Evaluation of treatment success in patients undergoing transobturator tape surgery

Abstract

SUMMARY Aim: Transobturator tape (TOT), a minimal invasive surgery for patients with urinary incontinence, is also frequently applied in addition to other gynecologic surgeries. Previous studies report a cure rate of 80-92% with TOT. In this study, we aimed to evaluate treatment success in patients to whom TOT was applied in our clinics. Materials and methods: Patients to whom TOT was applied in our clinics between January 2009 and April 2013 were retrospectively evaluated. Follow up records were investigated to find out our TOT success rate and other urogynecologic problems that developed during follow up. Presence of ongoing urinary incontinence was accepted as TOT failure. Results: 107 cases to whom TOT was applied and with accessible data were included. Median age of the cases was 59 (26-84). 72% (n=77) of these were in menopause, 91.6% (n=98) were multiparous and 59.8% (n=64) had simultaneous gynecologic surgeries. Most frequent additional operation was vaginal hysterectomy (n=42, 39.3%). Median postoperative follow up duration was 2.4 years (0.5-4years). 13.1% (n=14) of the cases had ongoing urinary incontinence during follow up. Our TOT success rate was 87.9%. This rate was 87.5% in cases with and 88.4% in cases without a simultaneous surgery (p>0.05); 85.7% in postmenopausal and 93.3% in premenopausal cases (p>0.05). During follow up, cystocele developed in 8.4% and cuff prolapsus developed in 11.2% of the cases. Conclusions: Cure rate of TOT cases in our clinics is in accordance with the numbers in the literature. TOT success rate is not affected from the menopausal status or the application of any other simultaneous gynecologic surgery.