الفهرس 
PATHOPHYSIOLOGY OF STRESS URINARY INCONTINENCEOnly 14 pages are availabe for public view
 |  | from | 186 |  |  |
| | | from | 186 | | |
Abstract
Background: Stress urinary incontinence (SUI) is the complaint of involuntary loss of urine on effort or physical exertion including sporting activities, or on sneezing or coughing, with a significant effect on health-related quality of life such as physical, psychological wellbeing of the affected women.
Aim of the Work: To assess the rates of cure, complications and patients’ satisfaction after doing trans obturator tape (TOT) procedure in patients with stress urinary incontinence (SUI).
Patients and Methods: After ethical committee approval and informed consent from the patients, this retrospective study was conducted at tertiary care hospital at Urogynecology Department, Ain Shams University Maternity Hospital from June 2022 till January 2023 and performed on a total of 79 women who underwent trans-obturator tape (TOT) procedure for treatment of female urinary incontinence in the last 4 years in urogynecology department.
Results: As regards Follow-up postoperatively, our study results revealed that cure rate and satisfaction rate were 55.7% and leak and Unsatisfaction were reported in 44.3% of cases and the cases with urine leak and unsatisfaction significantly had higher age as well as more frequent hypertension, pelvic prolapse and urinary positive culture as well as longer hospital stay. In addition, diabetes mellitus is significantly associated with leak. The total ICIQ-SF scores and IIQ-7 were 0 in all patients after the surgery while before the surgery, the ICIQ-SF scores and IIQ-7 were missed which is the disadvantage the retrospective study design of the current study.
Conclusion: TOT procedure is one of the effective minimally invasive alternatives for the treatment of pure SUI and MUI in long term with low complication rates, high cure rates, fast recovery and good patient satisfaction for SUI in short term in a retrospective point of view, although our study has limitations about the time period in which the patients were followed.