COMPARING THE TRANSVAGINAL TAPE (TVT) AND TRANSOBTURATOR TAPE (TOT) IN STRESS URINARY INCONTINANCE FOR THEIR EFFICIENCY AND THEIR EFFECTS ON QUALITY OF LIFE

Objective: To compare the success rates, complications and the effects on the quality of life TOT and TVT operation. Material and method: 32 patients who were diagnosed as stress urinary incontinance between March 2005 and November 2006 were included in the study. All patients filled urinar diary and underwent urodinamical examination after negative urine culture. To evaluate the quality of life I-QoL questionnaire was used. The patients were randomised for TOT and TVT operations. Results: 17 patients underwent TOT operation while 15 patients underwent TVT operation. The mean operation time of TOT group (13.5 min) was significantly shorter than TVT groups (18.3 min). There were no intraoperative complications in TOT group whereas one bladder injury and one rigt inguinal side subcutaneous hematoma in TVT group. In early postoperative period no complication was seen in TOT group but 3 globe vesicale cases were seen in TVT group. There were no differences about blood loss between two groups. The mean hospitalisation time was 2 days in bouth two groups (except complicated cases). 1.5 months after the operation all patients were evaluated with cough stress test, residuel urine volume, subjective complains and I-QoL questionnaire, no differences were detected between two groups. One patient in TOT group and three patients in TVT group was complicated with denovo urge incontinance. In our study the objective success rates was 82.3% and 86.7% in TOT and TVT groups respectively. Conclusions: In our study we found that the success rates of TOT and TVT operations were similar and complication rates of TOT was less than TVT group. Further studies that include wide patient populations and long term followup are needed to get more objective results.