title: Clinical outcome of transobturator tape concomitant with vaginal hysterectomy plus anterior posterior colporrhaphy.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Baskent University Faculty of Medicine, Sihhiye, Ankara, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Ayhan
authors.forename: N Utku
authors.initials: NU
authors.lastname: Dogan
authors.forename: Suleyman
authors.initials: S
authors.lastname: Guven
authors.forename: O Tolga
authors.initials: OT
authors.lastname: Guler
authors.forename: F Kubra
authors.initials: FK
authors.lastname: Boynukalin
authors.forename: M Coskun
authors.initials: MC
authors.lastname: Salman
mesh_terms: 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*
chemical_list: D001672:Biocompatible Materials