title: Transobturator tape (TOT) procedure with fluoroscopic guidance: gaining confidence and valuable experience!
abstract: OBJECTIVE
  To report a successful transobturator tape (TOT) procedure performed under fluoroscopic guidance without any complications.
  
  
  METHODS
  The diagnosis of stress urinary incontinence (SUI) was confirmed with urodynamic tests in a 54-year-old woman. TOT procedure was performed under the guidance of fluoroscopy.
  
  
  RESULTS
  SUI was treated successfully with TOT procedure. Fluoroscopic guidance not only decreased the length of the procedure but also avoided the possible complications. The operator gained confidence and valuable experience.
  
  
  CONCLUSIONS
  TOT procedure can be successfully performed under fluoroscopic guidance avoiding the possible complications and enhancing the learning curve period. We recommend the usage of fluoroscopy especially for the inexperienced operators. The benefits overweigh the cost of fluoroscopy and the absorbed dose of radiation which is calculated to be lower than accepted limits.
authors.affiliation: Department of Obstetrics and Gynaecology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Cemal Tamer
authors.initials: CT
authors.lastname: Erel
authors.forename: Sanli
authors.initials: S
authors.lastname: Erkan
authors.forename: Alihan
authors.initials: A
authors.lastname: Ozcan
authors.forename: Altay
authors.initials: A
authors.lastname: Gezer
mesh_terms: D004501:Education, Medical / Q000379:methods; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008875:Middle Aged; D053825:Suburethral Slings / Q000523:psychology; D025321:Surgery, Computer-Assisted / Q000193:education / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*