The role of trans-obturator vaginal tape (TVT-O) in the management of female stress urinary incontinence: 2 years follow up, Minia University Experience

Objective: The aim of this study was to evaluate the effectiveness and safety of a new minimally invasive surgical procedure, trans-obturator vaginal tape (TVT-O), in the treatment of female stress urinary incontinence and following-up these cases for 24 months regarding effectiveness, safety and possibility of complications.
Type of the Study: with a 24 -months follow-up.
Setting: Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Minia, Egypt.
Patients: Thirty women with genuine stress urinary incontinence (SUI) demonstrated by history, clinical examination and urodynamic study.
Methods: Thirty patients diagnosed with SUI underwent trans-obturator sling (inside-out technique) (TVT-O Gynecare®, Johnsonand Johnson, USA.).
Outcome Measures: The patients were followed up for 24 - months regarding subjective and objective cure rates.
Results: The mean operative time (min.) was 19.67 (±8.06). The mean intraoperative blood loss (ml) was 80 ± 30.52. There were no cases complicated with intraoperative bleeding (mild or severe), bladder, urethral, vascular injuries and anesthetic complications. Subjective and objective cure rates of these patients were (95%).
Conclusion: The results of this study concluded that management of genuine stress urinary incontinence by trans-obturator vaginal tape (TVT-O) is an easy and safe method with low complications and high success rate.