PURPOSE: To compare the postoperative outcomes and complications of transobturator tape (TOT) procedure in women with mixed urinary incontinence (MUI) and stress urinary incontinence (SUI) in long term follow-up.
METHODS: 193 women who underwent TOT procedure were documented in the study. Patients were divided into two groups in terms of incontinence type. Group1 consists of patients with SUI and group 2 with MUI. All patients were evaluated with pelvic examination including cough stress test and international consultation on incontinence questionnaire--short form at 3 and 12 months and annually. Visual analog scale (VAS) was used to evaluate postoperative patient satisfaction. Two groups were retrospectively compared for postoperative complication, patient satisfaction, objective and subjective cure rates.
RESULTS: 105 patients in group 1 and 67 patients in group 2 were documented in this study. There was no significant difference between the objective cure rates in two groups, however subjective cure and patients satisfaction rates were significantly higher in SUI group (p< 0.05). Complications were reported according to the Clavien-Dindo classification with Gr I 8.3 %, Gr II 66,7 %, Gr IIIa 8.3 % and Gr IIIb 16,7 % and Gr I 16.7 %, Gr II 66,6 %, Gr IIIa 16,7 % and Gr IIIb 0 % in group 1 and group 2, respectively.
CONCLUSIONS: It is not easy to identify an ideal treatment modality for women with MUI but TOT procedure seems to be effective and safe in the surgical treatment of MUI after 5 years follow-up.
Written by:
Yonguc T, Aydogdu O, Bozkurt IH, Degirmenci T, Polat S, Sen V, Gunlusoy B. Are you the author?
Izmir Bozyaka Training and Research Hospital, Department of Urology, Izmir, Turkey.
Reference: Minerva Urol Nefrol. 2015 Jan 13. Epub ahead of print.
PubMed Abstract
PMID: 25585098