A comparative study of outside-in and inside-out transobturator tape procedures for stress urinary incontinence.
OBJECTIVE
This study compared the clinical outcome of patients undergoing outside-in transobturator tape (TOT) or inside-out transobturator tape (TVT-O) procedures for female stress urinary incontinence (SUI).


METHODS
The study examined the medical records of 615 patients who underwent TOT (376 patients) or TVT-O (239 patients) for SUI, and compared patient characteristics, operation time, duration of hospital stay, cure rates, and complication rates, by conducting a 1-year follow-up survey.


RESULTS
The TOT and TVT-O groups were found to be similar in terms of operation time, duration of hospital stay, surgical outcome (both before and after adjustment for age, parity, menopause, and previous pelvic surgery, cure rate (87.8% for TOT and 85.3% for TVT-O) and complication rate (14.4% for TOT, 15.5% for TVT-O). The complication rates after operations did not differ significantly between the two groups. Complications over the 1-year follow-up included urinary retention, de novo urgency, leg pain, vaginal mesh erosion, and hematoma, and all resolved following appropriate treatment.


CONCLUSIONS
The TOT and TVT-O procedures appeared to be equally clinically effective and safe when used to treat female SUI.
Chae
Hee-Dong
HD
Department of Obstetrics and Gynecology, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea. hdchae @ amc.seoul.kr
Kim
So-Ra
SR
Jeon
Gun-Ho
GH
Kim
Dae-Yeon
DY
Kim
Sung-Hoon
SH
Kim
Jong-Hyeok
JH
Kim
Chung-Hoon
CH
Kim
Yong-Man
YM
Kim
Young-Tak
YT
Kang
Byung-Moon
BM
Nam
Joo-Hyun
JH
D000328:Adult; 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*; D013519:Urogenital Surgical Procedures / Q000009:adverse effects* / Q000379:methods*