Trans-obturator suburethral tape for female stress incontinence: a cohort of 254 women with 1-year to 2-year follow-up.
BACKGROUND
A clinical cohort study of 254 women undergoing trans-obturator surgery for stress urinary incontinence was conducted to assess the efficacy of the trans-obturator suburethral tape (TOT) after a follow-up of 1 year (251 evaluable patients) and 2 years (62 patients).


RESULTS
Seventy-five patients had previous gynaecologic surgery. Overall cure and improvement rates were 82% at 6 and 12 months, and 90% at 24 months. The most favourable results were obtained in patients with occult incontinence and urethral hypermobility. The relative risk (RR) for failure in patients with a history of gynaecologic surgery was 3.3 (95% CI: 1.1-14.7). There were 8 cases of bladder perforation (3.1%) during the learning phase with the TOT procedure, 20 of urinary retention (7.9%) - in 1 patient the tape was released after 12 days of insertion - and 3 of tape erosion (1.2%).


CONCLUSIONS
Results are encouraging but should be substantiated on a larger series over a longer follow-up.
Poza
José L
JL
Urogynecology and Pelvic Floor Unit, Department of Obstetrics and Gynecology, Hospital Materno-infantil Vall d'Hebron, Barcelona, Spain. 19347jpb@comb.es
Pla
Francesc
F
Sabadell
Jordi
J
Sánchez-Iglesias
José L
JL
Martínez-Gómez
Xavier
X
Xercavins
Jordi
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D012494:Sampling Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014521:Urethra / Q000503:physiopathology; D001743:Urinary Bladder / Q000293:injuries; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D016055:Urinary Retention / Q000209:etiology; D014552:Urinary Tract Infections / Q000209:etiology; D014563:Urodynamics / Q000502:physiology; D014596:Uterine Prolapse / Q000601:surgery; D014621:Vagina / Q000293:injuries