E-ISSN: 1309-0380
The initial experience of a training hospital on TOT
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Original Investigation
VOLUME: 10 ISSUE: 2
P: 80-83
June 2009

The initial experience of a training hospital on TOT

J Turk Ger Gynecol Assoc 2009;10(2):80-83
Fikret Gökhan Göynümer 1
Neşe Yücel 1
Zeynep Gökçe Uslu 1
Rukiye Açış 1
Engin Türkgeldi 1
Birol Durukan 2
1. Istanbul Göztepe Education And Research Hospital, Istanbul, Turkey
2. Istanbul Göztepe Egitim Ve Arastirma Hastanesi, Istanbul, Turkey
No information available.
No information available
Received Date: 29.01.2009
Accepted Date: 03.04.2009
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ABSTRACT

OBJECTIVE:

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

MATERIAL-METHODS:

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.

RESULTS:

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.

CONCLUSION:

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

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