Abstract
AIMS AND OBJECTIVES: To analyse the outcome of TOT mesh repair in genuine stress urinary incontinence. MATERIALS & METHODS: 25 patients with symptoms of genuine stress urinary incontinence who attended the outpatient department between October 2010 - December 2012 were studied. All patients were evaluated by detailed history, physical examination, stamey grading, pad test, uroflow, VLPP, cystoscopy and bonney's test. 25 patients were subjected to TOT mesh repair under spinal anaesthesia with mean follow up of 12 months. RESULTS: Total 25 patients were evaluated. Majority fall in 41-45 years age group. 60% have grade I and 40% have grade 2 SUI. 60% patients weight of pre op pad is 3.5gms. 15 out of 25 patients have 80-120 cm H2Oof VLPP. 92% of patients were cured. 8% patients show improvement of symptoms. No failures were noted. 23 out of 25 patients were pad free post operatively. CONCLUSION: TOT mesh repair is an effective and safe technique for the treatment of genuine stress incontinence.
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