EFFECTIVENESS OF TRANS-OBTURATOR TAPE (TOT) IN THE TREATMENT OF URINARY STRESS INCONTINENCE, CASE REPORT

Urinary incontinence is one of the prevalent hygienic problems of women that is negatively affecting physically, psycho- socially on quality of women’s life. The aim of this study was to evaluate the effectiveness and safety of stress urinary incontinence surgery by the trans-obturator tape method (minimally invasive).

In this cross-sectional study, 30 women with stress urinary incontinence who underwent the TOT procedure in the in the Gynecology Department of Motaharri hospital, Urmia, Iran between August 2016- December 2017 were included. All patients underwent pre-operative clinical examination, cough-stress test in lithotomy position with full bladder, bladder sonography and post-voiding residual volume assessment.

The Mean ± SD age of patients was 43.7±7.62 years, ranging from 30 to 58 years. Patient were followed at the months of 1and 6 after surgery. The average duration of the surgery was about 20 minutes. 100% of patients were completely cured and none of patients have failure of treatment or surgery complications.

In this study, trans-obturator tape placement was found to be a safe, effective and low-complication method. All patients were satisfied with the surgical results. Considering the relatively small number of people studied, it is recommended to conduct more studies, especially focusing on evaluating the quality of life with standard questionnaires in the field of women's urinary problems. Also, clinical trial studies should be designed and implemented in the field of comparison of TOT with existing standard surgical methods in the treatment of female incontinence.