[TVT and TOT: a comparison between these two techniques based on our clinical experience]

Area of Science:

• Urology
• Minimally Invasive Surgery
• Female Pelvic Medicine

Context:

• Stress urinary incontinence (SUI) significantly impacts women's quality of life.
• Minimally invasive surgical techniques offer alternatives for SUI treatment.
• Understanding the comparative efficacy and safety of different SUI surgical approaches is crucial for clinical decision-making.

Purpose:

• To retrospectively evaluate and compare the outcomes of two minimally invasive surgical techniques for SUI treatment.
• To assess the efficacy and complication rates of Transvaginal Tape (TVT) versus Transobturator Tape (TOT) procedures.
• To analyze patient characteristics and follow-up data for both surgical groups.

Summary:

• The study included 113 patients with SUI, divided into Group A (TVT, 61 patients) and Group B (TOT out-in, 52 patients).
• Mean follow-up was 66.3 months for TVT and 35.5 months for TOT. TVT achieved a "dry" rate of 86.8%, while TOT achieved 82%.
• Complication rates were generally low for both groups, with TVT showing slightly higher rates of transient voiding dysfunction and de novo urgency, while TOT had one case of vaginal erosion requiring sling removal.

Impact:

• Provides valuable comparative data on the long-term effectiveness of TVT and TOT for SUI.
• Highlights the safety profiles and potential complications associated with each surgical technique.
• Informs surgical choices for SUI treatment, potentially improving patient outcomes and satisfaction.