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Arch Iran Med. 2020;23(12): 827-834.
doi: 10.34172/aim.2020.110
  Abstract View: 175
  PDF Download: 131

Original Article

Five-Year Efficacy of Transobturator Tape Treatment and Quality of Life in Women with Stress Urinary Incontinence

Mehmet Oguz Sahin 1* ORCID logo, Volkan Sen 1, Bora Irer 2, Guner Yildiz 3

1 Department of Urology, Manisa State Hospital, Manisa, Turkey
2 Department of Urology, Izmir Metropolitan Municipality Esrefpasa Hospital, Izmir, Turkey
3 Department of Urology, Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, Izmir, Turkey
*Corresponding Author: Mehmet Oguz Sahin, MD; Department of Urology, Manisa State Hospital, Manisa, Turkey. Tel: +90-50-52467376; Email: urologoguz@ yahoo.com

Abstract

Background: We aimed to assess the results of first- and fifth-year outcomes and the effect on quality of life (QoL) of transobturator tape (TOT) treatment in patients with stress urinary incontinence (SUI).

Methods: The patients who underwent TOT surgery between January 2008 and June 2013 were screened retrospectively. The QoL was evaluated with Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory-Short Form (UDI-6). The subjective evaluation of patients in terms of incontinence outcome was classified as worsened (UDI-6 and IIQ-7 if pre-operative < postoperative), improved (UDI-6 and IIQ-7 if pre-operative > postoperative), or cured (UDI-6 and IIQ-7 postoperative <10). The first-year and fifth-year success rates were compared between the IIQ-7 and UDI-6 results.

Results: A total of 109 patients were included in the study. There was a significant improvement (P<0.001) in the patients’ UDI-6 and IIQ-7 scores when the preoperative and postoperative first-year results were compared. Comparing the postoperative first-year and fifth-year total UDI-6 and IIQ-7 scores, a significant improvement was observed and the patients’ complaints were significantly reduced (P<0.001). The results of the IIQ-7 and UDI-6 questionnaire revealed that the TOT surgery success rate was 93.3% at the end of the first year and 88.7% at the end of the fifth year.

Conclusion: The postoperative first-year and fifth-year data reveal that TOT surgery has a high success rate and positive effects on QoL. Low complication rates and the ease of application make TOT a good alternative to other treatment modalities in surgical treatment of SUI.

Keywords: Complications, Incontinence, Quality of life, Stress urinary incontinence, Transobturator tape
Cite this article as: Sahin MO, Sen V, Irer B, Yildiz G. Five-year efficacy of transobturator tape treatment and quality of life in women with stress urinary incontinence. Arch Iran Med. 2020;23(12):827–834. doi: 10.34172/aim.2020.110.
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Abstract View: 175

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Submitted: 28 Sep 2019
Revision: 19 May 2020
Accepted: 20 Jun 2020
ePublished: 01 Dec 2020
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