الفهرس 
Introduction and Aim of the WorkOnly 14 pages are availabe for public view
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Abstract
Cardozo, 2004, said that stress urinary incontinence is the most common type of incontinence in women, with 86% of incontinent women presenting with the symptom of SUI in either pure (50%) or mixed (36%) forms. Incontinent women have SUI when they complain of involuntary leakage on effort, exertion, sneezing or coughing. (102)
It was mentioned that stress urinary incontinence is due to urethral hypermobility or impaired sphincter functioning. (196)
In 1995, surgical treatment for stress incontinence was drastically changed with the introduction of a new concept, the tension-free midurethral support described by Ulmsten and Petros. In the past decade, suburethral slings have become the preferred technique for the surgical treatment of female stress urinary incontinence. (197)
In this study we prospectively evaluate the safety and efficacy of TOA procedures in treatment of female SUI. A total of 25 patients underwent TOA procedures during the period from July 2011 to December 2012. All patients were assessed before surgery by history, clinical examination, urine analysis, abdomino-pelvic ultrasonography, and urodynamic examination. The preoperative criteria (age, menopausal state, previous deliveries, type, cause and grade of SUI, presence of cystocele and presence of previous pelvic surgery) were assessed. The surgical outcome results were classified into cured and failed.
All patients were operated upon under spinal anesthesia. The mean operative time was 26.72min ± 5.537 (range: 18-35). No intra-operative bleeding requiring blood transfusion was observed. Urethral injury occurred only in one patient.
There were no cases recorded with postoperative urinary retention. Only four patients developed lower limb pain which persisted for few days.
The mean hospital stay was one day and the mean follow-up was 8.354 ± 4.321 months (range 3-6 months). Out of the 25 patients included in this study 92% were cured and 8% had failure.
So that Transobturator adjustable tape is safe, accurate, quick, and simple surgical procedure for treating genuine stress incontinence in females.
Also Trans-Obturator adjustable tape has short learning curve so it can be learned in short time with excellent success rate.