Trans Obturator Tape (TOT) Procedure in cases of Stress Urinary Incontinence: Patients' Satisfaction and Cure Rates (Retrospective Analysis)

Abstract

Background: Stress urinary incontinence (SUI) is the involuntary escape of urine on exertion or physical effort, including sports activities, or on coughing or sneezing, affecting the women's health-related quality of life, either the psychological well-being or physical activity. Aim of the Work: To assess the rates of cure, complications, and patient's satisfaction after doing a Trans-obturator tape (TOT) procedure in patients with stress urinary incontinence (SUI). Patients and Methods: This retrospective study was conducted at at the Urogynecology Department, Ain Shams University Maternity Hospital from June 2022 till January 2023 and performed on a total of 79 women who underwent trans-obturator tape (TOT) procedure for treatment of female urinary incontinence in the last four years in urogynecology department. Results: As regards Follow-up postoperatively, our study results revealed that cure rate and satisfaction rate were 55.7% and leak and Unsatisfaction were reported in 44.3% of cases and the cases with urine leak and more frequent hypertension, pelvic prolapse and urinary positive culture as well as longer hospital stay. In addition, total ICIQ-SF scores and IIQ-7 were 0 in all patients after the surgery while before the surgery, the ICIQ-SF scores and IIQ-7 were missed which is the disadvantage the retrospective study design of the current study. Conclusion: Our study showed that the TOT procedure is effective in the treatment of pure SI and Mixed incontinence with high success rates, high patient satisfaction and the least complications.