Trans-obturator tape: a single centre experience.
OBJECTIVE
To assess the clinical outcome of TOT tape for stress and mixed urinary incontinence in a single centre.


METHODS
From March 2002 to October 2006, 82 patients completed the study, all were evaluated at 3 and 12 months by physical examination and validated questionnaires. Seventy nine patients had the procedure under epidural anaesthesia and all women received antibiotics starting before surgery.


RESULTS
TOT was mostly performed as a day case surgery with short operative time of 22 minute (range 15-38 minute). A total of 62 (70.4%) patients were discharged from the hospital within a few hours (4.3 +/- 1.7 hours).


CONCLUSIONS
The TOT tape can safely be performed as a day-case procedure, which has a continence cure rate of approximately 80%. This figure is comparable with the more established TVT, however the TOT tape has a significantly lower morbidity in our experience.
Al-Singary
W
W
Department of Urology, Worthing Hospital, Worthing, UK. wals22@aol.com
Gayen
A
A
Wilby
D
D
Patel
H R H
HR
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D053202:Urinary Incontinence, Urge / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods