Transobturator Tape for Female Stress Incontinence: Our Experience

Abstract

Aim: The aim of this study was to evaluate the effectiveness of transobturator tape (TOT), patient satisfaction and morbidity
in the treatment of female stress urinary incontinence (SUI). Material and methods: Forty-eight patients from January 2013
to December 2016 with SUI underwent TOT procedure by outside-in technique. Data related to operative time, postoperative
complications and patient acceptance were assessed. Results: Mean age of the patients was 41.3 years and 46 (95.8%) were
multiparous. The operative time was 26 ± 4 minutes and catheter was removed on 1 ± 2 days postoperatively. Hospital stay
was 2 ± 3 days and return to normal activity was 4-7 days for 46 (95.8%) patients and 7-10 days for 2 (4.2%) patients. Of
the 48 patients, 45 (93.75%) were continent postoperatively while 3 (6.25%) patients had occasional urine leak that did not
influence daily activities. No major intra-/postoperative complication was reported. Quality of life improved significantly.
A total of 45 (93.75%) patients were completely cured and satisfied, whereas 3 (6.25%) patients improved and partially
satisfied with surgical outcome. Conclusion: The TOT sling procedure is an effective treatment for SUI with high success
rate, high satisfaction rate, low morbidity and short hospital stay.