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Trans-obturator tape: a single centre experience
W Al-Singary1, A Gayen, D Wilby
1Department of Urology, Worthing Hospital, Worthing, UK. wals22@aol.com
Summary
Transobturator tape (TOT) offers an effective solution for stress and mixed urinary incontinence, demonstrating an 80% cure rate. This minimally invasive day-case procedure shows lower morbidity compared to other treatments.
Area of Science:
- Urology
- Gynecology
- Minimally Invasive Surgery
Background:
- Urinary incontinence affects a significant portion of women, impacting quality of life.
- Surgical interventions are common for managing stress and mixed urinary incontinence.
- Transobturator tape (TOT) is a widely used mid-urethral sling procedure.
Purpose of the Study:
- To evaluate the clinical outcomes of the TOT tape procedure for stress and mixed urinary incontinence.
- To assess the safety and efficacy of TOT tape in a single-center study.
- To compare the morbidity of TOT tape with established procedures.
Main Methods:
- Prospective study of 82 patients undergoing TOT tape surgery from March 2002 to October 2006.
- Patients evaluated at 3 and 12 months post-surgery using physical examination and validated questionnaires.
- Procedure performed under epidural anesthesia, with perioperative antibiotic administration.
Main Results:
- TOT tape surgery was primarily conducted as a day-case procedure with an average operative time of 22 minutes.
- A significant majority of patients (70.4%) were discharged within hours of surgery (4.3 +/- 1.7 hours).
- The continence cure rate was approximately 80% at 12-month follow-up.
Conclusions:
- Transobturator tape (TOT) is a safe and effective day-case procedure for urinary incontinence.
- The continence cure rate of approximately 80% is comparable to other established treatments like TVT.
- TOT tape demonstrated significantly lower morbidity in this patient cohort compared to the TVT procedure.
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