doiSerbia

Tension free vaginal tape (TVT) vs transobturator tape(TOT) complications and outcomes

Potić Milan (Clinical center Niš, Clinic of urology, Niš)
Ignjatović Ivan (Clinical center Niš, Clinic of urology, Niš)
Bašić Dragoslav (Clinical center Niš, Clinic of urology, Niš)

Background: Stress urinary incontinence (SUI) is managed with both TVT and TOT. The TVT route of placement could result in a higher complication rate. The aim of this study is to analyze and compare outcomes and complications of TVT and TOT in SUI treatment. Methods: Prospective study in 64 women with isolated SUI was validated through Urogenital Distress Inventory (UDI-6), Incontinence Impact questionnaire (IIQ-7) and International Continence Impact Questionnaire (ICIQ5-SF). Intraoperative and postoperative complications were noted. Patients were considered cured when negative on stress test and with no need for additional surgery during follow up, after one and three months. Results: The cure rates for both TVT 26/30 (86,6%) and TOT 30/34 (88,2) were comparable. Higher rates of bleeding, bladder perforations, pain and dyspareunia are recorded in TVT group. Quality of life graded on the questionnaire basis proved significant improvement in both procedures. Conclusion: Both TVT and TOT have comparable cure results in the treatment of SUI. The TOT is equally effective in the SUI treatment with significantly lower complication incidence.

Keywords: stress incontinence, impact questionnaire, slingplasty

Projekat Ministarstva nauke Republike Srbije, br. 175092 i br. III 46013