Abstract
Objective:To measure the efficiency of transobturator tape (TOT) surgery using urodynamics and questionnaires in stress urinary incontinence.Materials and Methods:Ninety-two patients with stress and mixed urinary incontinency who underwent TOT surgery were selected for the study. We retrospectively examined the patients’ urodynamics, ultrasonography, demographic characteristics, incontinency surveys, life quality scores [incontinence impact questionnaire, (IQ-7) and urinary distress inventory (UDI-6)], diagnostic findings, Q-type test, surgical records, and complications. Patients treatment adherence, life quality scores, and urodynamics were evaluated as per the findings and complications following discharge of the patients between 12 and 36 months. Patients with a surgical history as the result of incontinence were excluded from the study.Results:Prior to surgery, 57 (61%, 95) patients had stress urinary incontinence (SUI), and 35 (38%, 05) patients had mixed urinary incontinence (MUI). During surgery, 45 (48%, 91) patients underwent extra pelvic surgical intervention. The mean follow-up time was 22.17±7.55 months. Our subjective success rate was 91%, 3 and the objective success rate was 78%, 3. In the life quality evaluation, a statistically significant improvement was found between IIQ-7 and UDI-6 scores. Parity over 4 was an important failure reason. Two (2%, 17) patients developed vaginal erosion, 2 (2%, 17) of the patients developed temporary urine retention, and 1 (1%, 08) patient developed nova urge incontinence.Conclusion:Our study demonstrates that TOT surgery provides high objective and subjective success and has a positive impact on life quality. The ease of application and lower complication rate makes TOT a valuable alternative for other treatment approaches in the surgical treatment of SUI.
Highlights
The International Continence Association (ICS) described Urinary Incontinence (UI) as unintended urine continence that becomes a social and hygienic problem[1]
Our study demonstrates that transobturator tape (TOT) surgery provides high objective and subjective success and has a positive impact on life quality
The most common type of incontinence experienced in women is stress urinary incontinence (SUI), which is seen commonly in middle aged and parous women, and experienced as a result of situations that increase the pressure on the abdomen such as coughing, laughing, and heavy lifting
Summary
The International Continence Association (ICS) described Urinary Incontinence (UI) as unintended urine continence that becomes a social and hygienic problem[1]. The most common type of incontinence experienced in women is stress urinary incontinence (SUI), which is seen commonly in middle aged and parous women, and experienced as a result of situations that increase the pressure on the abdomen such as coughing, laughing, and heavy lifting. We use the classic external to internal transobturator tape (TOT) technique for patients who present to our clinic with SUI or mixed urinary incontinence (MUI). In this study we aimed to compare the subjective and objective success of TOT surgery with other surgical techniques, to demonstrate the short- and long-term complications, and its effects on patients’ quality of life in light of the literature
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