TITLE:
Treatment success of transobturator tape compared with tension free vaginal tape for stress urinary incontinence at 24 months: A randomized controlled trial
AUTHORS:
Mahmoud Fathy Hassan, Osama El-Tohamy, Mostafa Kamel
KEYWORDS:
Urinary Incontinence; Stress; Suburethral Slings; TOT; TVT
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.3,
February
24,
2014
ABSTRACT: Objective: To compare the
long term efficacy of transobturator Tape (TOT) with
tension free vaginal tape (TVT) at 24 months postoperatively. Patients & Methods:
160 women with stress urinary incontinence (SUI) were randomly allocated to
either TVT or TOT procedures and reviewed at 24 months after surgery. The
primary outcomes were objective cure (a negative cough stress test, and a
negative 1-hour pad test), and subjective cure (defined as “very much better”
or “much better” improvement in the Patient Global Impression of Improvement scale). The secondary outcomes included incontinence related quality of
life (using Urogenital Distress Inventory Questionnaire, and
Incontinence Impact Questionnaire), and complications. Results: No statistical
difference was reported in objective and subjective cure rates between both
groups. Objective cure rate was 85.6% and 81.6% in the TOT and TVT groups respectively (P = 0.55). Subjective cure rate in the
TOT and TVT groups were 87% and 83% respectively (P = 0.68). There were no significant differences in postoperative
complications and incontinence related quality of life. However, the operating time was significantly shorter in the TOT group compared with the TVT group (22.6 ± 3.9, 27.1 ± 3; respectively, P