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. 2015 Jan 24;1(3):137-140.
doi: 10.14744/nci.2014.30085. eCollection 2014.

Investigation of the efficacy of transobturator tape (TOT) surgery in stress urinary incontinence

Mehmet Suhha Bostanci  1 , Selcuk Ozden  1 , Orhan Unal  1 , Arif Serhan Cevrioglu  1 , Nermin Akdemir  1 , Mustafa Albayrak  1
Affiliations

Investigation of the efficacy of transobturator tape (TOT) surgery in stress urinary incontinence

Mehmet Suhha Bostanci et al. North Clin Istanb. .

Abstract

Objective: To evaluate the safety and efficacy of transobturator vaginal tape (TOT) in the management women with stress urinary incontinence (SUI) and to analyze functional results and subjective cure rates at follow- up visits.

Methods: Eighty-three consecutive women with SUI underwent TOT procedure. Data related to operative time, pre- and post-operative complications were collected. Subjective cure was defined as the absence of any urine loss on physical activity.

Results: Mean age of the patients was 53.2 years, and 66.3% of the patients had pure SUI. The mean operative time was 24.96 min in cases of isolated SUI treatment. The mean hospital stay was 1.53±0.68 days. At a mean follow-up of 32.8 months, the median subjective cure rate was 68.7 percent. Bladder injury (8.4%) was the only short and long term complication of this procedure.

Conclusion: TOT is a safe and effective procedure for SUI with a low rate of long- term complications. The short -term complication like bladder perforation may develop based on the experience of the surgeons or concomitant pelvic surgery.

Keywords: Complication; stress urinary incontinence; transobturator vaginal tape (TOT).

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Conflict of interest statement

No conflict of interest was declared by the authors.

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