Efficacy and safety of the trans-obturator tape for female stress urinary incontinence


  • Priyankur Roy Department of Obstetrics and Gynecology, NBMCH, Siliguri, West Bengal, India
  • Bivas Biswas Department of Obstetrics and Gynecology, Nottingham, United Kingdom
  • Shaheen Hokabaj Department of Obstetrics and Gynecology, IKDRC-ITS, Ahmedabad, Gujarat, India
  • Ruchika Garg Department of Obstetrics and Gynecology, SNMCH, Agra, Uttar Pradesh, India
  • Sujatha M. S. Department of Obstetrics and Gynecology, JSSMCH, Mysore, Karnataka, India




Female stress, Stress urinary incontinence, TVT-O


Background: To assess the safety and efficacy of Trans-obturator tape (TVT-O) for female stress urinary incontinence (SUI).

Methods: A cohort of 35 cases of SUI and underwent TVT-O procedure over a period of 4 years. Pre-operative evaluation included pelvic examination, one hour pad test, urodynamic study, urinary diary and baseline haematological tests. Post-operatively all women had post-void residual volume and were followed up for 3 years.

Results: The mean age of the patients was 47±9.5 years. TVT-O alone was done in 58.1% of cases. 41.9% of cases had TVT-O done as a concomitant procedure. The median duration of follow-up was 48 months. The overall objective and subjective cure rate was 92.3% with failure rate of 7.7%, 12.9% of women reported post-operative thigh pain and 6.5% patients had immediate post-operative urinary retention. 16.1% of the patients had post-operative voiding dysfunction. No major complications were encountered in these patients.

Conclusions: TVT-O is a safe, easy and effective minimally invasive procedure for female SUI with minimal acceptable complications.


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Original Research Articles