title: Long-term outcomes of transobturator tape procedure in women with stress and mixed urinary incontinence: 5-year follow-up.
abstract: BACKGROUND
  The aim of this study was to compare the postoperative outcomes and complications of transobturator tape (TOT) procedure in women with mixed urinary incontinence (MUI) and stress urinary incontinence (SUI) in long term follow-up.
  
  
  METHODS
  A group of 193 women, who underwent TOT procedure, was documented in the study. Patients were divided into two groups in terms of incontinence type. Group 1 consists of patients with SUI and group 2 with MUI. All patients were evaluated with pelvic examination, including cough stress test and international consultation on incontinence questionnaire-short form at 3 and 12 months and annually. Visual Analog Scale (VA S) was used to evaluate postoperative patient satisfaction. Two groups were retrospectively compared for postoperative complication, patient satisfaction, objective and subjective cure rates.
  
  
  RESULTS
  In this study, group 1 included 105 patients and 67 patients were in group 2. There was no significant difference between the objective cure rates in two groups; however subjective cure and patients satisfaction rates were significantly higher in SUI group (P<0.05). Complications were reported according to the Clavien-Dindo classification with Gr I 8.3%, Gr II 66.7%, Gr IIIa 8.3% and Gr IIIb 16.7% and Gr I 16.7%, Gr II 66.6%, Gr IIIa 16.7% and Gr IIIb 0% in group 1 and group 2, respectively.
  
  
  CONCLUSIONS
  It is not easy to identify an ideal treatment modality for women with MUI but TOT procedure seems to be effective and safe in the surgical treatment of MUI after 5 years follow-up.
authors.affiliation: Department of Urology, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey - ozgucan@yahoo.com.
authors.forename: Tarik
authors.initials: T
authors.lastname: Yonguc
authors.forename: Ozgu
authors.initials: O
authors.lastname: Aydogdu
authors.forename: Ibrahim H
authors.initials: IH
authors.lastname: Bozkurt
authors.forename: Tansu
authors.initials: T
authors.lastname: Degirmenci
authors.forename: Salih
authors.initials: S
authors.lastname: Polat
authors.forename: Volkan
authors.initials: V
authors.lastname: Sen
authors.forename: Bulent
authors.initials: B
authors.lastname: Gunlusoy
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D053825:Suburethral Slings; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D053202:Urinary Incontinence, Urge / Q000601:surgery*