Objective: We aimed to share our experience and short-term outcomes related to transobtura-tor tape (TOT) application in treatment of stress urinary incontinence.
Materials and Methods: In this study, 58 patients who applied to our clinic between July 2011-September 2013 due to stress urinary in-continence (SUI) and who underwent operation for TOT were evaluated retrospectively. TOT were placed outside-in with I-STOP kit. Demog-raphical properties, examination findings, cough stress test results, operation data, postoperative complications and life quality survey scores were recorded in each case.
Results: Totally 58 patients were included in the study. Their age varied between 37-70 years. Mean operation time was 30.3±7.4 minu-tes, mean hospital stay was 2.06±1 days. Eight (13.7%) patients had complications. As a major complication, 1 patient (1.7%) had bladder per-foration. Two (3.4%) patients developed leg/groin pain, 2 (3.4%) patients developed urinary tract infection and 3 (5.1%) patients developed de novo urgency. Mean follow-up time was 6.2±3.4 months. Objective cure rate was calculated as 86.2%. At the end of controls, according to eva-luations of life quality assessment survey results, statistically significant improvement was found compared to preoperative period (p<0.05).
Conclusion: TOT is an effective treatment method in terms of easy applicability in appropri-ate indications, operation success and life quality improvement, and is safe with low complication rates.
Key Words: stress urinary incontinence, transobturator tape, stress test.
Abstract
Objective: We aimed to share our experience and short-term outcomes related to transobtura-tor tape (TOT) application in treatment of stress urinary incontinence.
Materials and Methods: In this study, 58 patients who applied to our clinic between July 2011-September 2013 due to stress urinary in-continence (SUI) and who underwent operation for TOT were evaluated retrospectively. TOT were placed outside-in with I-STOP kit. Demog-raphical properties, examination findings, cough stress test results, operation data, postoperative complications and life quality survey scores were recorded in each case.
Results: Totally 58 patients were included in the study. Their age varied between 37-70 years. Mean operation time was 30.3±7.4 minu-tes, mean hospital stay was 2.06±1 days. Eight (13.7%) patients had complications. As a major complication, 1 patient (1.7%) had bladder per-foration. Two (3.4%) patients developed leg/groin pain, 2 (3.4%) patients developed urinary tract infection and 3 (5.1%) patients developed de novo urgency. Mean follow-up time was 6.2±3.4 months. Objective cure rate was calculated as 86.2%. At the end of controls, according to eva-luations of life quality assessment survey results, statistically significant improvement was found compared to preoperative period (p<0.05).
Conclusion: TOT is an effective treatment method in terms of easy applicability in appropri-ate indications, operation success and life quality improvement, and is safe with low complication rates.
Key Words: stress urinary incontinence, transobturator tape, stress test.