSLS 2011;15:326–30.
  • Aydogmus S, Kelekci S, Aydogmus H, Ekmekci E, Secil Y, Ture S. Obturator nerve injury: an infrequent complication of TOT pro- cedure. Case Rep Obstet Gynecol 2014;2014:290382.
  • Abdel-Fattah M, Ramsay I, Pringle S. Lower urinary tract injuries after transobturator tape insertion by different routes: a large ret- rospective study. BJOG 2006;113:1377–81.
  • Smith PP, Appell RA. Transobturator tape, bladder perforation, and paravaginal defect: a case report. Int Urogynecol J Pelvic Floor Dysfunct 2007;18:99–101.
  • Ridgeway BM, Arias BE, Barber MD. Variation of the obturator foramen and pubic arch of the female bony pelvis. Am J Obstet Gynecol 2008;198:546.e1–4.
  • Correspondence to: Mustafa F. Sargon, MD, PhD
  • Department of Anatomy, Faculty of Medicine,
  • Hacettepe University, Ankara, Turkey
  • Phone: +90 312 305 21 11 Fax: +90 312 310 71 69
  • e-mail: mfsargon@hacettepe.edu.tr
  • Conflict of interest statement: No conflicts declared.
  • This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY-NC
  • ND0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any
  • medium, provided the original work is properly cited. Please cite this article as: Huri E, Ezer M, Aydo¤an B, Tatar ‹, Sargon MF. Anatomic transobturator
  • tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers. Anatomy 2015;9(1):38–41.
There are 27 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Emre Huri This is me

Mehmet Ezer This is me

Batuhan Aydoğan This is me

İlkan Tatar This is me

Mustafa F. Sargon This is me

Publication Date June 20, 2015
Published in Issue Year 2015 Volume: 9 Issue: 1

Cite

APA Huri, E., Ezer, M., Aydoğan, B., Tatar, İ., et al. (2015). Anatomic transobturator tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers. Anatomy, 9(1), 38-41. https://doi.org/10.2399/ana.14.043
AMA Huri E, Ezer M, Aydoğan B, Tatar İ, Sargon MF. Anatomic transobturator tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers. Anatomy. April 2015;9(1):38-41. doi:10.2399/ana.14.043
Chicago Huri, Emre, Mehmet Ezer, Batuhan Aydoğan, İlkan Tatar, and Mustafa F. Sargon. “Anatomic Transobturator Tape (TOT) Technique: Clinical Anatomic Landmarks of Obturator Foramen on Female Cadavers”. Anatomy 9, no. 1 (April 2015): 38-41. https://doi.org/10.2399/ana.14.043.
EndNote Huri E, Ezer M, Aydoğan B, Tatar İ, Sargon MF (April 1, 2015) Anatomic transobturator tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers. Anatomy 9 1 38–41.
IEEE E. Huri, M. Ezer, B. Aydoğan, İ. Tatar, and M. F. Sargon, “Anatomic transobturator tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers”, Anatomy, vol. 9, no. 1, pp. 38–41, 2015, doi: 10.2399/ana.14.043.
ISNAD Huri, Emre et al. “Anatomic Transobturator Tape (TOT) Technique: Clinical Anatomic Landmarks of Obturator Foramen on Female Cadavers”. Anatomy 9/1 (April 2015), 38-41. https://doi.org/10.2399/ana.14.043.
JAMA Huri E, Ezer M, Aydoğan B, Tatar İ, Sargon MF. Anatomic transobturator tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers. Anatomy. 2015;9:38–41.
MLA Huri, Emre et al. “Anatomic Transobturator Tape (TOT) Technique: Clinical Anatomic Landmarks of Obturator Foramen on Female Cadavers”. Anatomy, vol. 9, no. 1, 2015, pp. 38-41, doi:10.2399/ana.14.043.
Vancouver Huri E, Ezer M, Aydoğan B, Tatar İ, Sargon MF. Anatomic transobturator tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers. Anatomy. 2015;9(1):38-41.

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).