Abstract
We aimed to assess the results of first- and fifth-year outcomes and the effect on quality of life (QoL) of transobturator tape (TOT) treatment in patients with stress urinary incontinence (SUI). The patients who underwent TOT surgery between January 2008 and June 2013 were screened retrospectively. The QoL was evaluated with Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory-Short Form (UDI-6). The subjective evaluation of patients in terms of incontinence outcome was classified as worsened (UDI-6 and IIQ-7 if pre-operative < postoperative), improved (UDI-6 and IIQ-7 if pre-operative > postoperative), or cured (UDI-6 and IIQ-7 postoperative <10). The first-year and fifth-year success rates were compared between the IIQ-7 and UDI-6 results. A total of 109 patients were included in the study. There was a significant improvement (P<0.001) in the patients' UDI-6 and IIQ-7 scores when the preoperative and postoperative first-year results were compared. Comparing the postoperative first-year and fifth-year total UDI-6 and IIQ-7 scores, a significant improvement was observed and the patients' complaints were significantly reduced (P<0.001). The results of the IIQ-7 and UDI-6 questionnaire revealed that the TOT surgery success rate was 93.3% at the end of the first year and 88.7% at the end of the fifth year. The postoperative first-year and fifth-year data reveal that TOT surgery has a high success rate and positive effects on QoL. Low complication rates and the ease of application make TOT a good alternative to other treatment modalities in surgical treatment of SUI.
Highlights
Urinary incontinence is described by the International Continence Society (ICS) as involuntary urine loss, and the most common types include urgency urinary incontinence (UUI), stress urinary incontinence (SUI), and mixed urinary incontinence.[1]
The transobturator tape (TOT) success rates are reported to be similar to tension-free vaginal tape (TVT), TOT has come to the forefront due to its shorter operation time and lower complication rate, and it has become the most commonly used method in the treatment of SUI today.[7]
We aimed to evaluate the results of first-and fifth-year outcomes and the effect on quality of life (QoL) of TOT treatment applied to female patients with SUI
Summary
Urinary incontinence is described by the International Continence Society (ICS) as involuntary urine loss, and the most common types include urgency urinary incontinence (UUI), stress urinary incontinence (SUI), and mixed urinary incontinence.[1]. We aimed to assess the results of first- and fifth-year outcomes and the effect on quality of life (QoL) of transobturator tape (TOT) treatment in patients with stress urinary incontinence (SUI). The first-year and fifth-year success rates were compared between the IIQ-7 and UDI-6 results. Comparing the postoperative firstyear and fifth-year total UDI-6 and IIQ-7 scores, a significant improvement was observed and the patients’ complaints were significantly reduced (P < 0.001). The results of the IIQ-7 and UDI-6 questionnaire revealed that the TOT surgery success rate was 93.3% at the end of the first year and 88.7% at the end of the fifth year. Conclusion: The postoperative first-year and fifth-year data reveal that TOT surgery has a high success rate and positive effects on QoL.
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