Clinical outcome of transobturator tape concomitant with vaginal hysterectomy plus anterior posterior colporrhaphy.
OBJECTIVE
Transobturator tape (TOT) is a newly described procedure for the treatment of female stress urinary incontinence. The success of TOT operation along with prolapsed surgery has not been well described. The aim of this study is to determine the complication and success rates of TOT concomitant with pelvic prolapse surgery.


METHODS
Totally, 72 women who had TOT operation along with vaginal hysterectomy, anterior posterior colporrhaphy were re-evaluated with UDI6 and IIQ7 forms 1 year of surgery. Preoperatively, all patients had clinically pure stress incontinence.


RESULTS
At 1 year, 80.6% of patients were cured with only 16.7% presenting de novo urge incontinence, while 2.8% of women retaining stress urinary incontinence. The patients with lower gravida and number of vaginal delivery had significantly higher operation success rates. The IIQ7 score significantly increased by increase in urinary catheter stay day. The women with the history of cesarean delivery and lower hospital stay had significantly higher satisfaction scores. Of the factors only, the number of gravida could be used to predict treatment failure in the entire group.


CONCLUSIONS
Transobturator tape procedure could be accompanied safely with prolapse surgery.
Ayhan
Ali
A
Department of Obstetrics and Gynecology, Baskent University Faculty of Medicine, Sihhiye, Ankara, Turkey.
Dogan
N Utku
NU
Guven
Suleyman
S
Guler
O Tolga
OT
Boynukalin
F Kubra
FK
Salman
M Coskun
MC
D000328:Adult; D000368:Aged; D001672:Biocompatible Materials; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects; D008875:Middle Aged; D017060:Patient Satisfaction; D019919:Prosthesis Implantation / Q000009:adverse effects; D011788:Quality of Life; D012307:Risk Factors; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*
D001672:Biocompatible Materials