Clinical outcomes after total excision of transobturator tape inserted for treatment of stress urinary incontinence (24 February 2023)

Summary

Midurethral tapes (MUTs) were the most common surgical treatment for stress urinary incontinence (SUI) between 2008 and 2017. Transobturator tapes were introduced as a novel way to insert MUTs. Some women have experienced life-changing complications, and opt to undergo a total excision of transobturator tape (TETOT).

This study, published in Neurourology and Urodynamics, aims to report clinical outcomes of all women who underwent TETOT in a specialist mesh centre.

Content

Outcomes following TETOT:

• Almost 60% have improved pain levels
• Almost 25% say pain worse
• Almost 62% feel better
• Almost 18% women feel worse

Authors conclude:

Women and clinicians may have different attitudes to the possible benefits of TETOT, as evidenced by women reporting feeling better despite continuing pain or SUI. Conventional outcome measures do not adequately capture all outcomes that are important to patients.

Read the full paper via the link below.