Five-Year Follow-up in Patients with Transobturator Tape - A Retrospective Observational Study.

Abstract

<h4>Background</h4>Stress urinary incontinence (SUI) could be due to urethral hypermobility due to the weakening of the pelvic floor muscles which support the urethra and bladder or the intrinsic sphincter deficiency. The mid-urethral tape acts as an anchored pubo-urethral neo-ligament thus increasing the level of mid-urethral support. The purpose of this study is to evaluate the safety and efficacy of transobturator tape (TOT) for SUI at 5 years of follow-up.<h4>Materials and methods</h4>This was a retrospective observational single-arm study of 40 patients. Ten patients were lost to follow-up; hence, only 30 patients were included in the study. Patients who underwent TOT from 2010 to 2012 were followed up till December 2017. Patients were evaluated for early and late postoperative complications and efficacy of the tape at 5 years.<h4>Results</h4>The mean age of the patients with SUI was 48.07 (standard deviation ± 9.38). About 76.66% (<i>n</i> = 23) of patients had only pure stress incontinence, whereas 23.3% of patients (<i>n</i> = 7) had mixed urinary incontinence (MUI). The cure rate in our study was 93.33% at 5 years. Out of the seven patients with MUI, urge incontinence was cured in 71.42% (<i>n</i> = 5). <i>De novo</i> urgency was observed in 6.6% (<i>n</i> = 2). No major complications such as bladder and bowel perforation, vascular hemorrhage, or mesh erosion were seen. Patient satisfaction was graded as excellent in 46.66% (<i>n</i> = 14), good in 30% (<i>n</i> = 9), and poor in 23% (<i>n</i> = 7).<h4>Conclusion</h4>TOT for stress incontinence has a high cure rate and very good efficacy at 5 years. No major complications are seen when the procedure is performed by expert hands.