Does Mesh Application by Using Inside-Out and Outside-In Techniques during Transobturator Tape Surgery Change the Success?

Abstract

Aim: This study aimed to evaluate the effect of transobturator tape (TOT) surgery, which is performed in the treatment of stress urinary incontinence (SUI) in women, using the inside-out or outside-in technique on the success of the surgery. Material and Methods: Sixty-five women diagnosed with SUI and for whom it was decided to perform TOT surgery were included in this prospective randomized study. Participants were divided into two groups, 32 women underwent TOT surgery using the inside-out technique and 33 women underwent TOT surgery using the outside-in technique. The surgical data of patients, the 3-month incidence of complications, pre-, and postoperative scores of the incontinence impact questionnaire (IIQ-7), and the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) were recorded. Objective, subjective, and inadequate treatment rates were determined for the evaluation of the success of the treatment. Results: When the two groups were compared, there was no statistically significant difference in terms of age, body mass index, parity, menopause status, duration of incontinence, and preoperative IIQ-7 and ICIQ-SF scores. There were no statistically significant differences between surgical durations, length of hospital stay, early surgical complications, and postoperative 3rd month IIQ-7 and ICIQ-SF scores. There were no statistically significant differences between the two groups in terms of objective, subjective, and inadequate treatment rates. Conclusion: TOT surgery is successful with both techniques in patients with SUI. Choosing the technique with which the surgeon is experienced and feels most confident will increase the success of TOT surgery regardless of the technique.

Keywords

• transobturator tape
• suburethral slings
• urinary incontinence
• stress
• transobturator teyp
• subüretral slingler
• üriner inkontinans
• stres