Abstract
Place of the transobturator tape technique (TOT) in the management of stress urinary incontinence in women
Highlights
Stress urinary incontinence (SUI) is a pathology due to the deterioration of the muscles and ligaments supporting the urethra and the bladder neck [1], SUI cannot be life-threatening, it still seriously affects the quality of life of female on social, psychological, physical, domestic, and sexual function [2].Since the event of the tension free vaginal tape (TVT), in 1996 by Ulmsten [3], the management of the UIE has changed
All patients were urodynamically diagnosed with stress urinary incontinence
The transobturator tape (TOT) is an excellent procedure for the definitive surgical treatment, given that the results are satisfactory, whether anatomically or functionally
Summary
Since the event of the tension free vaginal tape (TVT), in 1996 by Ulmsten [3], the management of the UIE has changed. It has become the most commonly performed operation [4], with a long-term success between 84% and 94% [5], it is associated with an increased risk of digestive and bladder perforation, injury of large vessels and to acute retention of urine [6]. The mean operative time is significantly shorter in the transobturator sling and risk of bladder injury and of postoperative urinary retention is considerably lower than other sling procedures. One of the most important and not well-recognized advantages of the TOT as compared with other midurethral sling procedures is the lower rate of de novo urge/urge incontinence [9]
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