The role of trans obturator tape as a surgical procedure for female stress urinary incontinence and its impact on quality of life in Jammu region


  • Sapna Puri Department of Obstetrics and Gynecology, Acharya Shri Chander College of Medical Sciences and Hospital, Jammu, Jammu and Kashmir, India
  • Manisha Kohli Department of Obstetrics and Gynecology, Acharya Shri Chander College of Medical Sciences and Hospital, Jammu, Jammu and Kashmir, India



King’s health questionnaire, Quality of life, Stress incontinence, Symptom score, Trans obturator tape


Background: Stress incontinence is one of the most common but debilitating health issue among women. It has a detrimental effect on overall health and quality of life of women. Trans obturator tape (TOT) has emerged as a promising treatment modality. The aim of present study was to assess the usefulness of TOT in terms of change in quality of life of stress incontinence patients.

Methods: The study was performed at Department of Obstetrics and Gynecology, Acharya Shri Chandler of Medical Sciences (ASCOMS), Jammu. A total of 50 symptomatic women were enrolled in the study and underwent TOT procedure using outside-in technique. The quality of life of women was assessed at enrolment and 12 months after the procedure using King’s Health Questionnaire (KHQ). Change in QOL was assessed using paired ‘t’-test.

Results: After 12 months follow-up, a total of 27 (54%) patients were entirely symptom free. As compared to pre-treatment QOL assessment on KHQ for general health/incontinence impact, quality of life and symptom scores a % decline of 73.2%, 79.8% and 78.4% was observed. For all the three parts, the change in scores was significant statistically. No other complications and side effects were reported.

Conclusions: TOT is a useful procedure which provided symptomatic relief as well as QOL enhancement.


Aoki Y, Brown HW, Brubaker L, Cornu JN, Daly JO, Cartwright R. Urinary incontinence in women. Nat Rev Dis Primers. 2017;3:17042.

Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J. An International urogynecological association (IUGA)/International continence society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29:4-20.

Hampel C, Weinhold D, Benken N Eggersmann C, Thuroff JW. Definition of overactive bladder and epidemiology of urinary incontinence. Urol. 1997;50:4.

Hampel C, Artibani W, Espuña Pons M, Haab F, Jackson S, Romero J, et al. Understanding the burden of stress urinary incontinence in Europe: A qualitative review of the literature. Eur Urol. 2004;46:15.

Tennstedt SL, Fitzgerald MP, Nager CW, Xu Y, Zimmern P, Kraus S, et al. Quality of life in women with stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(5):543-9.

Ganapathy T. Impact of urinary incontinence on quality of life among rural women. Muller J Med Sci Res. 2018;9:71-7.

Rovner ES, Wein AJ. Treatment options for stress urinary incontinence. Rev Urol. 2004;6 Suppl 3(Suppl 3):S29-S47.

Magon N, Chopra SV. Transobturator tape in treatment of stress urinary incontinence: it is time for a new gold standard. N Am J Med Sci. 2012;4(5):226-30.

Reese PR, Pleil AM, Okano GJ, Kelleher CJ. Multinational study of reliability and validity of the King’s Health questionnaire in patients with overactive bladder. Qual Life Res. 2003;12(4):427-42.

Hebbar S, Pandey H, Chawla A. Understanding King’s Health Questionnaire (KHQ) in assessment of female urinary incontinence. Int J Res Med Sci. 2015;3(3):531-8.

Luber KM. The definition, prevalence, and risk factors for stress urinary incontinence. Rev Urol. 2004;6 Suppl 3(Suppl 3):S3-S9.

Guin G, Choudhary A, Dadhich R. Prevalence of stress urinary incontinence and its associated risk factors amongst females attending tertiary referral centre. Int J Reprod Contracept Obstet Gynecol. 2018;7(6):211-9.

Celada P, Cañete P, Ortiz Murillo E, Tarín JJ, Cano A. Effectiveness and quality of life 10 years after transobturator suburethral tape surgery for stress urinary incontinence. J Obstet Gynaecol Res. 2018;44(3):518-23.

Paul F, Joce AP, Giridhar A, Mampatta J, Shetty S, Bhat S. Impact of transobturator tape procedure on quality of life in female stress urinary incontinence. Int J Anat Radiol Surg. 2017;6(1):SO06-9.

Aygül C, Özyurt R, Şık BA, Kumbasar S. Evaluation of the efficacy of transobturator tape surgery in the treatment of stress urinary incontinence using urodynamics and questionnaires. Turk J Obstet Gynecol. 2016;13(4):172-7.

Jacob KJ, Jayaprakash M, Cherian A. Quality of life assessment in women with stress urinary incontinence following Trans Obturator Tape (TOT) insertion: a prospective study. Int J Reprod Contracept Obstet Gynecol. 2017;6(10):4508-10.

Jose D, Zoff F, Modotti CG. An evaluation of the outcome and quality of life after TOT-surgery. Int J Obstet Gynaecol. 2016;4(1):117-22.






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