title: Treatment of stress urinary incontinence with a generic transobturator tape.
abstract: OBJECTIVE
  To evaluate the efficacy and safety of using a generic tape tailored from type 1 monofilamentous, macroporous polypropylene mesh during transobturator tape (TOT) surgery.
  
  
  METHODS
  A prospective study was performed in a tertiary center in Cairo, Egypt, between July 2004 and December 2013. Women with stress urinary incontinence scheduled for TOT surgery using the outside-in technique were recruited. Monarc tape was used in all patients until November 2005, after which it was used for patients who could afford it only; generic tape was used in the other patients. The primary outcome measures were the objective and subjective cure rates.
  
  
  RESULTS
  Overall, 431 women were included in analyses. After 5 years of follow-up, objective cure was achieved in 143 (94.1%) of 152 women who received Monarc tape and 249 (89.2%) of 279 who received the generic tape (P=0.135). Subjective cure was achieved in 121 (79.6%) women who received the Monarc tape and 236 (84.6%) women who received the generic tape (P=0.229). There were no significant between-group differences in postoperative urgency, de novo urgency, urge incontinence, voiding dysfunction, urinary retention, vaginal erosion, or the frequency of TOT-related reoperation or repeat anti-incontinence procedures.
  
  
  CONCLUSIONS
  The TOT outside-in procedure can be easily, safely, and effectively performed in low-resource settings using a generic polypropylene tape.
authors.affiliation: Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: Amgad
authors.initials: A
authors.lastname: Abougamrah
authors.affiliation: Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: Moustafa
authors.initials: M
authors.lastname: Ibrahim
authors.affiliation: Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: Haitham
authors.initials: H
authors.lastname: Elsabaa
authors.affiliation: Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. Electronic address: drmellisy@hotmail.com.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Ellaithy
authors.affiliation: Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Sweed
mesh_terms: D000328:Adult; D004534:Egypt; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*
keywords: Generic tape; Low-income countries; Stress urinary incontinence; Transobturator tape; Type 1 monofilamentous macroporous polypropylene mesh