E U R O P E A N R E N A L & G E N I T O - U R I N A R Y D I S E A S E 2006 

• Published in late 2006, results were encouraging. 

  

• Poster presentation 14 patients
• Mean folow-up 18 months 
• VAS was 2.5 post-operation, 0.9 at 1 month and 0.1 at 1 year 
• Mean pad use reduced from 2.4 to 0.9, 50% used no pad.                                                                               
  

     AUA 2009 

•   Most of the patients improved or continent with one year follow-up

  European Urological Review 2009

•   96 patients - University of Rouen  
•   "On the VAS, the median pain value the day after surgery was 2, then decreased significantly to 1.2 at 1 month and remained at 0.4 for all further visits."
•   "Overall, median pad use decreased significantly from two pads per day before surgery to one pad per day for all visits thereafter. At one,three and six months the  number of pad free patients was,  respectively 60, 51, and 51%.
   Continence rate of use of no or one pad per day was respectively,  74, 82, and 86%
• 
     International Braz J Urol 2009  

•   Multicentre trial with TOMS four arm. 50 patients  
•   "On the VAS, the median pain value the day after surgery was  2    then decreased significantly to 0 at one month and remained similar  for all further visits until the end of the study
• "The ICIQ incontinence score (Figure 4) decreased significantly
   from 15  before the TOMS sling to 8 at one year, and the median  score was 9 for all other visits at follow-up."
                            
      UroToday.com  March 2010
    Male stress urinary incontinence: The place
   of alternatives to an artificial urinary sphincter, 
                             by Philippe Grise, MD
•  More than 50% of patients were completely continent and
    more than 70% of the patients were improved in their
    continence and their quality of life.
•  TOMS sling is a safe procedure and pain is not an issue.
  
            Urology 76 (Supplement 3A) September 2010                                              
                       Melanie Crites DO and Gamal Ghoniem MD
                        Cleveland Clinic Florida 
• "Failure rate (<50% improvement) was 46.3% in BAMS and 16.7%  in   TOMS (p=0.03)"     
•                 
                      Presentation at AUA 2011
                                  Philippe Grise et al
                         ♦ 122 patients from 30 centres
                         ♦ 93% improved at 360 day follow-up

• The Journal of Urology  April 2011
       
  
•  Training can be arranged with an experienced
   surgeon at his hospital or in yours.                  
  
  

  Type 1 100% monofilament  polypropylene
  Macropore knitting
  Resistance to traction (no “rope effect”) 
  No particle release
  Atraumatic looped edges 
  Dimensional stability - low elasticity

  Minimal mass








The tape has two arms on each side. These are connected at the extremities to enable both arms to be together connected onto the needle before being drawn through the obturator on each side.

Before applying tension to the tape, simultaneously on both sides, the tape should be lying flat over the bulbospongiosus muscle. If it is not, this can be easily corrected by applying tension to the arms separately.

  Watch the procedure on YouTube

 To receive a DVD on the procedure or to arrange for training with an 
    I-STOP TOMS user contact Genesis Medical

 See an animation of the surgical technique         

                                                I-STOP for female SUI