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Year : 2012  |  Volume : 4  |  Issue : 5  |  Page : 226-230

Transobturator Tape in Treatment of Stress Urinary Incontinence: It is Time for a New Gold Standard

1 Department of Gynecology and Obstetrics, Air Force Hospital, Kanpur, India
2 Department of Gynecology and Obstetrics and Brig Incharge Training, Armed Forces Medical College, Pune, India

Correspondence Address:
Navneet Magon
Obstetrician-Gynecologist and Endoscopic Surgeon, Department of Gynecology and Obstetrics, Air Force Hospital, Kanpur
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1947-2714.95905

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Background: Stress urinary incontinence (SUI) can significantly impair the quality of life. A variety of treatments, both medical and surgical, have been used to manage it. The transobturator sling, which is a subfascial sling, is relatively a new surgical technique with minimal access. Aim: The objective of this study was to evaluate the effectiveness of transobturator tape (TOT) in the treatment of female SUI and to analyze functional results. Materials and Methods: A total of 59 patients were applied TOT by outside-in technique and various outcome parameters recorded. These patients were followed up 6 months after surgery. Results: Success rate of TOT was 93.2% (95% CI: 86.4-99.5). A total of 51 patients (86.4%) were completely satisfied, whereas 4 (6.8%) were partially satisfied and 4 were unsatisfied with surgical outcome. The procedure-related complications were few and could be managed in the same sitting. Conclusion: The transobturator approach is an effective treatment of SUI with low morbidity, and it has all the potential to be the new Gold Standard in the treatment of female SUI.

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