[Female urinary stress incontinence: transobsturator technique]

Area of Science:

• Urology
• Minimally Invasive Surgery
• Female Pelvic Medicine

Context:

• Retropubic tension-free vaginal tape (TVT) is widely used for female stress urinary incontinence but is associated with complications.
• Alternative surgical routes, including the transobturator technique (TOT), have demonstrated comparable efficacy to the classic TVT procedure.
• Existing TOT involves tape insertion from outside to inside through obturator foramens.

Purpose:

• To describe a new, simple surgical technique for treating female urinary stress incontinence.
• To evaluate the feasibility and potential benefits of this novel surgical approach.

Summary:

• A new surgical technique for female stress urinary incontinence is presented, involving a different tape passage compared to established methods.
• This technique aims to provide continence rates similar to existing procedures while potentially mitigating complications.
• The feasibility of this innovative approach is assessed.

Impact:

• Offers a potentially safer alternative for treating female urinary stress incontinence.
• May reduce the complication rates associated with traditional retropubic TVT procedures.
• Contributes to the evolving landscape of minimally invasive surgical options for pelvic floor disorders.