Female Stress Urinary Incontinence; Clinical Results in 18 Women Treated By Trans-Obturator-Tape

Abstract

The aim of the study was to assess the efficacy and safety of a new minimally invasive surgical procedure using
the Trans-Obturator-Tape (TOT) to treat female stress incontinence in Libya.
Eighteen women with stress incontinence underwent the TOT procedure, one day surgery (March 2006 to March
2009). Two patients were previously operated on for incontinence. Sixteen patients were first time operated
on. Mean age was 57.5 years (38-77). Eight patients were having mixed incontinence. The surgical placement
technique utilizes a trans-obturator percutaneous approach and sexual intercourse avoided post operatively for
4 weeks. All patients underwent post-operative clinical examination, cough-stress test (full bladder) and postvoiding residual assessment.
Mean follow up was ten months. At first month follow-up 90% of the patients were completely cured, 9% were
improved within three months, one patient improved completely after six months (she had sexual intercourse on
the fifth day post operative). No post-operative complication was seen.
Conclusion: Trans-Obturator-Tape is an effective and safe technique for the treatment of female stress urinary
incontinence as compared with the other procedures.