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Transobturator tape (TOT): Two years follow-up
1Incontinence Research Institute, Encinitas, California 92024, USA. urodawk@aol.com
Neurourology and Urodynamics
|November 4, 2006
Summary
The Transobturator tape (TOT) procedure is safe and effective for treating stress urinary incontinence (SUI). It offers advantages like short hospital stays and low complication rates compared to other methods.
Area of Science:
- Urology
- Gynecology
- Pelvic Floor Surgery
Background:
- Stress urinary incontinence (SUI) significantly impacts quality of life.
- SUI affects a substantial portion of the female population.
- Surgical interventions are crucial for managing SUI effectively.
Purpose of the Study:
- To evaluate the functional outcomes, patient satisfaction, and morbidity associated with the Transobturator tape (TOT) procedure for SUI treatment.
- To assess the efficacy and safety of the ObTape device in SUI management.
- To compare the TOT procedure's results with existing incontinence treatments.
Main Methods:
- Prospective evaluation of 130 patients undergoing the TOT procedure.
- Assessment included medical history, physical examination, and validated quality of life questionnaires (IIQ, UDI, GSS).
- Urodynamic studies were performed to evaluate bladder function.
Main Results:
- The TOT procedure demonstrated high efficacy, with significant reductions in pad usage and improvements in quality of life scores (IIQ, UDI, GSS).
- Mean follow-up was 16.85 months, with low rates of recurrent SUI (10%) and persistent urge incontinence (16.15%).
- Low morbidity was observed, including minimal rates of urethral obstruction (1.52%), tape extrusion (3.84%), and bladder perforation (1.52%).
Conclusions:
- The Transobturator tape (TOT) procedure is a safe and effective treatment for stress urinary incontinence.
- Advantages include short hospitalization, brief catheterization duration, and a low incidence of de novo urge incontinence and obstructive voiding.
- The TOT procedure offers a favorable alternative to existing surgical techniques for SUI management.
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