Transobturator Tape in Treatment of Stress Urinary Incontinence: It is Time for a New Gold Standard.
BACKGROUND
Stress urinary incontinence (SUI) can significantly impair the quality of life. A variety of treatments, both medical and surgical, have been used to manage it. The transobturator sling, which is a subfascial sling, is relatively a new surgical technique with minimal access.


OBJECTIVE
The objective of this study was to evaluate the effectiveness of transobturator tape (TOT) in the treatment of female SUI and to analyze functional results.


METHODS
A total of 59 patients were applied TOT by outside-in technique and various outcome parameters recorded. These patients were followed up 6 months after surgery.


RESULTS
Success rate of TOT was 93.2% (95% CI: 86.4-99.5). A total of 51 patients (86.4%) were completely satisfied, whereas 4 (6.8%) were partially satisfied and 4 were unsatisfied with surgical outcome. The procedure-related complications were few and could be managed in the same sitting.


CONCLUSIONS
The transobturator approach is an effective treatment of SUI with low morbidity, and it has all the potential to be the new Gold Standard in the treatment of female SUI.
Department of Gynecology and Obstetrics, Air Force Hospital, Kanpur, India.
Navneet
N
Magon
Sanjiv Vsm
SV
Chopra