Original Article

Learning curve experience in tension-free vaginal tape and transobturator tape operations for the treatment of stress urinary incontinence

  • EBRU CELIK
  • BURCIN KAVAK
  • ZEYNEP DOGAN
  • BILGIN GURATES
  • HUSNU CELIK

Pelviperineology 2012;31(2):48-51

Objective:

to compare short-term outcomes and intraoperative complications that arise within the learning period of tension-free vaginal tape (TVT) and transobturator tape (TOT) operations used in stress urinary incontinence.

Material and method:

In the present study, 50 patients were treated with TOT and 20 with TVT. An additional operation was performed on 32% of those who had TOT and 50% of those who had TVT.

Results:

No intraoperative complications have been encountered in TVT and TOT operations. Marked improvements were observed in both operation groups in IIQ-7 and UDI-6 quality of life surveys in the first and third postoperative months (p<0.05). Operation duration of TOT was found significantly shorter than that of TVT (p<0.05). There was not any significant difference between groups in terms of early postoperative complications like duration of hospital stay, urination dysfunction, leg pain and urinary tract infection (p>0.05). One patient who had TOT developed mesh erosion and one who had TVT developed globe vesical on postoperative day one.

Conclusion:

TVT and TOT are operations which produce similar short-term outcomes and the learning period of which can be overcome without complications by surgeons experienced in pelvic anatomy and surgery.

Keywords: Stress urinary incontinence (SUI); Tension-free vaginal tape (TVT); Transobturator tape (TOT); Short-term outcomes; Complication.