TRANSOBTURATOR TAPE FOR THE TREATMENT OF STRESS URINARY INCONTINENCE IN A SMALL MUNICIPAL HOSPITAL: A SINGLE SURGEON EXPERIENCE

Abstract

The aim of the study was to describe a study of 43 patients operated using a transobturator tape (TOT). A prospective study was performed on forty free patients operated between 2014 and 2020. In all patients, the diagnosis of stress urinary incontinence (SUI) was based on clinical criteria: positive stress test or positive pad test, confirmed urethral hypermobility (> 30 degrees), ultrasound and bladder diary for three days. Cystoscopy was performed in all patients to document satisfactory bladder compliance and capacity, and to exclude ordinary pathology of the bladder. In all patients, TOT was performed. Follow up was performed one month, six months, and 12 months after the surgery. All patients, 42/43 (97.6%), were in a generally good preoperative health state according to American Society of Anesthesia grading system (ASA 1-2). The subjective cure was achieved in 36/43 (83.7%) patients after one year. The objective cure was achieved in 32/43 (74.7%) patients after one year. OAB was present preoperatively in 19/43 (44.1%) patients, and postoperatively in 9/43 (20.9%) patients (p < 0.02). Postoperative complications were minor (Clavien-Dindo grade ≤ 2) in 42/43 (97.6%) patients. Transobturator tape can be successfully performed in selected patients in a small municipal hospital. Acta Medica Medianae 2021;60(1):68-73.