Treatment of stress incontinence by trans-obturator tension: A retrospective study, Aden, Yemen

Abstract

Background: Stress urinary incontinence is the complaint of involuntary leakage on effort or exertion or on sneezing or coughing. Objectives: To evaluate the effectiveness of transobturator approach in the treatment of female stress urinary incontinence and to analyze functional results. Materials and methods: We retrospectively reviewed all medical files of patients presenting with urinary incontinence to our Urology Center in Aden, Yemen, over a 2-year period. There were 42 patients treated with TOT and the postoperative follow up of the patients was at least 10 months. The collected data were tabulated and statistical analysis was done by estimating rates, means and standard deviations. Results: The age of the patients ranged between 40 to 80 years and their mean age was 62.1 ± 9.7 years. We grouped the study patients in two age groups, 60 years and > 60 years. We found the patients of the age group > 60 years were (57.1%) while the patients of the age group 60 years were (42.9%). The mean weight of the patients is 67.5 ± 7.0 kilograms (kg). We categorized the number of vaginal deliveries in 2 groups: 5 – 7 vaginal deliveries were (31.0%), and 8 – 10 vaginal deliveries (69.0%). The Mean number of vaginal delivery was 8.0 ± 1.2. Concomitant operations were posterior colpotomy (7.0%) and anterior colpotomy (4.8%). The Mean operative time was 48 ± 8.9 minutes. Four cases developed complications, (4.8%) major bleeding; (2.4%) of them had bladder injury and (2.4%) urine retention. Additionally, (93.0%) of the outcome of operated women were with excellent success while those with failed results were (7.0%). Conclusion: The transobturator approach is an effective treatment of stress urinary incontinence with low morbidity and with acceptable success and outcome. Keywords: Stress urinary incontinence, transobturator approach, Aden, Yemen