[The efficacy of transobturator tape procedure in management of stress urinary incontinence in women].

OBJECTIVES

The purpose of the study is to present the early outcome of stress urinary incontinence treatment in women using a new transobturator tape technique.

METHODS

Between March 2004 and June 2005 67 women were operated on for stress urinary incontinence using the transobturator tape procedure. In 24 patients concomitant surgery for pelvic organ prolapse was performed. The patients were selected to the procedure after a thorough clinical and urodynamic examination. During the follow-up the cure rate and postoperative complications were assessed after an interview and clinical examination.

RESULTS

The mean follow-up was 13,0 months (7,2-20,7 months). In 63 out of 67 patients the stress urinary incontinence was completely cured. In 3 patients the procedure failed. In one patient with preoperative mixed urinary incontinence the bladder hyperreactivity did not improve. Two patients presented with early postoperative voiding problems demanding prolonged catheterization.

CONCLUSIONS

The early outcome of stress urinary incontinence treatment using the transobturator tape procedure is very encouraging. The technique seems very effective and the complication risk is low. Further evaluation for long term results is of great interest.