{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T03:04:05Z","timestamp":1781838245412,"version":"3.54.5"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,5,15]],"date-time":"2013-05-15T00:00:00Z","timestamp":1368576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the 1\u2010year and 5\u2010year outcomes of transobturator tension\u2010free vaginal tape with outside\u2010in and inside\u2010out approaches in women with urinary stress incontinence, and to identify risk factors for treatment failure at 5 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A prospective observational study was carried out for women with urinary stress incontinence who underwent transobturator tension\u2010free vaginal tape from <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>eptember 2004 to <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2008 in a tertiary urogynecology center. Women (<jats:italic>n<\/jats:italic>\u2009=\u2009213) had either an outside\u2010in (<jats:italic>n<\/jats:italic>\u2009=\u2009124) or inside\u2010out (<jats:italic>n<\/jats:italic>\u2009=\u200989) procedure. They were followed up annually until 5 years after the operation. Subjective cure was defined as women not experiencing any urine loss on physical activity. Objective cure was defined as no urine leak at cough during a standard urodynamic study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At a mean follow up of 59.2\u2009months, the subjective cure rates were 81.7% and 84.1%; the objective cure rate were 82.6% and 82.5% for the outside\u2010in and inside\u2010out approach, respectively. There was no statistically significant difference between the procedures. De novo overactive bladder syndrome (10.6% in outside\u2010in and 14.6% in inside\u2010out approach; <jats:italic>P<\/jats:italic>\u2009=\u20090.40) and de novo detrusor overactivity (5.8% in outside\u2010in and 15% in inside\u2010out approach; <jats:italic>P<\/jats:italic>\u2009=\u20090.11) was also comparable between the two groups. Complications at the fifth year were low and not significantly different among both methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The outside\u2010in approach and inside\u2010out approach are both safe and effective in treating women with urinary stress incontinence up to 5 years.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.12196","type":"journal-article","created":{"date-parts":[[2013,5,16]],"date-time":"2013-05-16T00:22:42Z","timestamp":1368663762000},"page":"74-80","source":"Crossref","is-referenced-by-count":11,"title":["Inside\u2010out versus outside\u2010in transobturator tension\u2010free vaginal tape: A 5\u2010year prospective comparative study"],"prefix":"10.1111","volume":"21","author":[{"given":"Rachel Yau Kar","family":"Cheung","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Faculty of Medicine The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Symphorosa Shing Chee","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Faculty of Medicine The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ka Wah","family":"Yiu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Faculty of Medicine The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tony Kwok Hung","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Faculty of Medicine The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,5,15]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"214","article-title":"Quality of life in women with urinary incontinence is impaired and comparable to women with chronic diseases","volume":"18","author":"Cheung RY","year":"2012","journal-title":"Hong Kong Med. 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