{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T18:33:34Z","timestamp":1773945214503,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T00:00:00Z","timestamp":1710892800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study is to describe a standardised technique of full TOT removal with groin dissection and to report clinical improvement, satisfaction, safety and long\u2010term functional, quality of life (QoL) and sexual QoL outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>A retrospective review enrolling all women who had full TOT removal, in a tertiary referral centre from May 2017 to November 2020. Functional outcomes, satisfaction and QoL were assessed using a bespoke composite questionnaire (UDI\u20106, EQ\u20105D\u20105L and ICIQ\u2010S) with additional questions on sexual QoL. Secondary outcomes were post\u2010operative recurrent stress urinary incontinence (SUI) and complication rate according to the Clavien\u2010Dindo classification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Full TOT removal using a vaginal approach and bilateral groin\/para\u2010labial incisions was performed in 67 patients. Chronic pelvic pain was the main indication for mesh removal (51% of cases, <jats:italic>n<\/jats:italic>\u00a0=\u200934). QoL questionnaires were answered by 43 patients. The satisfaction rate was high 86% (<jats:italic>n<\/jats:italic>\u00a0=\u200937), and 81% (<jats:italic>n<\/jats:italic>\u00a0=\u200935) of the patients considered the surgery successful. Seventy per cent (<jats:italic>n<\/jats:italic>\u00a0=\u200930) of patients returned to having a sexual life after surgery. Recurrent SUI was reported in 32% (<jats:italic>n<\/jats:italic>\u00a0=\u200914) of cases. The complication rate was 10% (7\/67), all of them Clavien\u2013Dindo \u22642.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite a high rate of postoperative bothersome SUI, full TOT removal with bilateral groin dissection improves pain and QoL. It is associated with a high overall satisfaction rate and an acceptable rate of complications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bco2.317","type":"journal-article","created":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T00:38:51Z","timestamp":1710981531000},"page":"568-578","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Quality of life outcomes after transobturator tape full removal surgeries: A monocentric experience"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0212-2840","authenticated-orcid":false,"given":"Marie\u2010Aimee","family":"Perrouin\u2010Verbe","sequence":"first","affiliation":[{"name":"Bristol Urological Institute Southmead Hospital  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D\u2010Carolina","family":"Ochoa","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute Southmead Hospital  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Skews","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute Southmead Hospital  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mez","family":"Acharya","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery Southmead Hospital  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonin","family":"Prouza","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute Southmead Hospital  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2467-407X","authenticated-orcid":false,"given":"Hashim","family":"Hashim","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute Southmead Hospital  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-11821-w"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.2590"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-020-04612-x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000514389"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000853"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23544"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/2090598X.2019.1589787"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1586\/17434440.2015.985655"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-018-3727-y"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/17434440.2019.1626230"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.04.006"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1756287220942993"},{"key":"e_1_2_9_14_1","unstructured":"Treating complications from mesh used for stress urinary incontinence\u2010Options for women referred to specialist centres\u2010Patient decision aid. Available from:https:\/\/www.nice.org.uk\/guidance\/ng123\/resources\/treating-complications-from-mesh-used-for-stress-urinary-incontinence-options-for-women-referred-to-specialist-centres-patient-decision-aid-pdf-6725286117. [Internet]. Available from:https:\/\/www.nice.org.uk\/guidance\/ng123\/resources\/treating-complications-from-mesh"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.03.153"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3276-9"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.10.033"},{"key":"e_1_2_9_18_1","article-title":"Pain after midurethral sling; the underestimated role of mesh removal","author":"Mengerink BB","year":"2021","journal-title":"Cent Eur J Urol [Internet]"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.01.030"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.01.036"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000596"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.07.031"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004646"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2227-3"}],"updated-by":[{"DOI":"10.1002\/bco2.482","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T00:00:00Z","timestamp":1735516800000}}],"container-title":["BJUI Compass"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.317","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T20:16:41Z","timestamp":1759954601000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bco2.317"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,20]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1002\/bco2.317"],"URL":"https:\/\/doi.org\/10.1002\/bco2.317","archive":["Portico"],"relation":{"erratum":[{"id-type":"doi","id":"10.1002\/bco2.482","asserted-by":"object"}]},"ISSN":["2688-4526","2688-4526"],"issn-type":[{"value":"2688-4526","type":"print"},{"value":"2688-4526","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,20]]},"assertion":[{"value":"2023-10-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}