ABSTRACT

Introduction and objectives:

The aim of this case series was to assess the safety and efficacy of the TOT in treating SUI, as well as the intra- and postoperative complications and their management.

Methods:

Five different macroporous tapes were inserted by a single operator. Patients were assessed by history, positive cough test and intra- and postoperative complications; objective, subjective success rates have been recorded.

Results:

120 patients with SUI were included. Intraoperative complications included 2 bladder and 2 vaginal perforations, which were diagnosed and managed intra-operatively. The follow up was between 3 and 63 months. Both objective and subjective cure rates of 94.5% were recorded. Positive results persist over a period of 5 years. Mesh erosion was noted in 1 case, 3 procedure failures and one de novo Detrusor Instability (DI) were found during the follow up period.

Conclusion:

TOT outside-in is a safe and effective procedure for SUI with low complications.