Transobturator tape as a day surgery procedure: a case control study.

Area of Science:

• Urology
• Minimally Invasive Surgery
• Gynecology

Background:

• Urinary incontinence is a common condition affecting many women.
• The transobturator tape (TOT) procedure is a surgical option for stress urinary incontinence.
• Assessing the feasibility of TOT as a day surgery procedure is important for patient care and resource management.

Purpose of the Study:

• To evaluate the suitability of the transobturator tape (TOT) procedure as a day surgery intervention.
• To assess complication rates, voiding dysfunction, analgesic needs, and unscheduled admissions following TOT as day surgery.

Main Methods:

• Retrospective review of 167 patients undergoing TOT as day surgery over 3 years.
• Data collected included operating time, blood loss, complication rates, voiding patterns, and admission reasons.

Main Results:

• Mean operating time was 14.7 minutes with minimal blood loss (<100 ml in 97.8%).
• No major complications (e.g., bladder/urethral injury) occurred.
• 79.6% of patients achieved satisfactory voiding within the day surgery unit hours; 22.2% required inpatient admission for various reasons.

Conclusions:

• The transobturator tape (TOT) procedure is appropriate for selected patients as a day surgery procedure.
• The procedure demonstrates minimal peri-operative morbidity.
• Nearly 80% of patients can be discharged on the same day, indicating its efficiency.