[Trans-obturator-tape (TOT) for the surgical repair of stress urinary incontinence: our experience].
OBJECTIVE
To evaluate the safety and efficacy of the TOT surgical technique in the treatment of female stress urinary incontinence (SUI).


METHODS
Prospective study of 49 patients undergoing TOT at the Gynecology Unit of the Obstetrics and Gynecology Department in Barros Luco-Trudeau Hospital between November 2003 and January 2005. The mesh used was polypropylene, macropore, monofilament (Prolene). Median age was 52 years. The observational phase was completed in November 2005.


RESULTS
Median operative time was 15 minutes. Thirty-two cases (65%) underwent a second gynecologic surgery. One patient had an intraoperative bladder lesion. In the immediate postoperative period there was one case of lower urinary tract infection and another acute pyelonephritis. At the end of the observation phase 47 (96%) patients were cured, 1 (2%) improved, and 1 (2%) had a failure. The failure appeared after a trauma three months after surgery.


CONCLUSIONS
The TOT is an effective technique for the correction of SUI. It is easier than TVT. Although rare, it is not free of complications.
Schanz Pardo
Jack
J
Departamento de Ginecología y Obstetricia, Hospital Barros Luco-Trudeau, Santiago de Chile.
Ricci Arriola
Paolo
P
Solà Dalenz
Vicente
V
Tacla Fernández
Ximena
X
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D019736:Prostheses and Implants; D013526:Surgical Mesh; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods