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

Priyankur Roy; Bivas Biswas; Shaheen Hokabaj; Ruchika Garg; Sujatha M. S.

doi:10.18203/2320-1770.ijrcog20172325

Authors

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

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20172325

Keywords:

Female stress, Stress urinary incontinence, TVT-O

Abstract

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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