Publication:

To study and compare the effectiveness of transobturator tape versus Kelly’s repair in the treatment of female stress urinary incontinence

Background To compare the effectiveness of transobturator tape (TOT) versus Kelly’s repair in the treatment of female stress urinary incontinence.

Methods A retrospective experimental comparative study was conducted in the department of obstetrics and gynaecology in Lokmanya Tilak Municipal General Hospital, Mumbai, India from 2015 to 2016. A cohort of 60 patients was divided in two groups of 30 each. In group 1, patients who underwent transobturator tape fixation were included. In group 2 patients who underwent Kelly’s repair and outcomes were compared with a follow up of 1 year post surgery.

Results Out of 30 patients included in group 1, 29 slings were successful and 1 had a surgical failure in terms of persistence of stress incontinence whereas 3 had persistent symptom in group 2. 2 patients in group 1 and 4 in group 2 had urinary retention in the immediate postoperative phase. Dyspareunia occurred in 1 TOT patient and 3 Kelly’s repair. None had symptoms of overactive bladder in group 1, whereas group 2 had 1 patient with overactive bladder symptoms. None developed erosion in a 1 year follow up period.

Conclusions The transobturator approach is an effective treatment of SUI with higher cure rate, low morbidity, good patient satisfaction and faster recovery.