Two-Year Follow-Up Results of Transobturator Tape Procedure with and without Concomitant Vaginal Surgery

• Published in: Urologia internationalis Vol. 100; no. 4; p. 402
• Main Authors: Celik, Fatih, Pektas, Mine Kanat, Kose, Mesut, Arioz, Dagistan Tolga, Yesildager, Evren, Yilmazer, Mehmet
• Format: Journal Article
• Language: English
• Published: Switzerland 01-01-2018
• Subjects: Dyspareunia - complications; Female; Follow-Up Studies; Gynecologic Surgical Procedures - adverse effects; Humans; Hysterectomy, Vaginal; Middle Aged; Patient Safety; Pelvic Floor - surgery; Postoperative Complications; Prospective Studies; Quality of Life; Suburethral Slings - adverse effects; Surveys and Questionnaires; Treatment Outcome; Turkey; Urinary Incontinence, Stress - surgery; Vagina - surgery; Turkey; Pelvic organ prolapse; Suburethral slings; Urinary stress incontinence; Transobturator tape
• ISSN: 1423-0399
• DOI: 10.1159/000488465

This study aims to evaluate the subjective and objective outcomes of the transobturator tape (TOT) procedure performed to treat stress urinary incontinence and to determine the efficacy and safety of the TOT procedure when used along with vaginal surgery.
This is a prospective review of 24 women who had the TOT procedure done only due to stress incontinence; 22 women who underwent concomitant TOT and pelvic floor repair; and 20 women who received concurrent TOT, transvaginal hysterectomy, and sacrospinous ligament fixation.
When compared to the patients who had TOT with pelvic floor repair, the patients who underwent TOT with hysterectomy declared to have more dyspareunia (p = 0.008) and they were found to have significantly higher post-void residual volume (p = 0.014). When compared to the patients who had only TOT, the patients who underwent TOT with hysterectomy claimed to have more pelvic pain (p = 0.012) and significantly higher post-void residual volume (p = 0.020).
The TOT procedure results in moderately high objective cure rates, and concurrent application of pelvic floor repair or transvaginal hysterectomy does not affect these rates. The relatively higher incidences for voiding problems and pelvic pain in women who underwent TOT, hysterectomy, and sacropinous fixation simultaneously suggest that the extent of surgery directly correlates with the severity of postoperative complications.