Trans-obturator tape: A single centre experience

Summary

Aim: To assess the clinical outcome of TOT tape for stress and mixed urinary incontinence in a single centre. Methods: From March 2002 to October 2006, 82 patients completed the study, all were evaluated at 3 and 12 months by physical examination and validated questionnaires. Seventy nine patients had the procedure under epidural anaesthesia and all women received antibiotics starting before surgery. Results: TOT was mostly performed as a day case surgery with short operative time of 22 minute (range 15–38 minute). A total of 62 (70.4%) patients were discharged from the hospital within a few hours (4.3 ± 1.7 hours). Conclusion: The TOT tape can safely be performed as a day-case procedure, which has a continence cure rate of approximately 80%. This figure is comparable with the more established TVT, however the TOT tape has a significantly lower morbidity in our experience.

Keywords:

• Stress urinary incontinence
• trans-obturator tape
• route
• sub-urethral sling
• validated incontinence questionnaire
• quality of life