Objective: The objective of this paper is to evaluate the effectiveness of the transobturator vaginal tape (TOT) in the management of female stress urinary incontinence (SUI) and to analyze complications after 6 months of follow-up. Materials and methods: The study included women with SUI who had a TOT procedure in which the sling passes from the obturator foramen from outside to the inside, under regional anesthesia from January 2013 to December 2015. All women had a minimal follow-up of 6 months. The women were prospectively evaluated, and assessment was done by physical examination including pelvic examination, urinalysis, the cough stress test, and the Bonney's test. Results: Twenty-two consecutive women who fulfilled the inclusion criteria underwent the TOT procedure by a single surgeon. The mean age was 44.8 ± 4.2 years (range 37–53 years) and minimal follow-up was 6 months. The mean operative time was 25 ± 5 minutes (range 15–31 minutes), with an average amount of blood loss in all cases. Our results demonstrate a 90.90% cure or improvement rate after 6 months. Conclusion: The transobturator approach from outside to inside is an effective modality of treating SUI with low morbidity. However, longer follow-up in larger populations is needed to assess the reliability of this procedure.
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