Modified transobturator tape for female stress urinary incontinence

Abstract

Objective To explore the efficacy and safety of modified transobturator tape (TOT) for female stress urinary incontinence (SUI). Methods From June 2015 to June 2017, a total of 87 SUI patients, including 35 patients underwent standard TOT operation(standard TOT group) and 52 patients underwent modified TOT operation(modified TOT group), were retrospectively reviewed . There was no statistical difference of age [ (59.7±10.3)years vs. (56.3±9.1)years], BMI[ (24.1±9.7) kg/m2 vs. (24.6±9.3)kg/m2], diabetes history[31.4% (11/35) vs. 26.9% (14/52)], mixed urinary incontinence [45.7% (16/35) vs. 48.1% (25/52)] and the daily amount of urine pad [ (4.3±2.7) vs. (3.9±2.1)]between the two groups (P>0.05). The operative time, intraoperative complications, and postoperative complications were collecteded in two groups. Patients were followed up at 3 months, 6 months, and 1 year after surgery. Results There was no significant difference in operation time [(21.1±4.3)min vs. (20.5±5.7)min], intraoperative hemorrhage[(18.3±9.1)ml vs. (25.7±8.3)ml] and postoperative incidence of urinary retention [2.9%(1/35) vs. 3.8%(2/52)] between the two groups (P>0.05). The incidence of postoperative leg pain was significantly lower in modified TOT group than in TOT group[1.9%(1/52) vs. 20.0%(7/35), P 0.05). Conclusions Compared with the standard TOT, the modified TOT of modified puncture port has a similar cure rate and efficiency. However, the use of modified TOT can significantly reduce the incidence of postoperative short-term leg pain, but the long-term efficacy still needs to be further followed-up. Key words: Stress incontinence; Transobturator tension-free sling; Complications; Leg pain; Pubic bone