[Transobturator sling for women: outside-in versus inside-out technique (TOT vs TVT-O)]

Stress urinary incontinence (SUI) is a common problem in women, significantly reducing the quality of life. The main surgical method for SUI correction is the installation of a midurethral sling using a transobturator approach. The main techniques for performing this operation are outside-in (TOT) and inside-out (TVT-O). This paper presents a literature review devoted to a comparative assessment of the effectiveness and safety of these surgical approaches, with the aim of identifying possible differences in clinical outcomes and complication rates.