title: [Effectiveness evaluation of tension-free vaginal tapes in the treatment of urinary incontinence and satisfaction of 241 patients].
abstract: BACKGROUND
  Urinary incontinence is an extended problem between middle-aged women. There are several options for its correction with different effectiveness and complication rates. Our objective is to evaluate the effectiveness of tension-free vaginal transobturator tapes (TOT) in the repair of this incontinence. Also to evaluate the patients satisfaction rate with this kind of surgery.
  
  
  METHODS
  Retrospective study in 241 women with a surgical repair of their urinary incontinence with TOT. We analyzed the rates of effectiveness and satisfaction of the patients with the surgical repair after 2 and 6 months. The complication rate was also analyzed.
  
  
  RESULTS
  Urinary continence rate 2 months after surgery was around 70% and the satisfaction one around 65%. After 6 months the rates were 70% and 70% respectively with a minimal variation depending on the associated surgery. The complication rate during surgery was 3.31% and the one after surgery was 26.55%, although most of them were minor complications.
  
  
  CONCLUSIONS
  The use of TOT for the repair of urinary incontinence is an effective and safe option with a low complication rate. Moreover the rate of patients satisfaction is high.
authors.affiliation: Departamento Obstetricia y Ginecología, Hospital Universitario Santa Cristina, Madrid. ignaciozapardiel@hotmail.com
authors.forename: I
authors.initials: I
authors.lastname: Zapardiel Gutiérrez
authors.forename: J
authors.initials: J
authors.lastname: De la Fuente Valero
authors.forename: J
authors.initials: J
authors.lastname: Botija Botija
authors.forename: T
authors.initials: T
authors.lastname: Pérez Medina
authors.forename: M
authors.initials: M
authors.lastname: Díez Fernández
authors.forename: J M
authors.initials: JM
authors.lastname: Bajo Arenas
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011474:Prosthesis Design; D012189:Retrospective Studies; D053825:Suburethral Slings; D014549:Urinary Incontinence / Q000628:therapy*