ABSTRACT

To evaluate the short term results, reliability and complications of Trans Obturator Tape (TOT) operations in patients with stress urinary incontinence (SUI).

Of 71 patients with SUI or mixed urinary incontinence, we included 66 patients who had gone through TOT operations due to SUI or mixed urinary incontinence (MUI) in our prospective study. Gynecological and neurological examinations, ultrasonographic evaluations, Q-Tip tests, office cystometry tests, complete urine analysis’, and urine culture tests were performed. Patients were evaluated again after an average of 9 months (5-14 months) after the operation.

After an average of 9 months after the operation, 86% of the patients were cured. Although we experienced no major intraoperative complications, 24.2% of patients had reported limb pain, 6.1% had vaginal erosion, 3% developed De novo urgency, 7.6 % had obstruction and 4.5% suffered from dyspareunia.

TOT is an effective operation with low complication rates that is easy to learn.

Keywords: Stress Urinary Incontinence, Trans-Obturator Tape, complication