IPG107

Transobturator foramen procedures for stress urinary incontinence (IPG107)

  • Interventional procedures IPG107
  • Withdrawn
    • Transobturator foramen procedures for stress urinary incontinence

      The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on transobturator foramen procedures for stress incontinence in January 2005.

      This guidance has been withdrawn as the use of this procedure is now covered in the Clinical Guideline on Urinary incontinence: The management of urinary incontinence in women, (www.nice.org.uk/cg40). NICE has no plans to carry out further assessment of this procedure under the Interventional Procedures Programme.

      • Description

        Stress urinary incontinence is the involuntary leakage of urine during exercise or movements such as coughing, sneezing and laughing. It is usually caused by weak or damaged muscles and connective tissues in the pelvic floor, compromising urethral support, or by weakness of the urethral sphincter itself.

        Typically, first-line treatment is conservative and includes pelvic floor muscle training, electrical stimulation, biofeedback and mechanical devices (urethral plugs and inserts). If the condition does not improve, surgical alternatives in women may include colposuspension, tension-free vaginal tape (TVT), traditional suburethral slings, and injectable agents. Of these four types of operation, colposuspension and TVT are currently the most common.

        Transobturator tape is similar to TVT, but a different technique is used to insert the tape.

      • Other information

        • None found

      Details

      Arrangement:
      Other (see guidance)
      Topic area:
      Specialty:
      Specialist advice sought from:
      Date notified to NICE:
      01 April 2002
      Provisional consultation date:
      July 2004
      Guidance issue date:
      26 January 2005

      Contact details:

      Contact NICE about this project
      Contact Address:

      Interventional Procedures Programme
      National Institute for Health and Care Excellence
      10 Spring Gardens
      London
      SW1A 2BU

      This page was last updated: 15 October 2012

Patient

The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.

Quick Reference Guide

The quick reference guide presents recommendations for health professionals

NICE Guidance

The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.

Full Guidance

The published full clinical guidance for specialists with background, evidence, recommendations and methods used.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.