Outcome of trans obturator tension-free vaginal tape (TOT) for female stress urinary incontinence in Duhok, Kurdistan, Iraq

Objective: To evaluates transobturator tension-free vaginal tape (TOT) as surgical treatment for female stress urine incontinence (SUI). Methodology: Between January 2023 and June 2024, 60 married female SUI sufferers had TOT operation. With informed permission given for scientific records, surgical results were evaluated using age, operational length, bleeding, UTI, reoperation rate, and patient satisfaction. Results: The study revealed a 95% success rate; only 1.7% of patients needed reoperation and 90% were satisfied. While older age (p=0.032) and longer surgical time (p=0.005) were linked with failure, the "Out-In" approach had a notably higher success rate (p=0.016). Operating results were not much affected by UTI, type of anesthesia, or mesh repositioning. Conclusion: SUI in Duhok still uses TOT, with success and satisfaction rates that match global standards. Older age and extended surgery were risk factors, requiring personalized preoperative counselling. Preference for the "Out-In" approach and positive results imply it may be best in this demographic. These findings need to be confirmed by prospective, long-term investigations in Kurdistan to examine cultural, anatomical, and surgical aspects.