Original Article

Efficacy and safety of transobturator polypropylene hernia mesh (TOT) for female urinary stress incontinence: mean and large follow-up (7 years)

  • LEONEL BRIOZZO
  • FERNANDA NOZAR
  • VERÓNICA FIOL
  • SOLEDAD BOTTARO
  • FERNANDA GÓMEZ

Pelviperineology 2011;30(4):104-106

Objectives:

to evaluate the efficacy and safety of transobturator tape in the treatment of female stress urinary incontinence (SUI). To assess the level of satisfaction with the technique.

Methods:

prospective study. Population: 60 patients who underwent TOT procedure from February 2002 to October 2004. Patients were assessed in five temporary sections, up to February 2011. Inclusion criteria: incontinence as a subjective symptom, stress incontinence on physical examination and urodynamic test that confirmed it. Technique: recyclable needles and simple polypropylene mesh instead of commercials kits.

Results:

no vascular, nervous, neither digestive injury was registered. One case of bladder injury. Primary outcomes: 56,7% of the patients are asymptomatic, 25% better and 18,3% do not refer changes. 71,7% are very satisfied, 13,3% mild satisfied and 13,3% unsatisfied.

Conclusions:

the results confirm the effectiveness of TOT in treating female SUI with a low complication rate. The effectiveness of the technique decreases with time.

Keywords: Female urinary stress incontinence; TOT