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Comparison of the short term outcomes between transobturator tape (TOT) and tension free vaginal tape (TVT) procedures in the treatment of urinary incontinence

DOI: 10.4328/ACAM.20936 Received: 2021-11-03 Accepted: 2021-12-12 Published Online: 2021-12-15 Corresponding Author: Cengiz Andan, Elazig Road, 10. Km, Üçkuyular Locality, 21070, Kayapınar, Diyarbakır, Turkey. E-mail: mdcengizandan@gmail.com P: +90 532 610 08 52 / +90 412 258 00 60 Corresponding Author ORCID ID: https://orcid.org/0000-0002-6609-3284 Abstract Aim: In this study we aimed to compare effectiveness transobturator tape (TOT) and tension free vaginal tape (TVT) procedures that we performed in our gynecology clinics in female patients with SUI and MUI. Meterial and Methods: In this study, a total of 194 patients who presented to the gynecology clinic of our hospital with the complaint of urinary leakage, who were diagnosed with SUI/MUI, and operated using TOT and TVT were retrospectively evaluated. Patients’ demographic data, examination findings, urodynamic test, stress test, Q-tip test, pad test, ultrasonography and operational outcomes were compared between the two groups. Results: Of all patients, 128 were in the TOT and 66 in the TVT group. No statistically significant difference was found between both groups in terms of age, BMI, parity and duration of incontinence. The mean operation time was 20.3±5.9 minutes in the TOT group and 30.4±6.7 minutes in the TVT group, and the mean operation time was statistically significantly shorter in the TOT group. Postoperative residue values were significantly higher in the TVT group compared to the TOT group. The most common complication in both groups was pain in the postoperative 1st week, and it was found in 21 (16%) patients in the TOT group and 6 (9%) patients in the TVT group. Discussion: There is no significant difference between the two procedure types in terms of continence and quality of life, although TOT procedure gave better results in terms of operation time, length of stay in the hospital and complication rates.