Day case transobturator tapes: a cut and dried solution.

Area of Science:

• Urology
• Gynecology
• Surgical Procedures

Background:

• The transobturator tape (TOT) procedure for stress urinary incontinence (SUI) has been used since 2001.
• Its perineal insertion avoids the retropubic space, minimizing trauma.
• High success rates and ease of insertion have led to its increasing use as a day case worldwide.

Purpose of the Study:

• To evaluate the suitability of the transobturator tape (TOT) as a day surgery procedure in the Republic of Ireland.
• To assess complication rates, voiding dysfunction, and readmission rates for TOT as a day case.

Main Methods:

• A retrospective review of patients undergoing TOT as a day case was conducted over one year.
• Outcomes assessed included intraoperative/postoperative complications, voiding dysfunction, unscheduled admissions, and continence rates.

Main Results:

• One minor intraoperative bladder perforation occurred, managed as an outpatient.
• 6% of patients required overnight admission due to voiding dysfunction.
• All patients achieved dryness at 6-week follow-up.
• Elective waiting times decreased significantly post-implementation.

Conclusions:

• The transobturator tape (TOT) procedure is suitable for day case surgery in select Irish patients.
• No increased morbidity or readmission rates were observed.
• Increased case throughput reduced waiting times and hospital costs.