Poster Session 3: Incontinence and overactive bladder| Volume 8, ISSUE 8, P619, September 2009

S36 Transobturatory Tension Free Tape (TOT) procedure in the treatment of female SUI: Controlled trials 2 years after surgical procedures there was no pelvic organ prolapse

      Introduction and Objectives

      Stress Urinary Incontinence (SUI) is a high prevalent symptom in adult women. SUI may seriously impair the physical, psychological, and social being of the patients.We evaluate succes of surgical implantation sling, TOT, in the treatment of female SUI, there was no pelvic organ prolapse, 2 years after surgical procedures.

      Material and Methods

      From March 2004 to May 2006 we treated 116 women with SUI, with transobturatory tension free sling. Among them, 46 women was no pelvic organ prolapse. After 2 years controlled trials included physical examination, urinary symptom and quality of life scale questionnaires.


      Two-years follow-up was available on all 46; there was no pelvic organ prolapse.
      Tabled 1
      YearNo pelvic organ prolapse
      Success rate 93% (43 patients).
      a Success rate 93% (43 patients).
      In 46 patients there was no pelvic organ prolapse surgical treatment the SUI complete cure rate was 93.4% (43 patients). Two patients required tape removal due to urine retention, while in another one retention was temporary and solved spontaneously 4 weeks after procedure. In the other cases was no eny intraoperatively and postoperativ complication. Most womens reported a significant decrease symptoms of SUI and improvement in quality of life.


      This study suggest that the implantation of the tension-free midurethral tape with transobturator approaches in the treatment of female SUI, is a safe and efficient method in treatment SUI.