OBJECTIVES: To evaluate the safety and efficacy of the TOT surgical technique in the treatment of female stress urinary incontinence (SUI). METHODS: Prospective study of 49 patients undergoing TOT at the Gynecology Unit of the Obstetrics and Gynecology Department in Barros Luco-Trudeau Hospital between November 2003 and January 2005. The mesh used was polypropylene, macropore, monofilament (Prolene). Median age was 52 years. The observational phase was completed in November 2005. RESULTS: Median operative time was 15 minutes. Thirty-two cases (65%) underwent a second gynecologic surgery. One patient had an intraoperative bladder lesion. In the immediate postoperative period there was one case of lower urinary tract infection and another acute pyelonephritis. At the end of the observation phase 47 (96%) patients were cured, 1 (2%) improved, and 1 (2%) had a failure. The failure appeared after a trauma three months after surgery. CONCLUSIONS: The TOT is an effective technique for the correction of SUI. It is easier than TVT. Although rare, it is not free of complications.
OBJECTIVES: To evaluate the safety and efficacy of the TOT surgical technique in the treatment of female stress urinary incontinence (SUI). METHODS: Prospective study of 49 patients undergoing TOT at the Gynecology Unit of the Obstetrics and Gynecology Department in Barros Luco-Trudeau Hospital between November 2003 and January 2005. The mesh used was polypropylene, macropore, monofilament (Prolene). Median age was 52 years. The observational phase was completed in November 2005. RESULTS: Median operative time was 15 minutes. Thirty-two cases (65%) underwent a second gynecologic surgery. One patient had an intraoperative bladder lesion. In the immediate postoperative period there was one case of lower urinary tract infection and another acute pyelonephritis. At the end of the observation phase 47 (96%) patients were cured, 1 (2%) improved, and 1 (2%) had a failure. The failure appeared after a trauma three months after surgery. CONCLUSIONS: The TOT is an effective technique for the correction of SUI. It is easier than TVT. Although rare, it is not free of complications.