title: Tension free vaginal tape (TVT) vs Transobturator tape (TOT) complications and outcomes.
abstract: BACKGROUND
  Stress urinary incontinence (SUI) is managed with both TVT and TOT. The TVT route of placement could result in a higher com-plication rate. The aim of this study is to analyze and compare outcomes and complications of TVT and TOT in SUI treatment.
  
  
  METHODS
  Prospective study in 64 women with isolated SUI was validated through Urogenital Distress Inventory (UDI-6), Incontinence Impact questionnaire (IIQ-7) and International Continence Impact Questionnaire (ICIQ5-SF). Intraoperative and postoperative complications were noted. Patients were considered cured when negative on stress test and with no need for additional surgery during follow up, after one and three months.
  
  
  RESULTS
  The cure rates for both TVT 26/30 (86,6%) and TOT 30/34 (88,2) were comparable. Higher rates of bleeding, bladder perforations, pain and dyspareunia are recorded in TVT group. Quality of life graded on the questionnaire basis proved significant improvement in both procedures.
  
  
  CONCLUSIONS
  Both TVT and TOT have comparable cure results in the treatment of SUI. The TOT is equally effective in the SUI treatment with significantly lower complication incidence.
authors.forename: Milan
authors.initials: M
authors.lastname: Potić
authors.forename: Ivan
authors.initials: I
authors.lastname: Ignjatović
authors.forename: Dragoslav
authors.initials: D
authors.lastname: Bašić
mesh_terms: D000368:Aged; D057186:Comparative Effectiveness Research; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D011446:Prospective Studies; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D011788:Quality of Life; D012086:Reoperation; D053825:Suburethral Slings / Q000009:adverse effects*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000523:psychology / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods