title: Investigation of the efficacy of transobturator tape (TOT) surgery in stress urinary incontinence.
abstract: OBJECTIVE
  To evaluate the safety and efficacy of transobturator vaginal tape (TOT) in the management women with stress urinary incontinence (SUI) and to analyze functional results and subjective cure rates at follow- up visits.
  
  
  METHODS
  Eighty-three consecutive women with SUI underwent TOT procedure. Data related to operative time, pre- and post-operative complications were collected. Subjective cure was defined as the absence of any urine loss on physical activity.
  
  
  RESULTS
  Mean age of the patients was 53.2 years, and 66.3% of the patients had pure SUI. The mean operative time was 24.96 min in cases of isolated SUI treatment. The mean hospital stay was 1.53±0.68 days. At a mean follow-up of 32.8 months, the median subjective cure rate was 68.7 percent. Bladder injury (8.4%) was the only short and long term complication of this procedure.
  
  
  CONCLUSIONS
  TOT is a safe and effective procedure for SUI with a low rate of long- term complications. The short -term complication like bladder perforation may develop based on the experience of the surgeons or concomitant pelvic surgery.
authors.affiliation: Sakarya University Faculty of Medicine, Training and Research Hospital, Sakarya, Turkey.
authors.forename: Mehmet Suhha
authors.initials: MS
authors.lastname: Bostanci
authors.affiliation: Sakarya University Faculty of Medicine, Training and Research Hospital, Sakarya, Turkey.
authors.forename: Selcuk
authors.initials: S
authors.lastname: Ozden
authors.affiliation: Sakarya University Faculty of Medicine, Training and Research Hospital, Sakarya, Turkey.
authors.forename: Orhan
authors.initials: O
authors.lastname: Unal
authors.affiliation: Sakarya University Faculty of Medicine, Training and Research Hospital, Sakarya, Turkey.
authors.forename: Arif Serhan
authors.initials: AS
authors.lastname: Cevrioglu
authors.affiliation: Sakarya University Faculty of Medicine, Training and Research Hospital, Sakarya, Turkey.
authors.forename: Nermin
authors.initials: N
authors.lastname: Akdemir
authors.affiliation: Sakarya University Faculty of Medicine, Training and Research Hospital, Sakarya, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Albayrak
keywords: Complication; stress urinary incontinence; transobturator vaginal tape (TOT)