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ORIGINAL ARTICLE
Year : 2017  |  Volume : 9  |  Issue : 1  |  Page : 9-12

A study of transobturator tape in stress urinary incontinence


Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Rahul Vishwanath Mayekar
Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College and General Hospital, Room No. 131 College Building, Sion, Mumbai - 400 022, Maharashtra
India
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DOI: 10.4103/0974-7796.198867

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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. Aims and Objectives: To assess the outcome and patient satisfaction of TOT surgery in the treatment of SUI. Materials and 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. Conclusion: TOT gives an excellent outcome in the treatment of SUI.


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