title: Study of inside-out technique of trans-obturator tape for treatment of stress urinary incontinence in women with utero-vaginal prolapse.
abstract: BACKGROUND
  Assessment of the success rates and complications of inside-out technique of Trans-Vaginal Tape (Obturator) (TVT-O) for treatment of stress urinary incontinence (SUI) in women with utero-vaginal prolapse.
  
  
  METHODS
  A total of 30 consenting subjects with SUI and utero-vaginal prolapse were subjected to TVT-O surgery. These subjects were closely monitored for complications and success rate of surgery up to 1 year of surgery.
  
  
  RESULTS
  Urinary tract infection (16.67%) was the most common early post-operative complication. Groin pain (23%) was the most common late post-operative complication while denovo urgency developed in 3 (11.54%) subjects. Majority (88.46%) of subjects had total improvement at 3month follow-up while 100% subjects had total improvement at 12 month follow-up with a "definitely improved quality-of-life."
  
  
  CONCLUSIONS
  The TVT-O (inside-out) appears to have performed favorably as a safe and effective surgery for SUI associated with utero-vaginal prolapse.
authors.affiliation: Department of Obstetrics and Gynaecology, Government Medical College and New Civil Hospital, Majura Gate, Surat, Gujarat, India.
authors.forename: Ragini
authors.initials: R
authors.lastname: Verma
authors.affiliation: Department of Obstetrics and Gynaecology, Government Medical College and New Civil Hospital, Majura Gate, Surat, Gujarat, India.
authors.forename: Rujuta
authors.initials: R
authors.lastname: Acharya
authors.affiliation: Department of Obstetrics and Gynaecology, Government Medical College and New Civil Hospital, Majura Gate, Surat, Gujarat, India.
authors.forename: Saral
authors.initials: S
authors.lastname: Bhatia
authors.affiliation: Department of Obstetrics and Gynaecology, Government Medical College and New Civil Hospital, Majura Gate, Surat, Gujarat, India.
authors.forename: Amisha
authors.initials: A
authors.lastname: Dumaswala
authors.affiliation: Department of Obstetrics and Gynaecology, Government Medical College and New Civil Hospital, Majura Gate, Surat, Gujarat, India.
authors.forename: Nilesh
authors.initials: N
authors.lastname: Vekhariya
keywords: Stress urinary incontinence; trans-vaginal tape-obturator; utero-vaginal prolapse