Abstract: Background: Among young adults and middle aged, stress urinary incontinence (SUI) is reported approximately in 25% of women and its prevalence increases further with the increase in age. Following an increasing number of women reporting complications after mesh surgery, it was announced that all mid-urethral slings for SUI would be suspended in England for at least nine months.
Methods: A retrospective observational study on 35 patients who underwent trans obturator tape (TOT) with polypropylene mesh, to assess the safety and efficacy of the procedure for the surgical treatment of female stress urinary incontinence with the help of a structured questionnaire.
Results: The mean age of women in our study was 49yrs. 97% of the study population were multiparous women and 85.7% of them had all vaginal deliveries and the rest had undergone cesarean section. Majority of the patients – 60% presented with mixed incontinence while 40% had pure stress incontinence. An intra-op complication in the form of bladder injury was noted in one patient. We could find significant differences in the incidence of post-op complications like mesh erosion and recurrent UTI compared to corresponding foreign studies.
Conclusion: Our study confirms that TOT is a safe procedure in the short and long term with very few intraoperative, early, and late post-operative complications. TOT is an effective and successful procedure with 62.9% of cured patients and 37.1% of improved patients during a five-year follow-up in our population. However, large multicentric studies are recommended to come to a robust conclusion regarding its long-term safety and efficacy.
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