Objective: To evaluate the long-term cure rates and perioperative and post-operative complication rates after treatment of female urinary stress incontinence with the minimally invasive transobturator tape procedure.
Methods: Between 1/01/2007 and 31/12/2008, a transobturator vaginal tape was inserted in 30 women with clinical evidence of SUI. Preoperative evaluation included complete history, physical examination, urine analysis and a questionnaire assessing the subjective perception of the women on their continence status.
Results: Thirty consecutive women who fulfilled the inclusion criteria underwent TOT procedure. The mean age was 55 years (range 41-60). The follow up time was of 2 years. One patient was lost to follow-up after 12 months and 2 women did not come for the 24-month evaluation. Our results demonstrate a 93.3% cure or improvement rate after 6 months, 93.1% after 12 months and 92.85% after 24 months. Mesh erosion was seen in 2 women (6.6%), whereas rate of urinary tract infection and transient retention of urine was 3.3% each.
Conclusion: The transobturator vaginal tape is a safe, easy and efficient surgical procedure for the treatment of female SUI.