Functional and quality of life outcome of transobturator tape for treatment of female stress urinary.
OBJECTIVE
this study aims to evaluate the functional outcome of transobturator tape (TOT) in treatment of female stress urinary incontinence (SUI) and its impact on patient quality of life (QoL).


METHODS
sixty female patients with SUI underwent TOT operation, outside-in technique. Forty-eight patients completed the study. Clinical evaluation, urodynamics, and QoL using validated Arabic translation of the International Consultation on Incontinence Questionnaire-Short Form were done both preoperatively and 3, 6, and 12 months postoperatively.


RESULTS
the mean follow-up was 16 months. The objective cure rate was 95.83%. There were no cases of urethral injury, bladder perforation, or thigh pain. De novo urgency and urge incontinence was observed in four patients (8.3%). No early or late outflow obstructive symptoms were noted. No difference was observed between pre- and postoperative filling cystometrogram and pressure flow studies. There was significant improvement in the postoperative QoL assessment.


CONCLUSIONS
TOT (outside-in) appears to have no deleterious effect on storage and voiding functions.
Shaker
Hassan S
HS
Urology Department, Faculty of Medicine, Ain Shams University, 17 Elemam Ali St., Heliopolis, Cairo 11341, Egypt, hassanshaker@link.net.
Ban
Hesham M
HM
Hegazy
Ahmad S
AS
Mansour
Magdy F
MF
D000328:Adult; D000368:Aged; D004534:Egypt; D005260:Female; D005500:Follow-Up Studies; D006306:Health Surveys; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D011788:Quality of Life; D012189:Retrospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology* / Q000601:surgery*; D014563:Urodynamics / Q000502:physiology