Abstract

BENDEZU MARTINEZ, Andrés Guido. Transobturator tape (TOT) for treatment of stress urinary incontinence: experience with first 40 cases. Rev Per Ginecol obstet. [online]. 2013, vol.59, n.1, pp.27-31. ISSN 2304-5132.

Objectives: To determine safety and efficacy with the use of transobturator tape (TOT) in female stress urinary incontinence (SUI) treatment. Design: Retrospective study. Setting: Gynecology and Obstetrics Service, Hospital IV Augusto Hernandez Mendoza, Es-Salud, Ica, Peru. Participants: Women with SUI. Interventions: Experience with first 40 cases using transobturator (TOT) in the treatment of female SUI is presented. Mean age of patients was 42 years (range 28-81 years), parity three (range 2-9), average time of SUI 3.2 years (range 2-15), eight patients (20%) had had previous hysterectomy, seven (17.5%) had different degree of genital prolapse, and two (5%) recurrent incontinence. Main outcome measures: Cure of SUI. Results: Average surgical time was 20 minutes, range 15-35 minutes. In 11 cases (27.5%) other gynecologic surgery was performed along with TOT. There was cure of SUI in 37 cases (92.5%) and improvement in three cases (7.5%) that complained of incontinence to moderate stress. No treatment failure was reported. There were four intra and post surgical complications like bladder laceration, urinary retention, and surgical wound infection. Conclusions: TOT was an efficacious technique in surgical correction of SUI, with encouraging initial results.

Keywords : Stress urinary incontinence; transobturator tape.

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