Abstract
Objective: The aim of this study was to compare the effectiveness of tension-free vaginal tape (TVT) versus transobturator tape (TOT). Design: This was a prospective selected cohort study of 169 women with urodynamically proven stress urinary incontinence (SUI). Methods: Women affected by intrinsic sphinteric deficiency, defined as stress incontinence identified on a urodynamic study and associated with little or no urethral mobility and low Valsalva leak-point pressure (≤60 cm H2O), according to the McGuire classification, were selected for the TVT approach, whereas the other subjects underwent a TOT positioning procedure. Results: In total, 169 patients were enrolled, with urodynamically proven SUI; 61 patients were assigned to the TVT and 108 to the TOT group, whereas those with previous incontinence surgery and pelvic organ prolapse greater than stage I were excluded. The Urogenital Distress Inventory-6 (UDI-6) and Incontinence Impact Questionnaire-7 (IIQ-7) were filled in preoperatively and then at 3...
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