Abstract

ObjectiveTo evaluate the efficacy of the tension-free obturador tape procedure in the treatment of female urinary incontinence, alone or associated with pelvic organ prolapse surgery, and to analyze the intra and postoperative complications. Subjects and methodsProspective study over a period of five years including 107 patients. Preoperative evaluation included urodynamic study and assessment of the results was subjective with an ICIQ-SF questionnaire in a telephone survey of 105 patients. Cure is defined as a score in that questionnary, improvement as a score of 1 to 5 and failure as a score more 5. ResultsThe overall cure rate is 80%.There have been an 0.9% the bladder injury, 5.6% of urinary retention and 12% de novo urgency developed. In the group of incontinence surgery alone overall cure rate is the 69% and in the surgery group of incontinence associated with prolapse surgery is the 87% (P<.05). ConclusionsThe transobturador tape is a safe and effective procedure in the treatment of female urinary incontinence, alone or associated with pelvic organ prolapse surgery, in long term follow-up.

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