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Overactive Bladder Symptoms after Transobturator Sling Surgery for Pure Stress Urinary Incontinence: A

Ricardo Pereira E Silva1, Vanessa Gomes Olival2, Carolina Ponte1

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Transobturator tape (TOT) surgery did not lead to increased overactive bladder (OAB) symptom bother scores in women compared to controls. OAB symptoms may be overlooked during initial clinical assessments post-surgery.

Keywords:
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Area of Science:

  • Urology
  • Gynecology
  • Pelvic Floor Surgery

Background:

  • Transobturator tape (TOT) surgery is a common procedure for stress urinary incontinence.
  • Controversy exists regarding its association with overactive bladder (OAB) symptoms.
  • This study investigates the impact of TOT surgery on OAB symptom bother.

Purpose of the Study:

  • To compare overactive bladder (OAB) symptom bother scores in women who underwent transobturator tape (TOT) surgery versus controls.
  • To assess the relationship between TOT surgery and the onset or worsening of OAB symptoms.
  • To evaluate OAB symptom bother at longer follow-up intervals post-TOT surgery.

Main Methods:

  • Cross-sectional study comparing 135 women post-TOT surgery with 78 age-adjusted controls.
  • Utilized the Symptom Bother (SB) subscale of the Overactive Bladder Questionnaire-Short Form (OABq-SF).
  • Assessed symptom onset relative to surgery and performed re-evaluation for highly symptomatic patients.

Main Results:

  • No statistically significant difference in OABq-SF SB scores between the TOT group (18.5 ± 30) and controls (15.5 ± 6.7).
  • 48% of operated patients reported no perceived relationship between their symptoms and the surgery.
  • Reassessment of highly symptomatic patients after extended follow-up showed no significant change in scores.

Conclusions:

  • Transobturator tape (TOT) surgery does not appear to increase overactive bladder (OAB) symptom bother compared to controls.
  • OAB symptoms may be present but underreported or overlooked in the clinical evaluation of women post-TOT surgery.
  • Further investigation into pre-existing or subclinical OAB is warranted in patients undergoing incontinence surgery.