Introduction/Objective. Stress urinary incontinence (SUI) is defined as the
complaint of involuntary loss of urine in effort or physical exertion, or on
sneezing or coughing. It is a common clinical condition affecting 50% of
middle-aged and elderly women. Mid-urethral slings (MUSs) are the gold
standard in the treatment of SUI. The aim of this study was to investigate
the success rate and complications of surgical treatment of SUI in women
with transobturator tape (TOT) within the three years of follow-up.
Methods. From January 2011 until January 2018, 86 women with predominantly
SUI were operated by TOT procedure. In 61.6% of patients SUI was confirmed
by preoperative urodynamic examination (cystometry, uroflowmetry, urethral
presser profile) and in 38.4% of patients by clinical examination of stress
test (cough provocation). All patients were invited for a follow-up
examination 6, 12, 24 and 36 months after surgery. The result of the
operation is defined as cured, improved or without success. Results. The
average age was 55 (32-72) years. The most common complications were tape
erosion (3.5%), incision bleeding (2.3%), transient leg pain (3.5%),
dyspareunia (2.3%), vaginal erosion (3.5%) and de novo urge (5.8%). After
three years of follow-up, 82.6% patients were cured. Conclusion. TOT is a
safe, effective and successful procedure with 82.6% of cured patients during
a three-year follow-up.
Safety and efficacy of surgical transobturator tape in the treatment of stress urinary incontinence in women - three years of follow-up