title: Influence of Demographic and Clinical Factors on Surgical Outcomes of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence.
abstract: BACKGROUND
  Stress urinary incontinence (SUI) is a prevalent problem within the female population with associated high psycho-social impact. Transobturator tape procedure is a well-established procedure to treat the same, but the results may be influenced by various preoperative demographic and clinical factors.
  
  
  METHODS
  The study group comprised of 50 female patients with genuine SUI, who were then divided into subgroups based on demographic and clinical factors. Outcomes were compared between these subgroups at 6 and 12 months using self-reported questionnaires and provocative stress test.
  
  
  RESULTS
  Our results show positive correlation with statistically significant better surgical outcomes in premenopausal patients, patients aged <50 years and those having urethral mobility > 30 degrees. Statistically significant poor outcomes were seen in those having undergone hysterectomy or Caesarean section. No correlation was found with history of smoking or the patient's body mass index.
  
  
  CONCLUSIONS
  In conclusion, the transobturator tape procedure appears to be more effective in premenopausal women, women aged < 50 years, women without history of hysterectomy/lower section Caesarean section, and presence of urethral hypermobility > 30 degrees. On the other hand, outcomes do not appear to be influenced by the patient's body mass index or smoking status.
authors.affiliation: Department of Urology, Institute Of Medical Sciences, BHU, Varanasi, India.
authors.forename: Abhinav
authors.initials: A
authors.lastname: Agarwal
authors.affiliation: Department of Urology, Institute Of Medical Sciences, BHU, Varanasi, India.
authors.forename: Pranab
authors.initials: P
authors.lastname: Patnaik
authors.affiliation: Department of Urology, Institute Of Medical Sciences, BHU, Varanasi, India.
authors.forename: Dipak
authors.initials: D
authors.lastname: Shaw
authors.affiliation: Department of Urology, Institute Of Medical Sciences, BHU, Varanasi, India.
authors.forename: Vazir
authors.initials: V
authors.lastname: Rathee
authors.affiliation: Department of Urology, Institute Of Medical Sciences, BHU, Varanasi, India.
authors.forename: Sartaj W
authors.initials: SW
authors.lastname: Khan
authors.affiliation: Department of Obstetrics & Gynaecology, Institute Of Medical Sciences, BHU, Varanasi, India.
authors.forename: Madhu
authors.initials: M
authors.lastname: Jain
authors.affiliation: Department of Urology, Institute Of Medical Sciences, BHU, Varanasi, India.
authors.forename: Sameer
authors.initials: S
authors.lastname: Trivedi
authors.affiliation: Department of Urology, Institute Of Medical Sciences, BHU, Varanasi, India.
authors.forename: U S
authors.initials: US
authors.lastname: Dwivedi
keywords: Demography; Urinary incontinence