Evaluation of The Transobturator Tape Operation Results and Complications in The Patient with Stress Incontinence

Abstract

Aim: In this study, we aimed to evaluate the characteristics of stress urinary incontinence (SUI) patients admitted to our clinic besides the success rate and complications of the Transobturator Tape (TOT) surgery, which was offered to some of these patients. Material and Method: We retrospectively reviewed the SUI patients and the cases of TOT surgery in our urology clinic in State Hospital (Southeastern area in Turkey) between January 2014 and January 2017. The success rate and follow-up complications of TOT surgical treatments were evaluated by examining each of the case records. Among the patients who were followed during six months after the treatment, elderly patients who did not have urinary incontinence due to an increase in intraabdominal pressure were considered successful cases, while those with an ongoing urinary incontinence complaint were considered failures. Results: The 252 patients were between 22 and 90 years old, with a mean age of 45.6 years. All patients were multiparous; the mean number of children per patient was 3.14. Difficult births were reported by 156 (61.9%) of the patients, and 98 (38.8%) of them were postmenopausal. Twenty-five patients (10%) had prior surgery as a treatment for incontinence, and 47 (18.6%) had urogenital prolapse. Out of 60 patients who complained of SUI, 52 (86.6%) were continent after one month after TOT operation. Forty-nine (81.6%) of the 60 patients were continent throughout 6 months after the TOT treatment. Conclusion: The majority of patients in our region have many deliveries and they experience urinary incontinence. However, they do not know whether the urinary incontinence can be treated surgically and medically. The success rate with TOT is consistent with what was reported in the literature despite the less control patients. Our results show that it is appropriate to recommend TOT surgery to SUI patients who do not benefit from other medical treatments.