The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up.
OBJECTIVE
The aim of this study is to investigate the effect of intrinsic sphincter deficiency (ISD) and urethral hypermobility on the outcome of the transobturator tape (TOT).


METHODS
Sixty-five women were divided into three groups: group I, ISD with hypermobile urethra (n = 18); group II, ISD with fixed urethra (n = 16); and group III, hypermobile urethra without ISD (n = 31). Cure of stress urinary incontinence was defined if the patient had negative cough stress test. Cure and improvement rates were compared at 6, 12, and 24 months.


RESULTS
The cure and improvement rates of groups I and III were similar at 6, 12, and 24 months (96.1% vs 96.6%, 96.1% vs 96.6%, and 87.5 vs %96.4%, respectively). Group II had the lowest cure and improvement rates (68.7%, 66.7%, and 66.7%, respectively).


CONCLUSIONS
A lack of urethral hypermobility may be a risk factor for TOT failure.
Division of Urogynecology, Department of Obstetrics and Gynecology, Faculty of Medicine, Maltepe University, Barbaros Mah. Dereboyu Cd. My World Starland D1-1 Blok D:101, Bati Atasehir, Istanbul, Turkey. bernadr23@hotmail.com
Berna
B
Haliloglu
Ates
A
Karateke
Hakan
H
Coksuer
Hakan
H
Peker
Cetin
C
Cam
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014521:Urethra / Q000503:physiopathology*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*