Stress urinary incontinence is the most common type of incontinence in women.
Aims and objectives: To evaluate the long term efficacy and safety of TOT procedure in women with stress urinary incontinence.
Material and methods: A retrospective study was carried out in SMGS Hospital, GMC Jammu. A total of 50 women with SUI underwent TOT procedure during the period from January 2010 to December 2017. All patients were assessed before surgery by history, clinical examination, urine analysis, abdomino-pelvic ultrasonography, and urodynamic evaluation when indicated.
Results: The mean follow-up period was 5 years, ranged from 3-7 years. Their mean age was 45.5 years (range 30-60 years). One patient develop de-novo urge. 2 patients complained of dyspareunia. 2 patients developed post-operative voiding difficulty. 44 patients were dry. Two patients reported incontinence when their bladder was full were happy with this. 46 patients were therefore satisfied with their outcome. No patient complained of worsening incontinence during the follow-up period. 4 patients remained wet.
Conclusions: Our study demonstrates that Transobturator tape procedure is safe and effective minimally invasive procedure for treatment of SUI with good long-term outcome.