A prospective study of combination of TOT with various modes of hysterectomy


  • Aditi Phulpagar Department of Obstetrics and Gynaecology, K. B. Bhabha Municipal General Hospital, Bandra, Mumbai, Maharashtra, India
  • Prasad Yeshwant Deshmukh Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, Maharashtra, India




Post hysterectomy vault prolapse, Stress urinary incontinence, Total abdominal hysterectomy, Total laparoscopic hysterectomy, Transobturator tape, Vaginal hysterectomy


Background: The present study aimed to evaluate the efficacy of transobturator tape (TOT) in patients with urodynamic stress incontinence (USI) and advanced genital prolapsed with various modes of Hysterectomy.

Methods: It is a retrospective study, carried out in the duration November 2013 to September 2016. All patients from Gynecological OPD of K B Bhabha General Hospital were recruited for the present study.

Results: Data was analyzed using SPSS 21.0 (SPSS Inc., Chicago, IL, USA) using appropriate statistical tests.

Conclusions: TOT is equally effective alone and in combination of any mode of hysterectomy, provided the surgeon is experienced enough with required expertise.


Magon N, Kalra B, Malik S, Chauhan M. Stress urinary incontinence: What, when, why, and then what? Journal of mid-life health. 2011;2(2):57.

Wu JM, Kawasaki A, Hundley AF, Dieter AA, Myers ER, Sung VW. Predicting the number of women who will undergo incontinence and prolapse surgery, 2010 to 2050. Obstet Gynecol. 2011;205(3):230-35.

Weber AM, Abrams P, Brubaker L, Cundiff G, Davis G, Dmochowski RR, et al. The standardization of terminology for researchers in female pelvic floor disorders. IntUrogynecol J Pelvic Floor Dysfunct. 2001;12(3):178-86.

Segal S, Arya LA, Smith AL. Functional Outcomes for Incontinence and Prolapse Surgery. Current bladder dysfunction reports. 2012;7(3):179-86.

Delorme E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. ProgUrol. 2001;11:1306-13.

Richter HE, Albo ME, Zyczynski HM, Kenton K, Norton PA, Sirls LT, et al. Retropubic versus transobturatormidurethral slings for stress incontinence. N Engl J Med. 2010;362(22):2066-76.

Lo TS. Combined pelvic reconstructive surgery and transobturator tape (monarc) in women with advanced prolapse and urodynamic stress incontinence: a case control series. Journal of Minimally Invasive Gynecology. 2009;16(2):163-8.

Ogah J, Cody JD, Rogerson L. Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2009;4.

Novara G, Ficarra V, Boscolo-Berto R, Secco S, Cavalleri S, Artibani W. Tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials of effectiveness. EurUrol. 2007;52:663-78.

Latthe PM, Foon R, Toozs-Hobson P. Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. BJOG. 2007;114:522-31.

Barber MD, Kleeman S, Karram MM, Paraiso MF, Walters MD, Vasavada S, et al. Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence: a randomized controlled trial. Obstetrics & Gynecology. 2008;111(3):611-21.

Whiteside JL, Walters MD. Anatomy of the obturator region: relations to a trans-obturator sling. IntUrogynecol J Pelvic Floor Dysfunct. 2004;15:223-6.






Original Research Articles