Korean J Obstet Gynecol.  2008 Sep;51(9):1011-1017.

Clinical study of complications in the surgical management of stress urinary incontinence using Transobturator tape (TOT)

• Kim CH
• Cho MK
• Kim JW
• Kim SM
• Kim YH
• Oh ST
• Song TB
• Choi HS
• Lee YI

Abstract

OBJECTIVE
The purpose of this study was to evaluate the complications of Transobturator tape (TOT) in the surgical treatment for stress urinary incontinence and their management.
METHODS
From March 2005 to October 2007, 206 patients diagnosed with stress urinary incontinence were operated using TOT at Chonnam National University Hospital. We reviewed medical records and analyzed the data according to age, parity, menopausal state, concomitant operations and complications.
RESULTS
Mean age of the patients was 52.6+/-10.5 years and mean parity was 2.9+/-1.4. 91 patients (44.2%) were in postmenopausal state and 201 patients (97.6%) had other concomitant gynecologic operations. There were no intraoperative complications such as vaginal injury or bladder perforation. Postoperatively, there were 2 cases (1.0%) of vulva hematoma, 6 cases (2.9%) of urinary retention, 4 cases (1.9%) of de novo urgency and 4 cases (1.9%) of vaginal erosion.
CONCLUSION
The surgical treatment using TOT is thought to be safe and effective means for the management of stress urinary incontinence. Although rare, complications may occur, therefore surgeons must be aware of the management of each complications.

Keyword

Stress urinary incontinence; Transobturator tape

MeSH Terms

Female
Hematoma
Humans
Intraoperative Complications
Medical Records
Parity
Suburethral Slings
Urinary Bladder
Urinary Incontinence
Urinary Retention
Vulva