Abstract

PARDO SCHANZ, J.; RICCI ARRIOLA, P.; TACLA FERNANDEZ, X.  and  BETANCOURT ORTIZ, E.. Trans Obturator Tape (TOT) for female stress incontinence: Experience with three years follow-up in 200 patients. Actas Urol Esp [online]. 2007, vol.31, n.10, pp.1141-1147. ISSN 0210-4806.

Objective: To evaluate the security and effectiveness of the TOT in the female incontinence surgical treatment according to our experience. Patient and Method: Prospective study of 200 patients underwent TOT at Gynecology Unit of the Obstetrics and Gynecology Department in Barros Luco-Trudeau Hospital between January 2003 and October 2006. Polypropilene, macropore, mofilament mesh (Prolene) was used. The mean age was 52 years old, parity 3. Results: The mean surgical time of TOT was 15 minutes. In 184 (92%) patients obtained cure, 6 (3%) improvement and 10 (5%) fails. Three cases of bladder injury occurred (one perforation with the scissor and two with TOT needle during the learning phase). During the immediately postoperative time: one case of partial urethral obstruction, two cases of urinary infection and three with pain of the legs. During the delayed postoperative time a case of fail was observed after trauma. Conclusion: According to our experience with 200 cases, the TOT appears as a safe and effective technique in the surgical treatment of the stress urinary incontinence.

Keywords : TOT; Trans obturator tape; Midurethral swing; Stress urinary incontinente; Urinary incontinence.

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