title: [Transobturator slings for female stress urinary incontinence].
abstract: BACKGROUND
  Stress urinary incontinence affects about 20-40% of women. Treatment with transobturator mid-urethral slings is consensually accepted nowadays. The goal of this study was to evaluate the success rate and most frequent complications of surgical treatment with transobturator mid-urethral slings in stress urinary incontinence.
  
  
  METHODS
  This study evaluated 363 patients who underwent correction of stress urinary incontinence with a transobturator tape in Hospitais da Universidade de Coimbra between January 1st 2008 and July 1st 2010.
  
  
  RESULTS
  The mean age of patients was 56 [28-86]. In 13.5% of women, the correction of stress urinary incontinence was associated with other vaginal surgery. The majority of these women (95.3%) had urethral hypermobility. Only 0.8% of women suffered of perioperative complications, 5.2% of immediate postoperative complications and 15.7% of late postoperative complications. The global success rate was 93.7%. The success rate in patients with fixed urethra was lower (77.8%) comparing with the results of those with urethral hypermobility, being successful in 94.5% (p = 0.02). The success rate was similar in patients with or without vaginal surgeries.
  
  
  CONCLUSIONS
  Treatment with transobturator mid-urethral slings has high success rates and it became the first treatment chosen to stress urinary incontinence, even if they were treated with the technique outside-in (TOT®) or inside-out (TVT-O®). Both techniques were conceived to avoid passing through the retropubic space, decreasing the complicate matters number.
  
  
  CONCLUSIONS
  The cure rates for the transobturator surgical approach range between 80 and 95%. The cure rate increases when the mechanism responsible for the urinary incontinence is urethral hypermobility, although it is not modified when are performed other vaginal surgeries concomitantly.
authors.affiliation: Serviço de Ginecologia e Obstetrícia. Hospital de São Francisco Xavier. Lisboa. Portugal.
authors.forename: Ana
authors.initials: A
authors.lastname: Sousa
authors.affiliation: Serviço de Ginecologia e Obstetrícia. Hospital de São Francisco Xavier. Lisboa. Portugal.
authors.forename: André
authors.initials: A
authors.lastname: Jesus
authors.affiliation: Serviço de Ginecologia e Obstetrícia. Hospital de São Francisco Xavier. Lisboa. Portugal.
authors.forename: Maria
authors.initials: M
authors.lastname: Carvalho
authors.affiliation: Serviço de Ginecologia e Obstetrícia. Hospital de São Francisco Xavier. Lisboa. Portugal.
authors.forename: Giselda
authors.initials: G
authors.lastname: Carvalho
authors.affiliation: Serviço de Ginecologia e Obstetrícia. Hospital de São Francisco Xavier. Lisboa. Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Marques
authors.affiliation: Serviço de Ginecologia e Obstetrícia. Hospital de São Francisco Xavier. Lisboa. Portugal.
authors.forename: Francisco
authors.initials: F
authors.lastname: Falcão
authors.affiliation: Serviço de Ginecologia e Obstetrícia. Hospital de São Francisco Xavier. Lisboa. Portugal. & Serviço de Ginecologia e Obstetrícia. Faculdade de Medicina. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
authors.forename: Isabel
authors.initials: I
authors.lastname: Torgal
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*