title: A study of transobturator tape in stress urinary incontinence.
abstract: BACKGROUND
  Stress urinary incontinence (SUI) is commonly encountered in gynecological practice. Nowadays, midurethral sling surgeries in the form of transobturator tape (TOT) surgery are recommended in its treatment.
  
  
  OBJECTIVE
  To assess the outcome and patient satisfaction of TOT surgery in the treatment of SUI.
  
  
  METHODS
  A prospective study was undertaken for patients of SUI who underwent TOT surgery by the outside in method and followed up for 5 years. The patients were assessed clinically and by the Patient Global Impression of Improvement (PGI-I) preoperatively and at postoperative day 3, discharge and 3 months follow-up.
  
  
  RESULTS
  Successful surgical treatment with TOT was seen in all patients at the time of discharge. There was no recurrence of SUI seen up to 1 year, but at 5-year follow-up two patients had a recurrence of SUI on examination though they did not complain of SUI. Urinary retention, tape extrusion, and groin stitch infection were the commonly seen complications following surgery. On subjective assessment, 61 patients were completely satisfied at day 3, and all patients were completely satisfied at discharge and 3 months follow-up as per the PGI-I score.
  
  
  CONCLUSIONS
  TOT gives an excellent outcome in the treatment of SUI.
authors.affiliation: Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
authors.forename: Rahul Vishwanath
authors.initials: RV
authors.lastname: Mayekar
authors.affiliation: Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
authors.forename: Archana Anilkumar
authors.initials: AA
authors.lastname: Bhosale
authors.affiliation: Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
authors.forename: Khushboo Vikram
authors.initials: KV
authors.lastname: Kandhari
authors.affiliation: Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
authors.forename: Yogeshwar Sadashiv
authors.initials: YS
authors.lastname: Nandanwar
authors.affiliation: Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
authors.forename: Sadaf Sadique
authors.initials: SS
authors.lastname: Shaikh
keywords: Assessment; follow-up studies; midurethral sling; patient outcome; patient satisfaction; stress; urinary incontinence